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  • Aetna Better Health Of Ky Form

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Member Name: Member DOB: Date of Service: Provider NPI: Member ID Number: Claim Number: Amount Billed: Please describe in detail, the nature of your appeal and include the date of service. Please print or write legibly. Attach additional documents if necessary.

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Both claims should be submitted to payer ID 68024.

The Kentucky Medicaid program provides medical assistance to individuals meeting income, resource and technical eligibility requirements. The income limit is $217 and resource limit is $2,000 for an individual. If an individual's income exceeds $217, spenddown eligibility may apply.

By faxing your request to 800-540-2406.

You need to renew your benefits every 12 months to keep them. If you don't renew on time, you could lose your benefits. But don't worry!

Yes. Other types of coverage that you can have with Medicare include: Medicaid.

Kentucky Medicaid/KCHIP is a state and federal program. It is authorized by Title XIX of the Social Security Act. Kentucky Medicaid/KCHIP provides health coverage for eligible low-income residents.

You can file an appeal within 90 days of receiving a Notice of Action. We'll send an acknowledgment letter within 5 business days.

Aetna Better Health® of Kentucky provides Kentucky Medicaid coverage. We offer a wide range of benefits and services to help Medicaid members and Supporting Kentucky Youth (SKY) program members. For complete info, download our member handbook.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232