Fill out this form to receive a PDF document converted to an “accessible PDF” if you are a customer of Aetna or an Aetna subsidiary (Coventry, Aetna International, Aetna Student Health, Aetna Medicare and Aetna Signature Administrators).
“Accessible PDFs” are documents that are specifically formatted to PDF/UA standards. If a PDF document conforms to PDF/UA standards it allows people who benefit from assistive technology (screen readers and other devices used to assist people with disabilities) to access the information.
If your request is an issue or question that cannot be satisfied by providing you an “accessible PDF” this service team will not be able to assist you. For other help, please call the number on the back of your member ID card.
All fields marked with a RED asterisk (*) are required in order to proceed.