Find everything you need to enroll with confidence. Our Carrier Enrollment Kits include the most up-to-date forms, applications, and brochures for each health plan we represent.

Organized by carrier and region, these kits make it easy for you and your clients to get started quickly and accurately.

Summary of Benefits & Coverage provides a centralized location to view and download standardized summaries for each carrier and plan.

These documents help your clients make informed decisions by clearly outlining coverage details, cost-sharing, and what to expect from their plan.

Help clients find their doctors and medications with ease. Our Provider & Rx Search gives you direct access to each carrier’s search portal, so you can quickly verify doctors, specialists, hospitals, and covered prescriptions.

Member App for downloading ID cards
Get the Aetna Health app by texting “GETAPP” to 90156 for a link to download the app and create an account. Message and data rates may apply.

Member Web access instructions on how to access online account Visit Aetna.com to create an account and log in to the member website.

Can a broker download ID cards?
No, brokers cannot download ID cards.

Do dependents receive ID cards?

Yes, if the dependent is a spouse, they will receive two identical ID cards.

a. Subscribers and covered dependents with the same addresses will be on the same card (up to 5)

b. If the total number of members is more than 5, then the additional covered dependents will be on a second card with the subscriber listed again

c. If one of the covered dependents is a spouse and the spouse’s address is the same, the subscriber will get two cards

Prior Carrier Deductible Credit is given for all plan types (HMO, PPO, Trust).

Prior Carrier Deductible Credit/OOP Max may be credited  if valid EOB from prior carrier is submitted within 90 days of the effective date.

This information should be faxed to 866-474-4040 no later than 90 days after the effective date.

For more information, member should reach out to Aetna member services to discuss.

New hire rates will be based on the member’s age at the member’s enrollment date.

What is the effective date of coverage for a newborn, and how are premiums requested?

The newborn will be covered starting from the birth date, and the group has 31 days to request this from Aetna.  Aetna does not pro rate so premiums will start the 1st of the next policy month unless the date of birth is the 1st of the month.

Is there an additional cost for covering the newborn during the first 30 days?

The member’s premium will be charged as EE + Child(ren) or EE + Family.

Does this apply to both the mother and the father?

Yes, this applies to both the mother and father, and the billing process is the same for both Small Group and Large Group.