Contact Aetna
Get the answers you need here
To help us direct your question or comment to the correct area, please select a category below.
Address/phone number changes
To change your phone or fax number, email address or practice address, use the link below. If your changes result from an out-of-state move or a change of provider group, please use the form above instead.
Contact us online
Contact us by phone
- The Provider Service Center helps with contracting, patient services, precertification and many other questions
- HMO and Medicare Advantage - 1-800-624-0756
- Indemnity and PPO-based plans - 1-888-MD AETNA (1-888-632-3862)
- Voluntary plans - 1-888-772-9682
- Worker’s comp - 1-800-238-6288
- ASA and Meritain - use phone number on member’s ID card
- BRCA genetic testing (precertification and information) - 1-877-794-8720
- Claims – if you have questions about claims, contact the Provider Service Center (see list below)
- Credentialing - 1-800-353-1232
- Dental providers - 1-800-451-7715
- Disease management programs - 1-866-269-4500
- Infertility program - 1-800-575-5999
- Maternity program - 1-800-272-3531
- Mental health treatment - use phone number on member’s ID card
- NaviNet help - registration questions, help with user name/password issues 1-888-482-8057
- Pharmacy management -1-800-238-6279
- Specialty Pharmacy -1-866-782-2779
- Substance abuse treatment - use phone number on member’s ID card
- Transplant program - 1-877-212-8811
For non-participating health care professionals
Secure provider website
Your secure account on NaviNet allows you to handle tasks for your patients with Aetna plans, including:
- Check coverage and benefits
- View claim status
- Request precertification
Log in to your NaviNet account
Register for an account
If you’re new to NaviNet, we offer a monthly webinar that explains how to use and manage its functions.
Register for a webinar or learn more
Contacting us by phone
Eligibility, benefits and claims inquiries
The Aetna Voice Advantage system allows you to check coverage and benefits, find the status of a claim, and complete other tasks over the phone.
For your call, you will need:
- NPI and/or Tax ID
- Patient’s Aetna ID number
- Patient’s date of birth
1-800-624-0756 – HMO-based and Medicare Advantage plans
1-888-632-3862 (1-888-MD-AETNA) – All other plans
Prescription drug precertification
1-800-238-6279 (1-800-AETNA-RX) – Medicare Advantage plans and commercial (group) plans
Provider office manual
Our provider office manual includes policies, procedures and contact information.
See the provider office manual
Contact us online
Can't find something on our site?
We offer two ways to contact us online. You should receive a response within 48 hours.
Network applications (behavioral health, dental, facility and pharmacy)
Practice changes/Provider termination
Relocating, retiring, job changes
If you're retiring, moving out of state, or changing provider groups, use this form to notify us. We'll need to terminate your existing agreement with us. If you're moving or changing jobs, you can sign a new agreement for your new practice or location.
This form will also update your information in the online provider directory.
Request medical application
Choose your role, and we’ll direct you to the right application.
Request Part D pharmacy participation
Independent retail pharmacies
Independent retail pharmacies can fill out the form at the link below. Please fill in all fields.
Independent non-retail pharmacies
Independent non-retail pharmacies – such as long-term care facilities, home infusion pharmacies, and mail order pharmacies – can call one of the phone numbers below to request participation:
CVS Health - 1-480-391-4623
Chain or Pharmacy Services Administrative Organization (PSAO) pharmacies
Chain or PSAO pharmacies can request to participate in our Part D retail pharmacy network by e-mailing us this information:
- Pharmacy name
- Chain code/NCPDP
- Name, address and phone number of the pharmacy contact person
- Name and title of the authorized agreement signer
Request workers’ compensation, auto injury, First Health participation
To request participation in Coventry Workers’ Compensation, Coventry Auto Injury, or First Health networks, follow the links below.
Exception: For workers' compensation network in Texas, do not apply online; instead, call 1-800-937-6824.
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