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Internal UseAetna Accident Plan Hospital Care Due to Sickness Benefit RequestCategory CodeVPCFOffice Key Code039Please call our Customer Service Center at 18006073366 between the hours of 8:00 AM
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How to fill out gc-1659-2aetna accident plan hospital

01
Obtain the GC-1659-2 form from the Aetna website or your insurance provider.
02
Fill in your personal information including name, address, and policy number.
03
Provide details of the accident, including date, time, and a brief description.
04
Include any relevant medical information, such as hospital visits or treatments received.
05
Attach any required documentation, such as medical bills or discharge papers.
06
Review the completed form for accuracy and completeness.
07
Sign and date the form before submission.
08
Submit the form to the designated processing address provided by Aetna.

Who needs gc-1659-2aetna accident plan hospital?

01
Individuals who are enrolled in an Aetna health insurance plan.
02
Those who have sustained an injury in an accident and require hospital care.
03
Anyone seeking reimbursement or coverage for accident-related medical expenses.
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The GC-1659-2 Aetna Accident Plan Hospital form is a document used to report accidents and related medical expenses under the Aetna accident insurance plan.
Individuals who have incurred medical expenses due to an accident and wish to claim benefits under the Aetna accident plan are required to file the GC-1659-2 form.
To fill out the GC-1659-2 form, one should provide personal information, details about the accident, hospital information, and any medical expenses incurred, following the instructions included with the form.
The purpose of the GC-1659-2 form is to facilitate the claims process for individuals seeking reimbursement or direct payment for hospital expenses following an accident.
The form requires reporting personal details, accident details, hospitalization dates, a summary of medical treatments received, and associated costs.
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