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Submitted URL: https://click.email.myplanportal.com/?qs=c8bb92edd064f4984207dd2a25784523b182ad1c14cb996edaff9cadd1f2985de1186965370697c85c36e05ad030...
Effective URL: https://www.aetna.com/individuals-families/member-rights-resources/rights/disclosure-information.html?cid=eml-m-937182...
Submission: On December 16 via api from US — Scanned from DE
Effective URL: https://www.aetna.com/individuals-families/member-rights-resources/rights/disclosure-information.html?cid=eml-m-937182...
Submission: On December 16 via api from US — Scanned from DE
Form analysis
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<p>If you enrolled with the assistance of a broker, your broker will receive compensation for placing your insurance. This compensation is paid by the insurance company that issued this insurance to you. The broker will be paid a
commission each month for as long as you are enrolled. We strive to pay market competitive commissions depending on the state we are offering ACA marketplace (aka “exchange”) insurance plans.</p>
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Text Content
Skip to main content Contact us Espanol Fed No Surprises Act Your rights and protections against surprise medical bills * Contact us * Espanol Search Explore Aetna sites * EXPLORE AETNA SITES * Aetna.com * AetnaMedicare.com * For Providers * For Employers * For Agents/Brokers * For Partners * Careers * About Us Explore Aetna sites * Aetna.com * AetnaMedicare.com * For Providers * For Employers * For Agents/Brokers * For Partners * Careers * About Us * Shop for a plan * Medicare * Browse Aetna Medicare plans * Find a doctor * Check our drug list * Understand Medicare * Find a plan to meet your needs * Enroll in Medicare * Health coverage * Individuals and families plans * Health plans through an employer * Options without employer coverage * Student plans * International plans * Find a doctor * Dental, vision and supplemental * Dental plans * Find a dentist * Vision plans * Find an eye doctor * Supplemental plans * Pharmacy * Get pharmacy plan information * Find a pharmacy * Find medicine and costs * Medicaid * Medicaid plans * Find a doctor secondary menu close * Member support * Account management * Log in to your member website * Find a doctor * Find medicine and costs * Find a form * Pay your premium * Get your ID card opens in secure site * Check a claim opens in secure site * View coverage opens in secure site * The health guide * All health resources * Living healthy * Understanding health care * Managing health * Additional resources * Health insurance rights and resources * Contact us * Frequently asked questions secondary menu close * Login Fed No Surprises Act Your rights and protections against surprise medical bills Login Back Menu Mobile menu for the website. Menu Menu Close Search * Shop for a plan * Member support * Explore Aetna sites * Contact us * Espanol Login * SHOP FOR A PLAN * Medicare * Health coverage * Dental, vision and supplemental * Pharmacy * Medicaid * * MEMBER SUPPORT * Account management * The health guide * Additional resources * * EXPLORE AETNA SITES * Aetna.com * AetnaMedicare.com * For Providers * For Employers * For Agents/Brokers * For Partners * Careers * About Us * MEDICARE * Browse Aetna Medicare plans * Find a doctor * Check our drug list * Understand Medicare * Find a plan to meet your needs * Enroll in Medicare * HEALTH COVERAGE * Individuals and families plans * Health plans through an employer * Options without employer coverage * Student plans * International plans * Find a doctor * DENTAL, VISION AND SUPPLEMENTAL * Dental plans * Find a dentist * Vision plans * Find an eye doctor * Supplemental plans * PHARMACY * Get pharmacy plan information * Find a pharmacy * Find medicine and costs * MEDICAID * Medicaid plans * Find a doctor * ACCOUNT MANAGEMENT * Log in to your member website * Find a doctor * Find medicine and costs * Find a form * Pay your premium * Get your ID card opens in secure site * Check a claim opens in secure site * View coverage opens in secure site * THE HEALTH GUIDE * All health resources * Living healthy * Understanding health care * Managing health * ADDITIONAL RESOURCES * Health insurance rights and resources * Contact us * Frequently asked questions * Shop for a plan * Medicare * Browse Aetna Medicare plans * Find a doctor * Check our drug list * Understand Medicare * Find a plan to meet your needs * Enroll in Medicare * Health coverage * Individuals and families plans * Health plans through an employer * Options without employer coverage * Student plans * International plans * Find a doctor * Dental, vision and supplemental * Dental plans * Find a dentist * Vision plans * Find an eye doctor * Supplemental plans * Pharmacy * Get pharmacy plan information * Find a pharmacy * Find medicine and costs * Medicaid * Medicaid plans * Find a doctor secondary menu close * Member support * Account management * Log in to your member website * Find a doctor * Find medicine and costs * Find a form * Pay your premium * Get your ID card opens in secure site * Check a claim opens in secure site * View coverage opens in secure site * The health guide * All health resources * Living healthy * Understanding health care * Managing health * Additional resources * Health insurance rights and resources * Contact us * Frequently asked questions secondary menu close * Login IMPORTANT DISCLOSURE INFORMATION This information can help you understand what your plan covers, the costs of and rules for using your plan, how to file a grievance and more. WE MEET QUALITY STANDARDS WE MEET QUALITY STANDARDS We follow health plan accreditation standards of the National Committee for Quality Assurance (NCQA) to offer you quality health plans. Learn how we meet those standards — plus how you can get plan details online or by phone, find out about your rights and responsibilities, understand plan costs and more. Read More Read Less * Meeting NCQA standards Aetna Vision℠ Preferred plan - English (PDF)Link to PDF * Meeting NCQA standards – Spanish (PDF)Link to PDF CONSUMER DISCLOSURES FOR HEALTH, DENTAL AND VISION PLANS INDIVIDUAL PLANS In certain states we offer health plans for you and your family. Just select a state to find documents that describe these plans, along with state-specific disclosure requirements to help you determine the right coverage. Dental — a stand-alone plan for individuals Individual dental disclosure (PDF) Health plans Error or missing data. Please check your entries for an error message. State Select FloridaGeorgiaMissouriNevadaNorth CarolinaTexasVirginia BROKER COMPENSATION DISCLOSURE If you enrolled with the assistance of a broker, your broker will receive compensation for placing your insurance. This compensation is paid by the insurance company that issued this insurance to you. The broker will be paid a commission each month for as long as you are enrolled. We strive to pay market competitive commissions depending on the state we are offering ACA marketplace (aka “exchange”) insurance plans. GROUP PLANS We also offer group health, dental and vision plans (available through an employer). Just select a state to find documents that describe these plans, along with state-specific disclosure requirements to help you determine the right coverage. Error or missing data. Please check your entries for an error message. State Select AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Product Select WOMEN’S HEALTH AND CANCER RIGHTS ACT (WHCRA) WOMEN’S HEALTH AND CANCER RIGHTS ACT (WHCRA) If you have had or are going to have a mastectomy, you may be entitled to certain benefits under the WHCRA of 1998. We’ll determine what your coverage will be based on our consultations with you and the attending physician regarding: * All stages of reconstruction of the breast on which the mastectomy was performed * Surgery and reconstruction of the other breast to produce a symmetrical appearance * Prosthesis * Treatment of physical complications of the mastectomy, including lymphedema You’ll also receive benefits if you’ve had a mastectomy as a result of breast cancer while covered under a different health plan. Your coverage is provided in accordance with your plan design and is subject to plan limitations, copays, deductibles, coinsurance and referral requirements, if any, as noted in your plan documents. For more information, contact Member Services at the number on your ID card. You can also find resources from the Centers for Medicare & Medicaid Services and the National Institutes of Health. Read More Read Less * Women's Health and Cancer Rights Act * Breast Reconstruction After Mastectomy ADDITIONAL RESOURCES Brush up on benefits details and your rights as a health care consumer so you can make the right decisions about your care. RIGHTS AND RESPONSIBILITIES Understand your rights as an Aetna HMO or PPO member. Your rights STATE-SPECIFIC INFORMATION Find health plan policies and guidelines for various states. State details LOSING GROUP COVERAGE Explore your options if you’ve lost your group coverage. Coverage choices SPENDING ACCOUNT GUIDELINES Learn about IRS rules for different flexible spending accounts (FSAs). FSA guidelines CHANGING YOUR COVERAGE Get guidance for changing your health plan as your life changes. Plan changes LEGAL NOTICES Note about employer-funded plans: State mandates do not apply to self-funded plans governed by ERISA. If you are unsure if you’re plan is self-funded and/or governed by ERISA, please confer with your benefits administrator. Specific plan documents supersede general disclosures contained within, as applicable. Managed plans offered by HMO entities are: Aetna Health Network OnlyTM, Aetna Primary CareSM Plan HMO, Aetna Health Network OptionSM, Aetna Open Access® HMO, Aetna Choice® POS and QPOS®. Managed plans offered by Aetna Life Insurance Company are: Managed Choice® POS, Aetna Choice® Plan POS, Aetna Open Access® Managed Choice, Open Choice® PPO, Aetna Choice® Plans PPO, Aetna Open Access® Elect Choice, Aetna Choice® POS, Aetna SelectSM and Open Access Aetna SelectSM. Dental plans are offered, underwritten or administered by: Aetna Health Inc., Aetna Health of California Inc., Aetna Health Insurance Company of New York, Aetna Health Insurance Company, Aetna Life Insurance Company (Aetna), Aetna Dental Inc. and/or Aetna Dental of California Inc. Policy forms issued in OK include: GR-/GR-9N, GR-29/GR-29N-29N. See all legal notices * * * * * * AETNA APPS * CAREERS * FAQs * GLOSSARY * ACCESSIBILITY SERVICES * PLAN DISCLOSURES * PROGRAM PROVISIONS * GRIEVANCE FORM * NEWS AND ANALYSIS * HEALTH CARE REFORM * INVESTOR INFO * SITE MAP * TERMS OF USE * LEGAL NOTICES * PRIVACY CENTER * NONDISCRIMINATION NOTICE ©2021 Aetna Inc. For language services, please call the number on your member ID card and request an operator. For other language services: Español | 中文 | Tiếng Việt | 한국어 | Tagalog | Pусский | العربية | Kreyòl | Français | Polski | Português | Italiano | Deutsch |日本語 | فارسی | Other languages ... YOU ARE NOW BEING DIRECTED TO THE AMA SITE Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. Continue YOU ARE NOW BEING DIRECTED TO THE GIVE AN HOUR SITE Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. Continue YOU ARE NOW BEING DIRECTED TO THE CVS PHARMACY SITE Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. Continue YOU ARE NOW BEING DIRECTED TO THE CDC SITE Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. Continue AETNA IS PROUD TO BE PART OF THE CVS HEALTH FAMILY. You are now being directed to the CVS Health site. Continue YOU ARE NOW BEING DIRECTED TO THE APPLE.COM COVID-19 SCREENING TOOL Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Continue YOU ARE NOW BEING DIRECTED TO THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES SITE Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Continue YOU ARE NOW BEING DIRECTED TO THE CVS HEALTH COVID-19 TESTING SITE Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Continue YOU ARE NOW BEING DIRECTED TO THE FIGHT IS IN US SITE Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Continue YOU ARE NOW LEAVING THE AETNA WEBSITE Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Continue LOGIN Please log in to your secure account to get what you need. Continue YOU ARE NOW LEAVING THE AETNA MEDICARE WEBSITE. The information you will be accessing is provided by another organization or vendor. If you do not intend to leave our site, close this message. Continue GET A LINK TO DOWNLOAD THE APP Just enter your mobile number and we’ll text you a link to download the Aetna Health app from the App Store or on Google Play. Message and data rates may apply* Error or missing data. Please check your entries for an error message. MOBILE NUMBER Please be sure to add a 1 before your mobile number, ex: 19876543210 THIS SEARCH USES THE FIVE-TIER VERSION OF THIS PLAN Each main plan type has more than one subtype. Some subtypes have five tiers of coverage. Others have four tiers, three tiers or two tiers. This search will use the five-tier subtype. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. Do you want to continue? back Continue Opens a new window or tab