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Get Aetna Hra Reimbursement Form 2008-2024

Health Reimbursement Arrangement HRA Mail or fax completed form and documentation to Aetna Inc. PO Box 4000 Richmond KY 40476-4000 Fax to 1-888-238-3539 1-888-AET-FLEX Phone 1-888-238-6226 For the hearing impaired call 1-877-703-5572 TDD/TTY 0B You must sign and date this form to avoid claim payment delay. SECTION 4 Orthodontia Expenses For Orthodontia claims please follow these guidelines. When submitting your first orthodontia claim you must s.

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