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Get the free Aetna Medicare Advantage Plan 2012 Employer Group Enrollment Form - hr columbia

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This is the enrollment form for the Aetna Medicare Advantage Plan, designed for retirees to enroll in Medicare Advantage plans including HMO and PPO options. It provides detailed instructions on completing
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How to fill out Aetna Medicare Advantage Plan 2012 Employer Group Enrollment Form

01
Obtain the Aetna Medicare Advantage Plan 2012 Employer Group Enrollment Form from your employer or Aetna's website.
02
Fill in the required personal information including your name, address, date of birth, and Medicare number.
03
Provide information regarding your employer, including the employer's name, address, and group number.
04
Indicate whether you have any other health insurance coverage.
05
Sign and date the form to certify that the information is accurate.
06
Submit the completed form to your employer or directly to Aetna as instructed.

Who needs Aetna Medicare Advantage Plan 2012 Employer Group Enrollment Form?

01
Individuals who are eligible for Medicare due to age or disability and are enrolled in a group health plan provided by their employer.
02
Employees of a company that offers Aetna Medicare Advantage plans as part of their health benefits.
03
Dependents of employees who are eligible for Medicare and wish to enroll in the Aetna Medicare Advantage Plan.
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People Also Ask about

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.
Part C plans, also known as Medicare Advantage plans, are run by private insurance companies, like Aetna® Medicare. Medicare Advantage plans are a lot like Original Medicare. But they can include valuable extra benefits that Original Medicare doesn't.
Your Medicare group number should be on your insurance card for your Medicare Advantage, Medicare Supplement or Part D plan. If you only have Original Medicare, you don't have a group number, but your 11-digit Medicare number is on your red, white and blue Medicare card.
Aetna Group, is the world leader in the packaging sector, specialised in end-line solutions.
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.
Aetna® shines in Star Ratings with 88% of Medicare Advantage members in 4 out of 5-star plans or higher for 2025.

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The Aetna Medicare Advantage Plan 2012 Employer Group Enrollment Form is a document used by employers to enroll eligible employees and their dependents in the Aetna Medicare Advantage plan.
Employers who offer the Aetna Medicare Advantage plan to their employees are required to file the Aetna Medicare Advantage Plan 2012 Employer Group Enrollment Form for eligible employees and their dependents.
To fill out the form, employers should provide necessary employee information, including personal details, Medicare numbers, and coverage choices. Instructions provided with the form must be followed closely to ensure accuracy.
The purpose of the form is to facilitate the enrollment process for employees into the Aetna Medicare Advantage Plan, ensuring that they have access to necessary healthcare services through their employer.
The form requires reporting of the employee's personal information, Medicare identification number, choices of coverage, and any dependent information if applicable.
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