Medicare Advantage Appeals

Aetna Medicare Advantage: Appeals and Grievances

We understand the importance of having the coverage you need. If you have a coverage issue or problem, Member Services can help you to resolve it. If you feel that Aetna Medicare should pay for benefits and services that are not covered, you have the right to appeal any decision. You have two options:

• Appeal to have a decision made by Aetna Medicare on the benefits you feel you are entitled to receive  
• File a grievance to address your coverage issues, complaints and problems if Member Services cannot resolve your issue.

For more complete information about the various appeals processes, download Appeals and Grievances information (5 pages, 138kb).

You can find Medicare Contact Information referred to in this document within the Help and Resources section of this website. Additional Appeals and Grievances Forms are also found in that section, under Other Forms and Documents.