Choose someone to act on your behalf
You can choose someone to act on your behalf. To protect your privacy, we have different forms to complete, based on what you want your representative to do for you.
Authorization for Release of Protected Health Information (PHI)(collapsed)
Medicare’s form to assist with initial requests for coverage, grievances and appeals(collapsed)
Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal.
See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.