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Health Survey

 

Enrollee and Broker Information

 

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Acknowledgement

  • I am submitting my responses to Aetna for individual care plan purposes.
  • The information I provided is true and accurate.

Thank you for your time!

Your health survey has been successfully submitted.

Confirmation Number:

Date of submission:

Here is what happens next:

  • A care team member will follow up with you to design a personal care plan based on your needs.
  • You will receive a reminder when it is time for you to request your Healthy Rewards Card for completing this survey.

For questions about your health survey or the next steps with the care team, call 1-866-409-1221 (TTY: 711), Monday through Friday from 8:30 AM to 5:00 PM ET

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