I lost my member ID card(s). How do I get a new one? Show You can request a new card online - just go to Aetna Member Services site and sign in to your account. Click on ID Card on the left-hand side of the page. You can print a copy of your temporary card online, which may be used until the new one is received. You can also call Aetna Member Services at 855-281-8858 (medical plan) or, 877-238-6200 (dental plan), and tell them you need a new ID card(s). They can order a new card for you or any member of your family as needed. My medical/dental insurance just started with the County. How long should I expect to wait to receive my member card(s)? You can expect to receive your new medical and or dental card(s) in 7-10 days from the date your enrollment was first reported to Aetna; or, the date you requested a new card online. In most cases, you will receive your new ID card(s) prior to the effective date of your benefits. What should I do if I need to see my doctor, get prescriptions filled, etc. and I haven't received my cards yet or I am waiting for a new card? If you need to see the doctor or have a prescription filled right away, have your doctor or pharmacist call Aetna's Member Services number at 855-281-8858 to verify your coverage – they may ask you for your social security number in order to confirm your enrollment. You may also go online to Aetna Navigator and print a copy of your temporary ID card. Please Note: If your benefits are effective and your information is NOT found on Aetna Member Services site, please call 239-533-2245 and ask for Benefits. What are my group numbers? Medical & Dental group number: 881673 Where will my cards come from and how many will I get? You will receive your cards directly from Aetna. You will receive one card for the medical plan and you will not receive a card for the dental plan. The cards will show the names of all dependents covered. What if I need additional cards for out-of-area dependents? Should you desire any
additional ID cards for other family members, you can request those directly from Member Services or go online to Aetna Member Services site. Member Services questionsIf you have insurance through your job or your spouse’s/partner’s job, the employer’s benefits office will give you a summary of your benefits. Depending on your plan, you also may find the summary of benefits information on your secure member website. If neither of these options applies to you, please contact Member Services. A representative can send you a summary of benefits. You may call the toll-free number on your member ID card at any time. An automated telephone system will answer your call. During regular business hours, you can ask to speak with a member services representative. See all of the ways you can contact us If you need a duplicate or additional ID card, you can view and print one within your secure member website. A digital or printed card is identical to a plastic ID card. If you’re having trouble, contact us and we can help. Contact us Give changes of name or address to the employer through which you have Aetna coverage. The employer will send this information to us. If you are covered by a plan you purchased on the exchange (also called the Health Insurance Marketplace), you should contact the plan directly. If you are covered by a plan that you purchased directly from us (not through an employer), send us the updated information. There are two ways to do this:
You can change your PCP through your secure member website. You also can call the toll-free number on your ID card, and follow the menu options. If your doctor leaves the network, you will need to select another Aetna participating provider. You can use our online directory of doctors and hospitals to find one. Contact your prior employer's benefits office and tell them you're interested in purchasing a COBRA policy. According to federal law, companies that employ more than 20 employees must make you aware of your options for purchasing this coverage.
Once you have received your ID card:
Medical claim form (PDF) Log in to your secure member website. In general, an eligible newborn child is covered for 31 days from the date of birth. To continue coverage beyond this time, you must enroll the child within those 31 days and pay any applicable premium. Special provisions may apply to a legally adopted child or a child for whom you are a legal guardian. Eligibility provisions may vary by state, as well as the plan of benefits chosen by your employer. Please refer to your Certificate of Coverage or other plan documents for more details. You may add or delete family members during the annual open enrollment period. In addition, we will generally accept enrollments for newly eligible members within 31 days after the following events (with proper documentation submitted to us):
Page last reviewed Dec. 21, 2015 What is a plan ID?The Plan ID is a 3-digit number that designates one plan from another for the IRS and DOL. Which number goes to what plan is up to the employer in most cases. In the instructions for Form 5500, the IRS informs us that Plan ID numbers are to begin with 501 for a company's first health & welfare plan.
Does Aetna work in Puerto Rico?Top 10 Aetna Provider Specialties in Puerto Rico:
Internist (14 providers) Radiologist (8 providers) Dentist (6 providers) Family Doctor (6 providers)
Why can't I log into Aetna?What can I do? Check that your Caps Lock key and/or your Num Lock key are not on. If they are on, Aetna Navigator will not accept them. If you kept a record of your user name and password, consult it to make sure that you are entering your information correctly.
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