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This document is an enrollment/change request form for Aetna Vision Preferred coverage, designed for employees to enroll, change, or cancel their vision insurance plans. It requires personal and dependent
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How to fill out aetna visionsm preferred enrollmentchange
How to fill out Aetna VisionSM Preferred Enrollment/Change Request
01
Obtain the Aetna VisionSM Preferred Enrollment/Change Request form from the Aetna website or your healthcare provider.
02
Fill in your personal information, including your name, address, and contact details in the provided fields.
03
Select the type of enrollment or change you are requesting by checking the appropriate box.
04
Provide information about your current insurance coverage if applicable.
05
If adding dependents, complete their details in the designated section, ensuring to include all necessary information.
06
Review all filled sections for accuracy and completeness.
07
Sign and date the form at the bottom of the page to validate your request.
08
Submit the completed form via mail or electronically as instructed on the form.
Who needs Aetna VisionSM Preferred Enrollment/Change Request?
01
Individuals looking to enroll in Aetna VisionSM coverage.
02
Current Aetna VisionSM members wishing to make changes to their existing coverage.
03
Dependents of Aetna VisionSM members who need to be added to the plan.
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People Also Ask about
How do I change my name with Aetna?
How do I report a name or address change to my health plan? If you have an Aetna plan through your employer: Let your employer know your name or address has changed. If you bought a plan directly from us (not through your employer): Log in to send us your name and address change through the “Contact Us” feature.
How many digits is the Aetna member ID?
Aetna Medical Your ID number is the first 9 digits of your USC ID. For example, if your USC ID was 1234567890, your Aetna ID would be 123456789. Please use your Aetna ID when contacting Aetna regarding claim issues or general questions. Please give Aetna your Aetna ID instead of your Social Security Number.
Where can I find my Aetna member ID?
Your Aetna Member ID is located on the left side of your Member ID card labelled ID or ID #. (Example 3 on the sample ID card below.) Your Group number is indicated by "Group" or "GRP". (Example 1 on the sample ID card below.)
How to find Aetna Vision member ID?
Your Aetna Member ID is located on the left side of your Member ID card labelled ID or ID #.
How do I change my name on Aetna?
If you bought a plan directly from us (not through your employer): Log in to send us your name and address change through the “Contact Us” feature. Or call Member Services at the number on your ID card. If you bought a plan on the Health Insurance Marketplace®: Contact the plan to update your name and address.
How do I change my insurance to my name?
Contact your insurer by phone, email, or online and let them know that you would like to change the name on your policy. Provide proof of your name change, which might include: Marriage certificate, divorce decree, court order, or other legal document. Fill out your insurer's paperwork and submit the documents required.
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What is Aetna VisionSM Preferred Enrollment/Change Request?
Aetna VisionSM Preferred Enrollment/Change Request is a form used by participants to enroll in or make changes to their vision insurance plan with Aetna.
Who is required to file Aetna VisionSM Preferred Enrollment/Change Request?
Individuals who wish to enroll in Aetna's vision insurance plan or make changes to their existing enrollment are required to file the Aetna VisionSM Preferred Enrollment/Change Request.
How to fill out Aetna VisionSM Preferred Enrollment/Change Request?
To fill out the Aetna VisionSM Preferred Enrollment/Change Request, applicants need to complete the required fields on the form, providing personal information, plan selection, and any changes to existing coverage.
What is the purpose of Aetna VisionSM Preferred Enrollment/Change Request?
The purpose of the Aetna VisionSM Preferred Enrollment/Change Request is to allow members to enroll in vision insurance or update their current plan selections as needed.
What information must be reported on Aetna VisionSM Preferred Enrollment/Change Request?
The information that must be reported includes personal identification details, contact information, specific vision plan choices, and any changes to dependent coverage.
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