Get the free Aetna International Claim Form

This document provides a claim form for Aetna International members to submit requests for reimbursement for medical, dental, maternity, vision, and wellness services, along with instructions on completing

How to fill out aetna international claim form

How to fill out Aetna International Claim Form

1. Download the Aetna International Claim Form from the Aetna website.
2. Fill in your personal information at the top of the form, including name, address, and policy number.
3. Provide details of the medical provider or facility where you received treatment.
4. List the dates of service and the type of treatment received.
5. Attach all relevant receipts, invoices, and supporting documentation.
6. Sign and date the form at the bottom.
7. Submit the completed form and documentation as instructed on the form, either electronically or by mail.

Who needs Aetna International Claim Form?

1. Individuals who have an Aetna international health insurance plan and have received medical treatment.
2. Policyholders who need to claim reimbursement for medical expenses incurred while traveling or living abroad.

People Also Ask about

How to submit an insurance claim form?

How to apply for in-patient reimbursement claim? Step 1: Get admitted to any recognized hospital for treatment. Step 2: Settle your bills with the hospital. Step 3: Collect all relevant documents, invoices, medical reports, discharge summary from Hospital in original and receipts of the payment made to the hospital.

What is the fax number for Aetna reimbursement form?

2. Mail this completed form and your original receipts and itemized bills to the medical claims address on your Aetna member ID card. 3. Or you can fax this completed form, your original receipts and itemized bills to 1-866-474-4040.

Does Aetna cover international?

Aetna International's comprehensive global medical network includes 1.2 million medical providers in the U.S. and another 165,000 worldwide. When you purchase an international medical plan from Aetna, a directory full of medical providers is available to you.

For pdfFiller’s FAQs

What is Aetna International Claim Form?

The Aetna International Claim Form is a document used by members of Aetna International to submit claims for reimbursement of medical expenses incurred while receiving healthcare services outside their home country.

Who is required to file Aetna International Claim Form?

Members of Aetna International who have received healthcare services and are seeking reimbursement for eligible medical expenses are required to file the Aetna International Claim Form.

How to fill out Aetna International Claim Form?

To fill out the Aetna International Claim Form, you need to provide personal information, details of the medical services received, and attach relevant receipts and documentation. It's important to follow the instructions provided on the form carefully.

What is the purpose of Aetna International Claim Form?

The purpose of the Aetna International Claim Form is to facilitate the process of claiming reimbursement for medical expenses incurred while insured under Aetna International, ensuring that the claims are processed correctly.

What information must be reported on Aetna International Claim Form?

The Aetna International Claim Form requires information such as the member's name, policy number, details of the medical service provider, dates of service, descriptions of the treatment received, and copies of bills or receipts.