Aetna GC-1560-4 2014 free printable template

Mail this completed form to: STD Disability Employee Request Aetna Voluntary Plans PO Box 14079 Lexington, KY 405124079 Fax: 18594558650 Phone: 18887729682 Internal Use Category Code LTD Office Key

How to fill out Aetna GC-1560-4

How to fill out Aetna GC-1560-4

1. Obtain the Aetna GC-1560-4 form from the Aetna website or your healthcare provider.
2. Begin by filling out your personal information at the top of the form, including your name, address, and contact details.
3. Provide your Aetna member ID number, which can be found on your insurance card.
4. Specify the type of claim you are submitting by selecting the appropriate box (e.g. medical, dental, etc.).
5. Complete the section detailing the services received, including dates of service, provider information, and the reason for the claim.
6. Attach any required documentation, such as receipts, medical records, or referral slips.
7. Review the form for accuracy, ensuring that all information is complete and correct.
8. Sign and date the form at the designated section.
9. Keep a copy of the completed form and any attachments for your records.
10. Submit the form via the method specified by Aetna, whether by mail or electronically.

Who needs Aetna GC-1560-4?

1. Individuals who have received medical or dental services covered by Aetna insurance and wish to file a claim for reimbursement.
2. Aetna members who have incurred out-of-pocket expenses and are seeking to be reimbursed for those costs.
3. Healthcare providers or facilities that need to submit claims on behalf of Aetna members for services rendered.

Instructions and Help about Aetna GC-1560-4

Let's talk about short-term disability insurance and why it's such an important employee benefit even though you are covered for on-the-job accidents through workers' compensation you are not protected from the off-the-job sicknesses or accidents short-term disability is an insurance plan that is designed to replace a portion of your paycheck if you are unable to work due to an off the job sickness or accident if you are unable to work then you are unable to collect a paycheck while your paycheck stops since you can't work your financial responsibilities don't you still have to pay for things like a car payment mortgage or rent bills and utilities and other insurance policies like medical insurance car insurance homeowners or renters insurance how about the medical bills due to your disability and if your pregnant new babies aren't cheap either the point is that you need money more than ever when a disability keeps you from being able to work that is what this insurance is for it protects your paycheck, and it's one of the most important insurance plans you can purchase examples of common short term disability claims might be back issues knee disorders accidents or surgeries that lay you off and sicknesses such as cancer strokes mental illness or heart attacks while you may consider a pregnancy to be an accident it's actually covered under short term disability as a sickness now let's talk about the fine points of how the coverage works the typical STD plan replaces up to 50 or 60% of your PRE disability earnings should you incur a disability while covered under this plan the process begins by filing a claim you provide information as well as your personal doctor and your employer the insurance company then reviews all the submitted documentation and upon approval of the claim paperwork the policy begins to pay you money with these types of plans the policy will begin payments to you after a certain number of days following the disability you will then be able to collect a certain number of weeks perhaps 13 weeks or 26 weeks depending upon your company's specific plan design there are some key details that you should also pay attention to that would be provided to you separately for instance whether the benefits received under the plan are considered taxable income or whether the plan has a pre-existing condition exclusion hopefully this brief overview of short term disability coverage helps you better understand this important employee benefit

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What is Aetna GC-1560-4?

Aetna GC-1560-4 is a specific form used for reporting healthcare-related data, typically required for compliance with Aetna's policies or regulatory requirements.

Who is required to file Aetna GC-1560-4?

Providers and organizations that offer healthcare services and need to report certain information to Aetna are required to file Aetna GC-1560-4.

How to fill out Aetna GC-1560-4?

To fill out Aetna GC-1560-4, you should provide the required information as specified in the form, ensuring accuracy, completeness, and adherence to any specific format guidelines provided by Aetna.

What is the purpose of Aetna GC-1560-4?

The purpose of Aetna GC-1560-4 is to facilitate the collection of important healthcare data that assists in processing claims, ensuring regulatory compliance, and enhancing care management.

What information must be reported on Aetna GC-1560-4?

The information that must be reported on Aetna GC-1560-4 includes details such as patient demographic information, service rendered, billing codes, and any other specific data required by Aetna for processing and compliance.