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This document is an enrollment form for Aetna Advantage Plans, allowing individuals and families to apply for healthcare coverage, providing necessary personal, dependent, and medical information.
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How to fill out aetna advantage plans enrollment

How to fill out Aetna Advantage Plans Enrollment Form
01
Obtain the Aetna Advantage Plans Enrollment Form from the Aetna website or your local Aetna office.
02
Read the instructions carefully before starting to fill out the form.
03
Provide your personal information including your name, address, phone number, and date of birth.
04
Fill in your Medicare number and the date you became eligible for Medicare.
05
Select the Aetna Advantage Plan you wish to enroll in by checking the appropriate box.
06
Indicate your primary care physician (PCP) if required by the selected plan.
07
Review and sign the form to confirm accuracy and consent for enrollment.
08
Submit the completed form via mail, fax, or online as specified in the instructions.
Who needs Aetna Advantage Plans Enrollment Form?
01
Individuals who are eligible for Medicare and wish to enroll in an Aetna Advantage Plan.
02
People looking for additional health coverage beyond original Medicare.
03
Individuals seeking a specific healthcare provider network or extra benefits offered by Aetna.
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People Also Ask about
Is Aetna Medicare the same as Aetna Advantage?
Medicare Advantage plans are a lot like Original Medicare. But they can include valuable extra benefits that Original Medicare doesn't. These benefits can include dental, hearing and vision care, and fitness memberships.
What is the best advantage plan for seniors?
What are the disadvantages of a Medicare Advantage plan? Getting coverage for procedures can be more complicated. Billing before you receive treatment. Less freedom in choosing health care providers. Less compatible with other forms of retiree coverage.
Is Aetna Advantage a good plan for seniors?
Aetna® shines in Star Ratings with 88% of Medicare Advantage members in 4 out of 5-star plans or higher for 2025. Aetna Medicare is an HMO, PPO plan with a Medicare contract.
How do I order enrollment kits for Aetna Medicare?
You can also enroll in an Aetna Medicare plan by mail. Call a licensed agent at 1-855-335-1407 (TTY: 711), 7 days a week, 8 AM to 8 PM, to request your paper enrollment kit.
Is Aetna Advantage a good plan for Medicare?
There's no one-size-fits-all answer, but Medicare Advantage typically has lower premiums and optional coverage, while Original Medicare often gives you more choice when it comes to choosing doctors.
Is there a difference between Medicare and Medicare Advantage?
Medicare pays first, and your (or your spouse's) group health plan pays second. Retiree coverage might not pay your medical costs during any period when you were eligible for Medicare but didn't sign up for it.
What is Aetna Medicare called?
Aetna's Medicare Advantage plans, which are named Advantra, include the same basic coverage as Original Medicare (parts A and B), plus a wide range of other benefits. Aetna provides health insurance to millions of people in the United States, and many of its plans cover Medicare beneficiaries.
Is there a difference between Aetna Medicare and Aetna Medicare Advantage?
Aetna Medicare Advantage provides the same coverage as Original Medicare but with extra benefits like $0 deductibles and prescription benefits. You'll also get access to programs that may help you reach your health goals. These include SilverSneakers® fitness membership and more.
What are the disadvantages of an advantage health plan?
Additionally, if you visit the doctor often, you may find that these low costs are negated by copays, specialist fees or other less common expenses. Nonetheless, $0 deductibles and a plethora of extra benefits make Aetna's Medicare Advantage plans a great choice for many seniors and Medicare beneficiaries.
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What is Aetna Advantage Plans Enrollment Form?
The Aetna Advantage Plans Enrollment Form is a document that individuals use to enroll in Aetna's Medicare Advantage plans, providing essential information required for enrollment.
Who is required to file Aetna Advantage Plans Enrollment Form?
Individuals who wish to enroll in Aetna's Medicare Advantage plans are required to file the Aetna Advantage Plans Enrollment Form.
How to fill out Aetna Advantage Plans Enrollment Form?
To fill out the Aetna Advantage Plans Enrollment Form, individuals need to provide personal information such as name, address, date of birth, and Medicare number, along with selecting the plan they wish to enroll in.
What is the purpose of Aetna Advantage Plans Enrollment Form?
The purpose of the Aetna Advantage Plans Enrollment Form is to facilitate the enrollment process for individuals seeking coverage through Aetna's Medicare Advantage plans.
What information must be reported on Aetna Advantage Plans Enrollment Form?
The information that must be reported on the Aetna Advantage Plans Enrollment Form includes personal identification details, Medicare number, plan selection, and any additional required demographic information.
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