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

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This document is an enrollment form for the Aetna Medicare Advantage Plan, specifically for employer group applicants. It provides instructions for completing the form, details about effective dates,
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How to fill out aetna medicare advantage plan

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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 Aetna's website or your employer's HR department.
02
Fill in the employee's personal information, including their full name, address, date of birth, and Social Security number.
03
Provide the dependent information if applicable, listing any dependents to be covered under the plan.
04
Select the appropriate plan option, marking the desired Aetna Medicare Advantage Plan option on the form.
05
Indicate the effective date of coverage, typically the first of the month following submission.
06
Sign and date the form to authorize the enrollment.
07
Submit the completed form to your employer or designated Aetna representative before the enrollment deadline.

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

01
Individuals who are eligible for Medicare and are seeking additional coverage options through an employer-sponsored Aetna Medicare Advantage Plan.
02
Employees of companies offering Aetna Medicare Advantage as part of their employee benefits package.
03
Dependents of employees who 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 their eligible employees and dependents in Aetna's Medicare Advantage health insurance plans.
Employers sponsoring a group health plan under Aetna Medicare Advantage are required to file this enrollment form for eligible employees and their dependents.
To fill out the form, employers need to provide details such as the employee's personal information, Medicare eligibility, and selection of coverage options. It's important to follow the instructions provided with the form carefully.
The purpose of the form is to facilitate the enrollment process for eligible employees and their dependents into Aetna's Medicare Advantage plans, ensuring that they receive the appropriate health care benefits.
The information required includes the employee's name, address, Social Security number, Medicare number, date of birth, eligibility status, and the coverage options chosen.
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