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An insurance claim is a formal request from the policyholder to their insurance company asking for payment after a covered incident, such as a hospital stay, a natural disaster, theft, and more.
Other ways to file claims You can also print and mail claims forms to Aetna Voluntary Plans, PO Box 14079, Lexington, KY 40512-4079, or Fax to 1-859-455-8650.
While an internal appeal is the first line of action to get health insurance benefits after a denial, chances are that Aetna will still uphold their decision. If youve exhausted the appeals allowed under your plan, you have the option of requesting an external review with an independent physician.
A deductible is the amount you pay for coverage services before your health plan kicks in. After you meet your deductible, you pay a percentage of health care expenses known as coinsurance. Its like when friends in a carpool cover a portion of the gas, and you, the driver, also pay a portion.
In comparison to the overall pool of services, denied claims were fairly rare. Less than two percent of Aetnas claims were denied (1.4 percent).

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Submitting a claim online is the most efficient method. After logging in to your secure member website, follow these steps: Click Claims Center, then Submit claims Complete your claim online.

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