Get the free Aetna VisionSM Preferred Enrollment/Change Request
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This form is used for employees to enroll in or make changes to their Aetna Vision Preferred plan, including adding or removing dependents and requesting COBRA coverage.
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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 provider.
02
Complete the personal information section, including your name, address, and contact information.
03
Indicate whether you are enrolling for the first time or making a change to your existing coverage.
04
If enrolling, provide details of any dependents you wish to include in the coverage.
05
Select your desired plan option from the choices available on the form.
06
Review the payment options available and choose the one that best suits you.
07
Sign and date the form to certify that the information provided is accurate.
08
Submit the completed form via mail, fax, or through the Aetna online portal, as per the instructions provided.
Who needs Aetna VisionSM Preferred Enrollment/Change Request?
01
Individuals looking to enroll in Aetna VisionSM coverage for the first time.
02
Current members wishing to make changes to their existing vision coverage.
03
Dependents who need to be added to an existing Aetna VisionSM 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 to enroll or make changes to a vision insurance plan offered by Aetna.
Who is required to file Aetna VisionSM Preferred Enrollment/Change Request?
Individuals who wish to enroll in or make changes to their Aetna VisionSM plan 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, follow the instructions provided on the form, ensuring to include all necessary personal information, plan details, and requested changes.
What is the purpose of Aetna VisionSM Preferred Enrollment/Change Request?
The purpose of Aetna VisionSM Preferred Enrollment/Change Request is to facilitate the enrollment process or modifications to the existing vision coverage for eligible individuals.
What information must be reported on Aetna VisionSM Preferred Enrollment/Change Request?
The information that must be reported includes personal identification details, the current insurance plan, the type of change requested, and any dependent information if applicable.
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