You can get this Notice in Spanish by calling the number on your member ID card
To receive the Notice in Spanish, call the toll-free number on your member ID card (Member Services). The Notice gives this instruction in both Spanish and English.
Supporting quotations
To receive this Notice in Spanish, please call the toll-free number on your member ID card.
Para recibir esta notificación en español por favor llamar al número gratuito de Member Services (Servicios a Miembros)
Account & Service Control · User right or choice
You can ask Aetna to communicate with you how or where you choose
You can ask Aetna to communicate with you how or where you choose. For example, if you are covered as an adult dependent, you might want health information such as your Explanation of Benefits sent to an address other than your subscriber's. If it is a reasonable request, Aetna says it will make this happen. By default, the Notice says Explanation of Benefits forms are mailed to the subscriber's address on file.
Supporting quotations
Ask us to communicate with you how or where you choose.
For example, if you’re covered as an adult dependent, you might want us to send health information, like your Explanation of Benefits, to another address than that of your subscriber.
If it’s a reasonable request, we will make this happen.
We may also mail Explanation of Benefits forms and other information to the address we have on file for the subscriber (i.e., the primary insured).
Qualifications & exceptions
Aetna says it will comply only if the request is reasonable.
Not stated here
The Notice does not define what makes a request reasonable.
You can ask for a copy of PHI in your designated record set; Aetna may charge a reasonable fee or deny the request
You can ask Aetna for a copy of PHI that is part of a "designated record set". The Notice says this may include medical records and other records Aetna keeps and uses for enrollment, payment, claims processing, medical management and other decisions. Aetna may ask you to make the request in writing and may charge a reasonable fee for making and mailing the copies. Sometimes Aetna may deny the request.
Supporting quotations
Ask us for a copy of PHI that’s part of a “designated record set”.
This may include medical records.
It may also include other records we keep and use for: Enrollment
Payment
Claims processing
Medical management
Other decisions
We may ask you to request this in writing.
And we may charge a reasonable fee for making and mailing the copies.
Sometimes, we may deny the request.
Qualifications & exceptions
Aetna may require a written request.
Aetna may charge a reasonable fee for making and mailing copies.
Aetna may sometimes deny the request.
Not stated here
The Notice does not say when a request may be denied.
Account & Service Control · User right or choice
You can ask Aetna in writing, with a reason, to fix your PHI
You can ask Aetna to fix your PHI. You need to ask in writing and include the reason for the request. If Aetna denies it, you may write to Aetna to let it know you disagree.
Supporting quotations
Ask us to fix your PHI.
You need to ask this in writing.
And you must include the reason for the request.
If we deny it, you may write us, to let us know you disagree.
Qualifications & exceptions
The request must be in writing and include the reason.
Not stated here
The Notice does not say what happens after you write to say you disagree.
Account & Service Control · User right or choice
You can ask in writing for a list of certain disclosures; more than one request in 12 months may cost a fee
You can ask Aetna for a list of certain disclosures it has made about you, such as PHI shared with government agencies that license Aetna. The Notice calls this an "accounting". You need to ask in writing. If you ask for this kind of list more than once in 12 months, Aetna may charge a reasonable fee.
Supporting quotations
Ask us to give you a list of certain disclosures we have made about you, such as PHI we’ve shared with government agencies that license us.
(This is called an “accounting.”)
You need to ask this in writing.
If you ask for this kind of list more than once in 12 months, we may charge a reasonable fee.
Qualifications & exceptions
The request must be in writing.
A reasonable fee may apply if you ask more than once in 12 months.
Not stated here
The Notice says "certain disclosures" and does not list which disclosures are excluded.
Account & Service Control · Procedure
You can make the requests, ask for a paper copy of the Notice or ask questions by calling the member ID card number
You may make any of the requests above (if they apply), ask for a paper copy of the Notice, or ask questions about the Notice by calling the toll-free number on your member ID card. Other items in the same list say Aetna may ask for a copy request in writing and that asking to fix PHI or for a list of disclosures must be done in writing; the Notice does not say how the phone route fits with those items.
Supporting quotations
You may make any of the above requests (if they apply), ask for a paper copy of this Notice, or ask questions about this Notice.
You can do this by calling the toll-free number on your member ID card.
We may ask you to request this in writing.
You need to ask this in writing.
You need to ask this in writing.
Qualifications & exceptions
Phone route covers requests "if they apply".
Copy requests may be required in writing; amendment and accounting requests must be in writing.
Not stated here
The Notice does not say how the phone route fits with the in-writing requirements for some requests.
Cross-references
contrast (model-proposed): You can ask Aetna in writing, with a reason, to fix your PHI — contrast: One item says you can make the listed requests by calling the toll-free number on your ID card, if they apply. The amendment item says you need to ask in writing. The Notice does not say how these fit together.
Account & Service Control · Procedure
You can stop paper mailing of Explanation of Benefits by registering on Aetna.com
You may stop the paper mailing of your Explanation of Benefits and other claim information by visiting Aetna.com, choosing Log In/Register, and completing the one-time registration. Then you can log in anytime to view your EOBs and other claim information.
Supporting quotations
You may stop the paper mailing of your EOB and other claim information by visiting Aetna.com.
Follow the prompts to complete the one-time registration.
Then you can log in anytime to view your EOBs and other claim information.
Qualifications & exceptions
Requires completing the one-time registration on Aetna.com.