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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
     

Learn about your rights
Read about how we decide what to cover
Learn about our commitment to high-quality care
Learn how to protect your medical records and identity

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.

Learn how to appeal a claim

Find out how to 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.

What to do if you have lost coverage through an employer

Learn about making changes to your health coverage

Questions for us?

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

For an instant answer, see our list of FAQs

Contact Member Services

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