Get Aetna Critical Illness Plan

Completing the Aetna Critical Illness Plan online can be a straightforward process when you understand each step involved. This guide will provide clear instructions tailored to your needs, ensuring that you correctly fill out the required fields to facilitate your claim.

Follow the steps to successfully complete the form online

1. Press the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by checking the box(es) that best describe your claim from the list of covered benefits. These include conditions such as Alzheimer’s disease, cancer, heart attack, stroke, and more. If your policy includes optional cancer benefits, remember to provide the required pathology report or clinical diagnosis.
3. Fill out Section B with relevant Employee and Patient Information. This includes the employee's name, address, email, policy group number, birthdate, gender, occupation, and daytime phone number. If the patient is someone other than the employee, also provide their information.
4. Ensure Sections C and D are completed by a physician. Section C requires the physician to include the name and address of the facility, dates of service, diagnosis codes, and details about the nature of the accident, illness, or injury. Section D consists of the physician's verification with their signature and contact details.
5. Attach an itemized bill or UB04 form from the hospital as part of your submission. This documentation supports your claim and must accompany the completed form.
6. Retain copies of all submitted bills and documentation for your records before sending the completed benefits request.
7. Submit the completed form and bills to Aetna Voluntary Plans by fax to 1-859-455-8650 or by mail to PO Box 14079, Lexington, KY 40512-4079. Remember that incomplete forms may delay your claim processing.

Get started today by completing the Aetna Critical Illness Plan online.