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Resources to Review:

Click the image below to open up a PowerPoint with visual instructions for:

  • Downloading and Navigating the App
  • Submitting a Claim and Checking its Status
  • Registering and Logging In to Secure Member Portal

View file
nameAetna Claim Guide PowerPoint.pptx
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Call Aetna Member Services' faith based customer service team 24/7 at: 

+1 855 829 9558  (Toll Free)

+1 813 775 0449 (Direct)

To check the status of the submitted claims online. Please refer to the following steps:
1. Log in to your secure member website - https://www.aetnainternational.com/
2. Go to the "Claims" tab.
3. Select "Claim Listing".
4. Click "Details" on the last column of each row to check specific information about each claim.

Please Note:
Info
iconfalse
title
Info
titleTo access your claims status:
Warning
title
Letters of Authorization or Pre-authorization may be required.


Please follow this link for a helpful video and how-to steps.

https://www.aetnainternational.com/en/individuals/make-most-of-plan/quick-video-guides/say-hello-to-scoop-us/pre-authorization-us.html

Check with Aetna before receiving care to make sure that your care provider is in-network. 

Below is a snip from page 7 of the Aetna Plan Benefits Details:

Image Added

Ways to submit a claim to Aetna:

UI Expand
titleUpload your claim on the Aetna website

https://www.aetnainternational.com/

Using the Health Hub is the quickest and easiest way to submit a claim. Aetna has medical, dental, vision, and wellness claim forms that you can either print or complete online.

The Health Hub is designed to make it simple for you to find information and get support for your health and wellness needs when you need it most.

To make a new claim or track an existing claim, you’ll need to be registered for the Health Hub.

  1. Log in and click on ‘Claims’.
  2. You can start a new claim or continue working on one you started earlier. Before you begin the process, make sure you have:
    • your personal details (Aetna will prefill as much information as they can);
    • the patient’s contact details and information about the claim;
    • payment details; and
    • any relevant documents, including invoices and receipts. These will need to be uploaded. Aetna accepts files in many formats including picture jpgs.
  3. Next, you’ll need to tell Aetna about the claim:
    • the reason for your visit to the medical provider;
    • some general details about your symptoms;
    • the medical condition;
    • the diagnosis;
    • the date of the treatment; and
    • whether you were treated as an inpatient or an outpatient.

After you submit your completed claim form, you will receive a notification by e-mail to confirm that it has been submitted successfully.

...

UI Expand
titlePay & Claim

Members who prefer to pay the expenses upfront can send claims to Aetna for reimbursement. A copy of paid invoices together with the claim form can be sent to us in any of the following:1.

  1. Mail: Aetna International, P.O. Box 981543, El Paso, TX 79998-1543.
2.
  1. Fax: 1-859-425-3363 or 1-800-475-8751.
3.
  1. E-mail: aiservice@aetna.com.
4.
  1. Overnight service mail to: ACS, Attention: Aetna International, 7777 Market Center Avenue, Suite E, El Paso, TX 79912-8411, Phone 1-915-877-7032.
5.
  1. Online claim submission: www.aetnainternational.com.

Aetna Claim Form

View file
nameInternational Medical Insurance - Aetna Claim Form.pdf
pageAll Forms
spaceFMHOME
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...

To Access your Claims Status:

Here is how you can
Note
titlePlease Note:


Claims take 10 to 14 days from receipt to be processed and payment is issued shortly after processing is completed.

Claims may be delayed if they require additional review, translation, currency conversion, or if additional information is needed.

UI Expand
titleHow to check the status of a submitted claim

Call Aetna Member Services' faith-based customer service team 24/7 at: 

+1 855 829 9558 (Toll-Free)

+1 813 775 0449 (Direct)

To check the status of the submitted claims online. Please refer to the following steps:

...

  1. Log in to your secure member website https://www.aetnainternational.com/

...

  1. Go to the "Claims" tab.

...

  1. Select "Claim Listing".

...

  1. Click "Details" on the last column of each row to check

...

  1. specific information about each claim.

Questions:

If you have any problems or questions about submitting a claim, visit the FAQ section of the Health Hub or call a member of the Aetna team using the phone number on the back of your Member ID card (phone numbers are also listed below) 

+1 855 829

...

9558 (Toll Free)

+1 813 775 0449 (Direct)

Aetna Claim Form

View file
nameInternational Medical Insurance - Aetna Claim Form.pdf
pageAll Forms
spaceFMHOME
height250