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Get the free Aetna Individual Medicare Supplement PlanSM Transmittal Form

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This form is required for submitting an enrollment application for compensation to Brokers, Agencies, General Agents, or Field Marketing Organizations.
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How to fill out aetna individual medicare supplement

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How to fill out Aetna Individual Medicare Supplement PlanSM Transmittal Form

01
Begin by downloading the Aetna Individual Medicare Supplement PlanSM Transmittal Form from the Aetna website or obtain a physical copy.
02
Fill in the applicant's personal information, including their name, address, and contact details in the designated sections.
03
Indicate the specific Medicare Supplement Plan the applicant is applying for by checking the corresponding option on the form.
04
Provide any required information related to the applicant's Medicare coverage and previous insurance details.
05
If applicable, include any additional information or documentation as requested in the form instructions.
06
Review the completed form to ensure all information is accurate and fully filled out.
07
Sign and date the form to authorize the application.
08
Submit the form by following the mailing or electronic submission instructions provided.

Who needs Aetna Individual Medicare Supplement PlanSM Transmittal Form?

01
Individuals who are aged 65 or older and are seeking additional coverage beyond standard Medicare.
02
People under 65 who qualify for Medicare due to disabilities and want supplemental health insurance.
03
Anyone looking for supplemental coverage to help cover out-of-pocket costs associated with Medicare services.
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People Also Ask about

Medicare Supplement Insurance (Medigap) plans offer special coverage for some health care costs that are not covered by Original Medicare (Parts A and B).
Use our electronic payer ID# 60054.
Medicare Supplement Insurance Plans. Medicare Supplement Insurance (Medigap) plans offer special coverage for some health care costs that are not covered by Original Medicare (Parts A and B).
Aetna and Blue Cross Blue Shield both offer Medicare Advantage plans in most states. Aetna has a broader reach, covering 49 states plus Washington, D.C. Aetna has a slightly higher Medicare star rating and lower average premiums, but BCBS has lower drug deductibles.
You can also enroll in an Aetna Medicare plan by mail. Call a licensed agent at 1-855-335-1407 (TTY: 711), Monday to Friday, 8 AM to 8 PM, to request your paper enrollment kit.
A Medicare Supplement insurance plan , also known as Medigap, is healthcare insurance you can buy that may help pay for the out-of-pocket costs Original Medicare doesn't cover.

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The Aetna Individual Medicare Supplement PlanSM Transmittal Form is a document used to submit applications for Aetna's Individual Medicare Supplement insurance plans, providing essential information about the applicant and their coverage choice.
Agents, brokers, or authorized representatives who assist individuals in applying for Aetna's Medicare Supplement plans are required to file the Aetna Individual Medicare Supplement PlanSM Transmittal Form.
To fill out the form, applicants must provide their personal details, including name, address, Medicare number, and the specific plan they wish to enroll in. All required fields must be completed accurately to ensure proper processing.
The purpose of the form is to collect essential information for processing applications for Medicare Supplement plans and to facilitate communication between Aetna and the applicant regarding their insurance coverage.
The information required includes the applicant's personal details, Medicare information, plan selection, and any relevant medical history or special considerations necessary for underwriting.
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