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This document is an application form for the Aetna Individual Medicare Supplement Plan. It includes instructions for completing the form, consumer protection information, medical questions, and premium
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How to fill out aetna individual medicare supplement

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How to fill out Aetna Individual Medicare Supplement Plan Application

01
Obtain the Aetna Individual Medicare Supplement Plan Application form, either online or by request.
02
Read the instructions carefully to understand the required information.
03
Fill out your personal information, including your full name, address, and contact details.
04
Provide your Medicare number and the date your Medicare coverage started.
05
Indicate which Aetna Medicare Supplement Plan you are applying for.
06
Answer any health-related questions accurately and honestly.
07
Review your application for completeness and accuracy.
08
Sign and date the application form.
09
Submit the completed application to Aetna via the specified method (online, mail, or fax).

Who needs Aetna Individual Medicare Supplement Plan Application?

01
Individuals aged 65 or older who are enrolled in Medicare.
02
Those under 65 who qualify for Medicare due to disability.
03
Individuals seeking additional coverage to help pay for out-of-pocket healthcare costs not covered by Medicare.
04
People who want to have a wider choice of healthcare providers.
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People Also Ask about

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.
Yes. In order to be eligible for the Aetna Medicare Advantage (PPO) plan, you must be enrolled in both Part A and Part B. You must also continue to pay your Medicare Part B monthly premium to the Federal Government.
Food supplements, lactose-free foods, specialized infant formulas, vitamins and/or minerals taken orally are not covered, even if they are required to maintain weight or strength and regardless of whether these are prescribed by a physician.
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).
Medicare supplement (Medigap) eligibility depends on age and current plan enrollment. If you're 65 or older and enrolled in Medicare Part B, you are eligible for Medigap. You may also qualify for a Medicare Supplement plan if you are under 65 and have a disability.

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The Aetna Individual Medicare Supplement Plan Application is a form used by individuals to apply for a Medicare Supplement insurance plan offered by Aetna, which helps cover costs not fully covered by Original Medicare.
Individuals who are eligible for Medicare and wish to purchase a Medicare Supplement policy through Aetna are required to file the application.
To fill out the application, individuals must gather necessary personal information, including Medicare details, and complete the application form accurately ensuring all required fields are filled in.
The purpose of the application is to enable individuals to apply for supplementary health insurance that helps cover out-of-pocket costs associated with Medicare services, ensuring broader healthcare coverage.
The application requires reporting personal identification information, Medicare number, addresses, health history, and details about any other insurance coverage.
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