This is the privacy notice for Aetna's long term care plans. It says it describes how Aetna may use and disclose information about you while administering your benefits, and it explains your legal rights about that information. The page heading says the notice covers how medical information about you may be used and disclosed and how you can get access to it.
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This Notice of Privacy Practices applies to Aetna’s long term care plans.
This notice describes how we may use and disclose information about you in administering your benefits, and it explains your legal rights regarding the information.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
Qualifications & exceptions
The notice is stated to apply to long term care plans only; it does not name individual policy forms or products.
Not stated here
The source does not list which specific long term care policies or plan sponsors are covered beyond the plan-type name.
Legal Rights & Agreement Rules · Context
Notice effective October 1, 2025
The notice states that it became effective on October 1, 2025. The page header of the saved copy carries the form code 'GR-67969 (2-26)'.
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This notice became effective on October 1, 2025.
GR-67969 (2-26) Page 1 of 5
Qualifications & exceptions
Aetna may change the notice later; see the change-of-notice section.
Not stated here
The source does not explain what '(2-26)' in the form code means or whether it differs from the stated effective date.
Legal Rights & Agreement Rules · Permission or license
Disclosure to regulators and for workers' compensation
Aetna may disclose information to state insurance departments, the U.S. Department of Labor and other government agencies that regulate it. It may also disclose information to comply with workers' compensation laws.
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Industry Regulation – to state insurance departments, U.S. Department of Labor and other government agencies that regulate us.
Workers’ Compensation – to comply with workers’ compensation laws.
Qualifications & exceptions
Regulator disclosures go to agencies that regulate Aetna.
Workers' compensation disclosures are for complying with those laws.
Not stated here
The notice does not say how much information is disclosed to regulators or whether limits apply.
Legal Rights & Agreement Rules · Permission or license
Disclosure to law enforcement, in legal proceedings and as required by law
Aetna may disclose information to federal, state and local law enforcement officials, in response to a court order or other lawful process, and to comply with legal obligations and requirements.
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Law Enforcement – to federal, state and local law enforcement officials.
Legal Proceedings – in response to a court order or other lawful process.
As Required by Law – to comply with legal obligations and requirements.
Qualifications & exceptions
Legal proceedings disclosures are tied to a court order or other lawful process.
The 'as required by law' item is tied to legal obligations and requirements.
The law enforcement item names the recipients but states no further condition in this section.
Not stated here
The notice does not say what Aetna requires from law enforcement officials before disclosing, or whether a court order is needed for that item.
Legal Rights & Agreement Rules · Permission or license
Disclosure for matters of public interest
Aetna may disclose information to address matters of public interest as required or permitted by law, for example child abuse and neglect, threats to public health and safety, and national security.
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Public Welfare – to address matters of public interest as required or permitted by law (e.g., child abuse and neglect, threats to public health and safety, and national security).
Qualifications & exceptions
The disclosure must be as required or permitted by law.
The examples are illustrations ('e.g.'), not a complete list.
Not stated here
The notice does not say which laws govern these disclosures or what information is shared.
Legal Rights & Agreement Rules · Company commitment
Disclosures Aetna must make
Aetna says it must use and disclose your personal information in two ways: to you or to someone who has the legal right to act for you (your personal representative), in order to administer your rights described in the notice; and to the Secretary of the Department of Health and Human Services, as necessary for HIPAA compliance and enforcement.
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Required Disclosures: We must use and disclose your personal information in the following manner:
To you or someone who has the legal right to act for you (your personal representative) in order to administer your rights as described in this notice; and
To the Secretary of the Department of Health and Human Services, as necessary, for HIPAA compliance and enforcement purposes.
Qualifications & exceptions
Disclosure to the HHS Secretary is limited to what is necessary for HIPAA compliance and enforcement.
Disclosure to you or your personal representative is to administer your rights in the notice.
Legal Rights & Agreement Rules · User right or choice
Minors may be able to block parental access
If you are a minor, you may have the right to block parental access to your health information in certain circumstances, if state law permits. You can contact Aetna through the toll-free hotline, 1-800-537-8521.
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If you are a minor, you also may have the right to block parental access to your health information in certain circumstances, if permitted by state law.
You can contact us by calling our toll-free hotline at 1-800-537-8521.
Qualifications & exceptions
'May have' and 'in certain circumstances' mean the right is not unconditional.
The right depends on state law permitting it.
Not stated here
The notice does not say which circumstances or which states' laws apply.
Legal Rights & Agreement Rules · Restriction or exception
Extra protections for certain sensitive information
Some state and federal laws may require special privacy protections, including requirements to obtain attestations from people who request information, that limit use and disclosure of certain sensitive health information. The notice says such laws may protect information about alcohol or substance use disorder, biometric information, child or adult abuse or neglect (including sexual assault), communicable diseases, genetic information, HIV/AIDS, mental health, minors, reproductive health, and sexually transmitted diseases. Aetna says it will follow the law that is stricter, or more protective of your PHI, where it applies to Aetna. For more information on restrictions for your sensitive PHI, contact the Aetna Privacy Office.
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Some state and federal laws may require special privacy protections, including certain requirements to obtain attestations from requestors, that limit the use and disclosure of certain sensitive health information.
Alcohol or substance use disorder
Biometric Information
Child or adult abuse or neglect, including sexual assault
Communicable diseases
Genetic information
HIV/AIDs
Mental health
Minors
Reproductive health
Sexually transmitted diseases
We will follow the law that is stricter (or more protective of your PHI), where it applies to us.
If you would like additional information about additional use or disclosure restrictions that may apply to your sensitive PHI, please contact the Aetna Privacy Office.
Qualifications & exceptions
'Some' and 'may' mean the notice does not say which laws apply or which categories are protected in a given state.
The stricter-law commitment applies only 'where it applies to us'.
These protections qualify the general permissions earlier in the notice.
Not stated here
The notice does not name the laws or describe the specific protections for each category.
The notice does not say how the attestation requirement works.
Legal Rights & Agreement Rules · Restriction or exception
Substance use disorder information not used in legal cases against you
Aetna says it will not use or share substance use disorder program information in any legal case against you unless you give written consent, or a court orders it with a subpoena or other legal requirement. The notice adds that you or Aetna must also receive notice and a chance to be heard.
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We will not use or share this information in any legal case against you unless:
You give us written consent, or
A court orders us with a subpoena or other legal requirement.
You or Aetna must also receive notice and a chance to be heard.
Qualifications & exceptions
The two exceptions are written consent from you, or a court order with a subpoena or other legal requirement.
The notice-and-hearing sentence is stated separately: 'You or Aetna must also receive notice and a chance to be heard.'
Not stated here
The notice does not say whether the notice and chance to be heard apply to you, to Aetna, or to both in a given case.
Legal Rights & Agreement Rules · User right or choice
Federal rules give you several rights; requests go through the hotline
The notice says the federal privacy regulations give you several rights regarding your health information. You may make any of the requests described in the rights section, request a paper copy of the notice, or ask questions about it by calling the toll-free hotline, 1-800-537-8521.
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The federal privacy regulations give you several rights regarding your health information.
You may make any of the requests described above, may request a paper copy of this notice, or ask questions regarding this notice by calling our toll-free hotline at 1-800-537-8521.
Qualifications & exceptions
Some requests must be in writing, as noted in the individual rights (for example copies, amendments and accountings).
The hotline is the stated route for making requests and asking questions; the complaint route has its own address.
Not stated here
The notice does not say how quickly Aetna responds to requests.
Legal Rights & Agreement Rules · User right or choice
Right not to be subjected to pretext interviews
With very limited exceptions, you have the right not to be subjected to pretext interviews. A footnote adds that Aetna does not participate in pretext interviews.
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With very limited exceptions, not to be subjected to pretext interviews.
We do not participate in pretext interviews.
Qualifications & exceptions
The right has 'very limited exceptions' that the notice does not describe.
The footnote says Aetna itself does not participate in pretext interviews.
Not stated here
The notice does not define 'pretext interviews' or list the exceptions.
Legal Rights & Agreement Rules · User right or choice
How to file a privacy complaint
You have the right to file a complaint if you think your privacy rights have been violated. You can email the Aetna Privacy Office at PrivacyAetna@aetna.com or write to the HIPAA Member Rights Team, P.O. Box 14079, Lexington, KY 40512-4079. You may also write to the Secretary of the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.
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You also have the right to file a complaint if you think your privacy rights have been violated. To do so, please send an email to Aetna Privacy Office at PrivacyAetna@aetna.com or send your inquiry to the following address:
HIPAA Member Rights Team P.O. Box 14079
Lexington, KY 40512-4079
You also may write to the Secretary of the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.
Qualifications & exceptions
The complaint right applies if you think your privacy rights have been violated.
The no-penalty statement is made in the HHS complaint sentence.
Not stated here
The notice does not say how Aetna handles or responds to complaints.
Legal Rights & Agreement Rules · Company commitment
Aetna's legal obligations under the federal privacy regulations
Aetna says the federal privacy regulations require it to keep personal information about you private, to give you notice of its legal duties and privacy practices, and to follow the terms of the notice currently in effect.
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The federal privacy regulations require us to keep personal information about you private, to give you notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.
Aetna’s Legal Obligations
Qualifications & exceptions
The duty is to follow the notice 'currently in effect'; Aetna may change the notice (see the next card).
Legal Rights & Agreement Rules · Permission or license
Aetna may change the notice and its privacy policies at any time
Aetna may change the terms of the notice and its privacy policies at any time. If it does, the new terms and policies will apply to all of the information it already has about you as well as any information it receives or holds in the future.
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We may change the terms of this notice and our privacy policies at any time. If we do, the new terms and policies will be effective for all of the information that we already have about you, as well as any information that we may receive or hold in the future.
This Notice is Subject to Change
Qualifications & exceptions
Changes apply to information already held, not only future information.
Aetna's legal obligation is to follow the notice 'currently in effect'.
Not stated here
The notice does not say how members will be told of a change or whether there is advance notice.