The signature section. Ask your physician to complete the Attending Physician's Statement and return the form to you. Send or fax this completed form along with the completed Attending Physician's Statement to: Aetna PO Box 981106 El Paso, TX 79998-1106 FAX: 859-455-8650 You and your employer will be notified of the denial or approval of this request. Note: Aetna has the right to: Require proof of the continuation of the handicap. Examine or require examination of your child (a.
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How to fill out the GC-463 online
The GC-463 form is designed for requesting continuation of coverage for a handicapped child. This guide aims to provide clear, step-by-step instructions to help you complete this form accurately and efficiently online.
Follow the steps to complete the GC-463 form online.
- Press the ‘Get Form’ button to access the GC-463 form and open it in your preferred online editor.
- In Section 1, provide your employee information, including your name and Aetna ID number. This information is essential for locating your account.
- Proceed to Section 2 and fill in your employer's name. Ensuring the accuracy of this information is crucial for proper processing.
- In Section 3, indicate whether the dependent was previously covered under your plan. Answer 'yes' or 'no' as applicable.
- Complete Section 4, the Employee Statement, affirming that all provided information is accurate to the best of your knowledge. Ensure you sign and date this section.
- Fill out Section 5 with the attending physician's information, including their name, address, and contact number. This physician will complete the required statement.
- In Section 6, provide your signature and date to authorize the release of your dependent’s health information to Aetna for coverage evaluation.
- Section 7 requires you to enter dependent information, including their name.
- Fill out Section 8 by providing detailed information about the dependent’s incapacity, including the start date, type of incapacity, living arrangements, work history, and financial support details.
- Review the entire form to ensure accuracy. After verifying all sections, you can save changes, download, print, or share the completed form.
Complete your GC-463 form online today for a smoother submission process.
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