Aetna surgery precertification form 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section 1, providing general information such as the member's name, ID, and date of birth. Ensure all fields are filled accurately.
3. Move to Section 2, where you will answer questions regarding the patient's treatment status and medical history. Be thorough in your responses to avoid delays.
4. In Section 3 or Section 4, depending on the gender transition services requested, select the appropriate services and provide necessary documentation like referral letters from mental health professionals.
5. Complete Section 5 by attaching required documentation such as current history and physical notes, treatment descriptions, and any relevant mental health records.
6. Finally, sign the form in Section 7. Remember that this form cannot initiate a precertification request; you must contact the Precertification Department directly.

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