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You can choose someone to act on your behalf. To protect your privacy, we have different forms to complete, based on what you want your representative to do for you.
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Authorization for Release of Protected Health Information (PHI)
Medicare’s form to assist with initial requests for coverage, grievances and appeals
Disclaimers
Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal.
See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.