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Health Survey

 

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This health survey will help your personal care team better understand your everyday life and health needs. Your care team will then work with you to design a personalized care plan for your needs. Your care plan helps you take full advantage of Aetna® health and wellness benefits and services.

 

Important:

    • Your answers will stay confidential. And they will not affect your coverage.
    • Once you start this survey, you must complete it. There’s no option to save the survey in the middle. 
    • We may ask you follow-up questions based on your answers.
    • All fields are required unless marked optional.

When you’re done, you’ll get a confirmation page that you can print to keep. It’ll include the next steps for your personal care plan.

 

Verify your identity 

 

To begin, we need two pieces of information:

  1. Your Aetna member ID or Medicare beneficiary ID
  2. Your date of birth

Fill out both fields.

MM/DD/YYYY

Acknowledgement

  • I am submitting my HRA responses to Aetna® for individual care plan purposes.
  • The information I provided is true and accurate.

Thank you for your time! 

Your health survey has been successfully submitted.

Confirmation Number:

Member ID:

Date of submission:

Here is what happens next:

 

  • A care team member will follow up with you to design a personal care plan based on your needs.
  • You will receive a reminder when it is time for you to select your Healthy Rewards Card for completing this survey.

 

For questions about your health survey or the next steps with the care team, call 1-866-409-1221 ${tty}

Monday through Friday from 8:30 AM to 5:00 PM ET.

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