1. Section
  2. *MEMBER ID
  3. *FIRST NAME
  4. MIDDLE INITIAL
  5. *Last Name
  6. Phone number
  7. Email Address
  9. EMPLOYEE ID*
  10. Mail me a printed directory

Get the directory for your plan

Complete the form below. Make sure you have your member ID card because you'll need it to make your request. All fields marked with an asterisk (*) are required.

 

Enter the Aetna member ID that is on your card. Your member ID will contain 8 or 12 characters. If your member ID has letters, please enter all the letters in all capitals. No asterisks (*).

ME123456 or 123456789012

123-456-7890

The field below is for internal customer service use only.

*Required if completing form for a member.