Get the free Aetna Medicare Open™ (PFFS) Plan Group Enrollment Form

This form is used for enrolling individuals in the Aetna Medicare Open Plan, including sections for personal, Medicare, and insurance information.

How to fill out aetna medicare open pffs

How to fill out Aetna Medicare Open™ (PFFS) Plan Group Enrollment Form

1. Obtain the Aetna Medicare Open™ (PFFS) Plan Group Enrollment Form from the Aetna website or your employer.
2. Fill in the personal information section, including name, address, date of birth, and Medicare number.
3. Provide details about the group plan, including the group number and the sponsor's name.
4. Indicate your preferred communication method and any additional beneficiaries if applicable.
5. Review all the information for accuracy and completeness.
6. Sign and date the form to certify the information is correct.
7. Submit the completed form as instructed, either by mail or electronically.

Who needs Aetna Medicare Open™ (PFFS) Plan Group Enrollment Form?

1. Individuals who are eligible for Medicare and wish to enroll in the Aetna Medicare Open™ (PFFS) Plan.
2. Groups or employers offering the Aetna Medicare Open™ (PFFS) Plan to their employees or members.
3. Individuals who are transitioning from another Medicare plan to Aetna Medicare Open™ (PFFS).

People Also Ask about

Is Aetna Medicare the same as Aetna Medicare Advantage?

You must first be ready to sell. To order enrollment kits, login to Producer World, click “Individual Medicare” and then under “Quick links” select “Enrollment kits.” Our secure website can help you sell our products and manage your book of business. Once logged in, select 'Individual Medicare' at the top.

What is the Aetna Medicare plan called?

Aetna Medicare Advantage (Part C) Plans.

What is the Aetna Medicare open plan?

Aetna Medicare Open Plan allows members to use any provider, such as a physician, health professional, hospital, or other Medicare provider in the United States that agrees to treat the member after having the opportunity to review these terms and conditions of payment, as long as the provider is eligible to provide

What is an open access Medicare Advantage plan?

Blue Cross Group Medicare Advantage Open Access (PPO) offers members access to care from any providers nationwide who accept Medicare assignment and are willing to bill BCBSIL.

How much does Aetna insurance cost per month for seniors?

Average Aetna Costs by Metal Plan Age of memberAverage monthly cost for an Aetna bronze planAverage monthly cost for an Aetna gold plan Age 30 $384 $494 Age 40 $432 $556 Age 50 $604 $778 Age 60 $916 $1,1792 more rows • Jan 2, 2025

Is Aetna Open Access a good plan?

The Office of Personnel Management (OPM) has determined that Aetna's Open Access prescription drug coverage is, on average, expected to pay out as much as the standard Medicare prescription drug coverage will pay for all plan participants and is considered Creditable Coverage.

For pdfFiller’s FAQs

What is Aetna Medicare Open™ (PFFS) Plan Group Enrollment Form?

The Aetna Medicare Open™ (PFFS) Plan Group Enrollment Form is a document used to enroll eligible individuals into the Aetna Medicare Open Plan, which is a Private Fee-for-Service (PFFS) plan designed for Medicare beneficiaries.

Who is required to file Aetna Medicare Open™ (PFFS) Plan Group Enrollment Form?

Individuals who wish to enroll in the Aetna Medicare Open™ (PFFS) Plan, typically those covered under a group or employer-sponsored health plan, are required to file this enrollment form.

How to fill out Aetna Medicare Open™ (PFFS) Plan Group Enrollment Form?

To fill out the Aetna Medicare Open™ (PFFS) Plan Group Enrollment Form, applicants need to provide personal information such as name, address, Medicare number, and other relevant details. It's important to follow the instructions provided on the form carefully and ensure all information is accurate.

What is the purpose of Aetna Medicare Open™ (PFFS) Plan Group Enrollment Form?

The purpose of the Aetna Medicare Open™ (PFFS) Plan Group Enrollment Form is to formally enroll eligible individuals into the Medicare PFFS plan, ensuring they receive the health care benefits offered under the plan.

What information must be reported on Aetna Medicare Open™ (PFFS) Plan Group Enrollment Form?

The information that must be reported on the Aetna Medicare Open™ (PFFS) Plan Group Enrollment Form includes the applicant's personal identification details, Medicare number, contact information, and any additional documentation required by Aetna for eligibility verification.