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Get the free Kraft Aetna HealthFund Prescription and Behavioral Health Reimbursement Claim Form

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This document is used to submit claims for reimbursement of prescription and behavioral health expenses through Aetna's HealthFund. It requires detailed employee and expense information, along with
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How to fill out Kraft Aetna HealthFund Prescription and Behavioral Health Reimbursement Claim Form

01
Obtain the Kraft Aetna HealthFund Prescription and Behavioral Health Reimbursement Claim Form from the Aetna website or your healthcare provider.
02
Fill out your personal information at the top of the form, including your name, address, and member ID.
03
Indicate the type of claim you are submitting: Prescription or Behavioral Health.
04
For prescription claims, include the date of service, name and quantity of the medication, and the cost incurred.
05
For behavioral health claims, provide the date of service, the provider's name, and the type of service received.
06
Attach all required receipts or documentation to support your claim.
07
Sign and date the form to certify that the information provided is accurate.
08
Submit the completed form and attachments to the address specified on the form.

Who needs Kraft Aetna HealthFund Prescription and Behavioral Health Reimbursement Claim Form?

01
Individuals who have incurred medical expenses for prescriptions or behavioral health services and seek reimbursement through their Kraft Aetna HealthFund plan.
02
Aetna HealthFund members who require financial assistance for covered healthcare services.
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People Also Ask about

How to Raise a Reimbursement Health Insurance Claim Intimate the insurance company. Pay bills and collect documents. Submit the claim form and documents. Let the insurance company verify and enquire.
Is therapy covered by insurance? Many health insurance plans offer mental health care coverage, but not all therapists accept insurance—many require clients to pay the full fee “out of pocket.” When therapy is covered by insurance, the client will usually pay a “co-pay,” or portion of the fee.
Yes, Aetna typically covers therapy—including in-person and online therapy—as well as a wide range of mental health services that are designed to help with substance abuse, depression, anxiety, stress, relationship issues, OCD and more.
HMO or POS plan: Yes, you are typically required to see your primary care physician for a referral to therapy before Aetna will pay for services. PPO or EPO plan: No, you typically don't need to see your primary care physician for a referral to therapy before Aetna will pay for services.
1095-B tax forms are available online on the secure member site, even if you haven't registered. Once you register for your member website,you can find the 1095-B form in the Letters and Communications tab. If you cannot register, please call 1-855-531-6837 (TTY: 711) for a duplicate form.
Simple for employers, convenient for employees. The Aetna HealthFund® Health Reimbursement Arrangement (HRA)* helps businesses stay on top of health care costs in a number of ways. Employers are solely responsible for contributing to the fund, so they can better manage their health care budgets for the year.

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The Kraft Aetna HealthFund Prescription and Behavioral Health Reimbursement Claim Form is a document used by members of the Kraft Aetna HealthFund to request reimbursement for eligible prescription medication and behavioral health services expenses.
Members of the Kraft Aetna HealthFund who have incurred eligible expenses for prescription medications and behavioral health services are required to file this form to receive reimbursement.
To fill out the form, members should provide their personal identification information, details about the prescription or behavioral health service received, itemized receipts, and any additional information requested on the form to ensure proper processing.
The purpose of the form is to facilitate the reimbursement process for members seeking financial compensation for eligible expenses related to prescription medications and behavioral health services under their health benefits plan.
The form must include the member's identification details, dates of service, descriptions of the medication or service, the costs incurred, and any additional documentation like receipts to validate the claim.
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