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  • Find costs of tests and doctor visits
  • Look up a claim status
  • Find a doctor
  • Check account balances
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Important member disclosure information

We encourage you to learn more about your health care coverage

Please review the disclosure information that relates to your Aetna plan. If you have further questions about your specific coverage, contact Member Services at the toll-free number on your ID card or contact your benefits administrator.

Select a Disclosure Information category.

Medical PDF   

How Aetna Pays Out-of-Network Benefits  (PDF)

Addendums
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GA Disclosure Acknowledgement Form 
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Health Savings Accounts (HSA)
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HMO-based Plans*
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Managed Plans from Aetna Life Insurance Company** (Generic Preferred Provider Benefit Plans (PPO))
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Managed Plans from Aetna Life Insurance Company (State Specific Preferred Provider Benefit Plans (PPO))
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Traditional Choice Indemnity Plan
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Medicare
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Small Group Disclosures
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Aetna Advantage Plans for Individuals, Families and the Self-Employed Disclosures
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Student Plan Disclosures 
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SRC Disclosures
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Dental PDF  

How Aetna Pays Out-of-Network Benefits  (PDF)

Aetna Dental Access/Vital Savings by Aetna
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Generic Dental Disclosures
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State Specific Dental Plans
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Rhode Island Consumer Disclosures PDF

In accordance with Rhode Island Rules and Regulations for Certifying Health Plans, to follow are documents with valuable consumer information about your health plan.  The following documents are provided to prospective and current enrollees via the Aetna.com website or a paper copy can be requested by calling Aetna Member Services at 1-888-982-3862.

The Consumer Rights Disclosure Document contains information about your specific health plan.

The Consumer Guide to Health Plans in Rhode Island provides general information about health plans, including a standard definitions of common terms and is available upon request by calling Aetna Member Services at 1-888-982-3862.  This document can be found on the Rhode Island Department of Health web site, http://www.health.ri.gov/chic/performance/consumerinfo.php.

Aetna's DocFind web-based Provider Directory provides a comprehensive list of providers available at  http://www.aetna.com/docfind/home.do. A paper copy of the directory can be requested by calling 1-888-87-AETNA (1-888-872-3862.)

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IMPORTANT: Please check the addendum section prior to choosing a disclosure.


Member Rights and Responsibilities

Member Rights


Note about employer-funded plans: State mandates do not apply to self-funded plans governed by ERISA. If you are unsure if your plan is self-funded and/or governed by ERISA, please confer with your benefits administrator. Specific plan documents supersede general disclosures contained within, as applicable.

* Managed Plans offered by HMO entities are: Aetna Health Network OnlySM, Aetna Primary Care® Plan HMO, Aetna Health Network OptionSM, Aetna Open Access® HMO, Aetna Choice® POS and QPOS®. In Washington, the product is referred to as HMO is called Primary ChoiceSM.

** Managed Plans offered by Aetna Life Insurance Company are: Managed Choice® POS, Aetna Choice® Plan POS, Aetna Open Access® Managed Choice, Open Choice® PPO, Aetna Choice® Plan PPO, Elect Choice® EPO, Aetna Open Access® Elect Choice, Aetna Choice® POS II, Aetna SelectSM and Open Access Aetna SelectSM.

Dental plans are offered, underwritten or administered by: Aetna Health Inc., Aetna Health of California Inc., Aetna Health of the Carolinas Inc., Aetna Health of Illinois Inc., Aetna Health Insurance Company of New York, Aetna Health Insurance Company through December 31, 2007/Aetna Health Insurance Company effective January 1, 2008, Aetna Life Insurance Company, Aetna Dental Inc., and/or Aetna Dental of California Inc.

Life and Disability
Disability insurance plans/policies are underwritten or administered by Aetna Life Insurance Company. Life insurance plans/policies are underwritten by Aetna Life Insurance Company. Material provided is for informational purposes only and is not an offer or invitation to contract. Life and disability insurance plans/policies contain exclusions and limitations. Members should refer to their plan documents for a complete description of benefits, exclusions, limitations and conditions of coverage. While this material is believed to be accurate, it is subject to change. Policy Forms issued in Oklahoma include #GR-9/GR-9N, GR-29/GR-29N-29N .

Legal Notices

Transforming Health Care
Better health care: Making it happen
We’re committed to building a better health care system for America. That means getting everyone covered, improving the quality of care and getting better value for every dollar spent on health care.