Request an information kit

Want to learn more about a plan? Each kit gives you details about the plan you’re requesting information for, its benefits and the drugs it covers (if it applies). It also has other information to help you learn more about the plan.

Fill out this form so we can mail you an information kit. It may take 7 to 15 business days to arrive. Fields with an asterisk (*) are required.

*First Name

*Last Name

Phone number

Email Address

I consent to receive autodialed marketing calls from or on behalf of Aetna® about health insurance. I understand that I am not required to provide this consent as a condition of purchase or receiving insurance and that my consent can be revoked at any time.

*Address

*Zip code

*City

*State

WANT TO SEND A KIT TO ANOTHER PERSON OR ADDRESS?

Check the box to add another recipient’s information.

*First Name

*Last Name

*Address

*City

*State

*Zip code

WOULD YOU LIKE US TO CALL AND/OR TEXT YOU?

Check the box to receive additional automated marketing calls and/or text messages from Aetna. This includes information on the reward programs, saving opportunities, new apps and marketing updates. It’s not required, and you can opt out at any time.

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Request an information kit

Thanks for your request

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Request an information kit

Thanks for your request

What's next?

Understand your options

Find plans in your area

Why do we ask for this?

Also of interest: