Aetna FAQ

Answers to your most common questions about Aetna.

Quick, simple, and helpful information at a glance.

What is Aetna?
Aetna is a healthcare insurance company that provides coverage for medical and dental expenses.
How do I sign up for Aetna?
You can sign up for Aetna plans through their website, by phone, or through your employer if they offer Aetna as a benefit.
How do I find a doctor that accepts Aetna insurance?
Aetna has a provider directory on their website where you can search for a doctor by location and specialty.
What is a deductible and how does it work with Aetna?
A deductible is a set amount of money that you must pay out-of-pocket before your insurance coverage begins. Aetna's plans have different deductibles, so it's important to check your specific plan details.
How do I find out if a medical procedure or service is covered by Aetna?
You can check your coverage by logging into your Aetna account or by calling their customer service line.
What should I do if my Aetna insurance card is lost or stolen?
If your Aetna insurance card is lost or stolen, you can request a replacement card through your online account or by calling their customer service line.
What is a copay and how does it work with Aetna?
A copay is a set amount you pay each time you receive medical services. Aetna offers plans with different copay amounts for different services.
Can I use my Aetna insurance outside of the United States?
Some Aetna plans offer international coverage, but it's important to check your specific plan details or contact customer service for more information.
How can I view my claims and coverage details with Aetna?
You can view your claims and coverage details by logging into your online Aetna account or by calling their customer service line.
Does Aetna cover mental health services?
Yes, Aetna offers coverage for mental health services, including therapy and counseling.
What should I do if I receive a bill from a provider that should have been covered by Aetna?
You can contact Aetna's customer service line for assistance with disputing the charges from the provider.
What is a preexisting condition and how does it affect coverage with Aetna?
A preexisting condition is a health issue that existed before you enrolled in the Aetna plan. Aetna cannot deny you coverage or charge you more because of a preexisting condition.
How can I order prescription medications with my Aetna insurance?
Aetna has a mail-order pharmacy service where you can order your prescriptions online or by phone.
What is an Explanation of Benefits (EOB) from Aetna?
An EOB is a statement that outlines the benefits and services covered by Aetna for a particular medical claim.
Can I use my Aetna insurance for vision care?
Aetna offers vision insurance plans that cover eye exams, glasses, and contacts.
How do I file a complaint or appeal with Aetna?
You can file a complaint or appeal by contacting Aetna's customer service line or submitting a form through their website.
Can I change my Aetna plan or update my coverage details?
Yes, you can make changes to your Aetna plan during open enrollment periods or if you experience a qualifying life event, such as getting married or having a baby.
What should I do if I am having trouble accessing my Aetna account?
If you are having trouble accessing your account, you can try resetting your password or contacting Aetna's customer service line for assistance.
How do I find out if my prescription is covered by my Aetna plan?
You can check your coverage for specific prescriptions by logging into your Aetna account or by contacting their customer service line.
What is a premium and how does it work with Aetna?
A premium is the amount you pay each month for your insurance coverage. Aetna offers plans with different premium amounts.
Can I use my Aetna insurance for alternative or complementary therapies?
Some Aetna plans may offer coverage for alternative or complementary therapies. You can check your specific plan details or contact customer service for more information.
How long does it take for my Aetna plan to become effective?
The time it takes for your Aetna plan to become effective may vary, but typically it takes 1-2 weeks from the date you enroll.
What should I do if I receive a medical bill that I believe is incorrect?
You can contact Aetna's customer service line for assistance with addressing any incorrect charges on your medical bill.
I received a denial letter from Aetna, what does it mean?
A denial letter from Aetna means that your claim for a particular medical service was not covered. You can contact customer service for more information on why the claim was denied and how to appeal the decision.
Can I use my Aetna insurance for preventive care services?
Yes, Aetna covers preventive care services, such as annual check-ups and vaccinations, at no cost to you.
How do I cancel my Aetna insurance plan?
You can cancel your Aetna plan by contacting their customer service line or submitting a cancellation request through your online account.
Are there any resources available for managing my health with Aetna?
Yes, Aetna offers resources such as health coaching, lifestyle management programs, and tools for tracking your health and wellness goals. You can access these resources through your online account or by contacting customer service.