Your Rights & Resources

As an Aetna member, you are entitled to information that helps you:

• Make the most of your benefits
• Get the highest quality care
• Understand how we make coverage and claims decisions
• Appeal a denied claim
• Get care

Get to know your rights concerning your plan and your care and why we may not pay for certain services.

You want to protect your benefits. We understand. And we know you may not always agree with our decisions. Find out how to:

• File a suggestion, complaint, or grievance about Aetna, your plan, or a health care service, provider or professional
• Appeal the decision when we don't pay for all or part of a claim

Use our resources to make decisions about your doctors, treatments and health plans to get quality care.

Life brings changes that affect your health insurance. Maybe you've gotten married or had a child. Or you're leaving your job. Learn about your options for changing your health coverage.