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Request for Continuation of Coverage for Handicapped Child - Aetna - webapp montcopa

Request for Continuation of Coverage for Handicapped Child - Aetna - webapp montcopa 2025

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179 votes

The document is a request form for the continuation of health coverage for a handicapped child under an employee's insurance plan. It outlines the necessary steps for completion, including sections to be filled out by the employee and their physician, and details the rights of Aetna regarding proof of handicap and examinations. The document also specifies conditions under which coverage may cease and includes legal warnings about fraudulent claims.

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Click ‘Get Form’ to open it in the editor.
Begin with Section 1, Employee Information. Fill in your name and Aetna ID Number clearly.
Proceed to Section 2, Employer Information. Enter your employer's name as required.
In Section 3, indicate whether the dependent was previously covered under your plan by selecting 'Yes' or 'No'.
Complete Section 4, Employee Statement. Ensure you sign and date this section to confirm the accuracy of your information.
In Section 5, provide details about the Attending Physician including their name, address, and contact number.
Fill out Sections 6 through 8 with accurate information regarding the dependent’s condition and living arrangements.
Review all sections for completeness before submitting. Once finalized, send or fax the form along with the Attending Physician's Statement to Aetna.

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2013	4.8 Satisfied (179 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How long can my child stay on my Aetna health insurance?

The Affordable Care Act requires plans and issuers that offer dependent child coverage to make the coverage available until the adult child reaches the age of 26. Many parents and their children who worried about losing health coverage after they graduated from college no longer have to worry.

What are Aetna supplemental benefits?

The amount varies depending on where you live. It becomes available monthly. Be sure to use it allowances dont roll over. Many Aetna D-SNP members get a benefit card with an allowance for approved foods like produce, dairy products, meat, pantry staples and more.

Does Aetna give money for groceries?

Extra Help is a program to help people with limited income and resources pay for Medicare prescription drug program costs. Extra Help may help lower your out-of-pocket prescription drug costs such as premiums, copays or coinsurance. Extra Help waives any Part D late enrollment penalty.

Does Aetna have extra benefits?

Your Aetna plan offers extras to help you save money and feel your best. Enjoy wellness discounts, convenient walk-in clinic visits, digital tools to manage your care and more.