Aetna Secure Log In

Why Register?

  • Get quotes
  • Find compensation information
  • Track appointments
  • Check license status
  • Set up direct deposit
  • Get reporting
  • And more

Aetna Voluntary Forms

Aetna medical members: Complete your claim request form online.

All others: Complete the blank claim request form PDF. Please complete, sign and date this form. Send this form with your applicable receipts and other medical papers to us via fax, e-mail or postal service.


Aetna Accident Plan

Online claims process - COMING SOON

Accident claim form PDF - COMING SOON

Health screening benefit PDF - COMING SOON

Hospital care due to sickness PDF - COMING SOON

Portability form PDF - COMING SOON


Aetna Critical Illness Plan

Online claims process - COMING SOON

Critical Illness claim form PDF - COMING SOON

Health screening benefit PDF - COMING SOON

Portability form PDF - COMING SOON


Aetna Hospital Plan

Online claims process - COMING SOON

Hospital claim form PDF - COMING SOON



Aetna Fixed Benefits Plan

Fixed Benefits claim form PDF

Fixed Benefits claim form PDF - Spanish



Dental Claim

Dental benefits request PDF 

Dental benefits request PDF - Spanish
 


Vision Claim

Vision benefits request PDF

Vision benefits request PDF - Spanish


 
Short Term Disability Claim

Disability employee request PDF 

Disability employee request PDF - Spanish
 


Life Claim
 

Proof of death PDF

Proof of death PDF - Spanish

 

Affidavit of Sole Survivors


Affidavit of sole survivors PDF

Affidavit of sole survivors PDF - Spanish
 


Protected Health Information

Authorization for release of protected health information PDF

Authorization for release of protected health information PDF - Spanish

 

Transition of Care
   

Transition coverage request PDF

Transition coverage request PDF - Spanish

Transition coverage request PDF - For CA traditional fully insured members only

Transition coverage request PDF - Spanish - For CA traditional fully insured members only



Member Request for Estimates form - Massachusetts and Rhode Island Only

Member request for estimate PDF

Member request for estimate PDF - Spanish

Helpful Resources

Find a doctor or pharmacy, answer health questions, and more.






Insurance Benefit Plans

Vision, dental, disability, and term life.







My Stories

"I continued to make my mortgage payments when I got sick."






Tools for Employees