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This document is used for enrolling individuals in the Aetna Medicare Advantage Plan, including the collection of personal information, Medicare information, and health plan preferences.
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How to fill out Aetna Medicare Advantage Plan Group Enrollment Form

01
Obtain the Aetna Medicare Advantage Plan Group Enrollment Form from your employer or Aetna's website.
02
Fill in the required personal information, including full name, date of birth, and Social Security number.
03
Provide your contact details such as address, phone number, and email address.
04
Indicate your preferred method of communication regarding your enrollment.
05
List any additional dependents you want to enroll in the plan by providing their personal information.
06
Review the terms and conditions of the plan carefully before signing.
07
Sign and date the form to confirm your enrollment request.
08
Submit the completed form to your employer or directly to Aetna, as instructed.

Who needs Aetna Medicare Advantage Plan Group Enrollment Form?

01
Individuals who are eligible for Medicare and wish to join a Medicare Advantage plan offered by Aetna.
02
Employees of companies that provide Aetna Medicare Advantage plans as part of their employee benefits.
03
Dependents of eligible individuals who wish to enroll in their Aetna Medicare Advantage plan.
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People Also Ask about

Aetna Group, is the world leader in the packaging sector, specialised in end-line solutions.
Facing financial and federal regulatory pressures, many insurers are pulling their Medicare Advantage plans from counties and states they've deemed unprofitable. Meanwhile, large health systems in states including Alabama, Minnesota and Vermont have cut ties with some Medicare Advantage plans.
Network restrictions are another common reason why beneficiaries leave their Medicare Advantage plans. With Medicare Advantage plans, staying within your policy's network is key to paying the lowest possible costs for health services. Going out of your network could mean high fees or no coverage.
Enroll in Medicare Advantage by mail or fax And if you haven't already chosen your plan, an Aetna representative can walk you through your options. They can then send the Medicare Advantage enrollment forms to you by mail. You can reach us at 1-855-335-1407 (TTY: 711), Monday to Friday, 8 AM to 8 PM.
Your Aetna Medicare Advantage plan won't be offered in 2025. But don't worry, we can help you find another Aetna® plan that's similar to your current plan. We'll help you every step of the way to find and enroll in the right Aetna plan for you.

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The Aetna Medicare Advantage Plan Group Enrollment Form is a document used by employers or organizations to enroll their employees or members in Aetna's Medicare Advantage plans.
Employers or group plan sponsors who want to offer Aetna Medicare Advantage plans to their eligible employees or members must file the enrollment form.
To fill out the form, provide the necessary information for each member being enrolled, including personal details, Medicare information, and the chosen plan selection, and ensure all required signatures are obtained.
The purpose of the form is to formally enroll group members in Aetna's Medicare Advantage plans, facilitating access to healthcare coverage and benefits.
The form must include member identification information, contact details, Medicare numbers, and the plan selection details for each person being enrolled.
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