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Member Rights & Resources

Information for Aetna members

Know your health insurance rights

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

How an individual plan works

Learn about your rights

How we decide what to cover

Our commitment to high-quality care

Considering joint replacement surgery?

Protect your medical records

Surprise medical billing resources

Resources for your health insurance questions

Appeals, complaints and grievances

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

Appeal a claim

File a complaint or grievance

Aetna Medicare complaints and grievances

California grievance forms

Changes in your coverage

If you have lost health coverage or need to make changes, here’s where to look.

Loss of employer coverage

Changing your coverage

Questions for us?

If you need an answer to a question, try these options.

See our FAQs

Contact Member Services

See our FAQs about Coronavirus

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