Member Secure Log In

Why register?

  • Find costs of tests and doctor visits
  • Look up a claim status
  • Find a doctor
  • Check account balances
Take a quick tour

Find a Form

Find the forms and documents you need

If you can't find the form you need below, please log on to your secure member website. Here
you will find other forms, specific forms from your employer and general information.

Medical, Dental and Vision Claim Forms

Pharmacy Forms

Aetna Rx Home Delivery® Brochures & Order Forms

Flexible Spending Account Forms

 

Fax the completed form(s) to
1-888-AET-FLEX
or mail it to:

Aetna FSA
PO BOX 4000
Richmond, KY
40476-4000


Aetna Group Life Insurance Forms

Critical Illness and Accident

Massachusetts Residents' Tax Form

Health Care Reform
Health Care Reform
How does health care reform affect you & your family? We've mapped out what you need to know.