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Aetna International

Aetna Logo

About

Aetna International is part of Aetna, a Fortune 100
company in the United States and a CVS Health company. They are world leaders
in providing health care benefits with a 160-year heritage of strength and
expertise. 

For more than five decades, they have extended that strength across the globe, leveraging our deep market knowledge and delivering on the goals
that matter most to the people they serve. 
A leader in the health insurance industry, Aetna Health Insurance have a great range of policies that can suit everyone. Hospitalization cover and outpatient insurance are covered with rich benefits. Aetna Insurance company has offered global medical insurance for over 50 years and now has 800,000 members worldwide.

International health insurance provided by Aetna International covers inpatient, outpatient and parent accommodation costs as well as coverage for rehabilitation, cancer care, psychiatric treatment and much more.

Plans

Members with Aetna have the choice of a core plan (Pioneer 1750, Pioneer 2500, Pioneer 4000, Pioneer 5000 and Pioneer 5000 plus). As an Aetna International member, you are then able to add modules of coverage such as Aetna dental insurance, Aetna eye insurance, Aetna vision insurance, medical
evacuation and deductibles to fit in with your requirements and budget needs.

Medical Insurance Claiming

Using the Health Hub is the quickest and easiest way to submit a claim. Aetna International have medical, dental, vision, and wellness claim forms in a wide range of languages. You can either print them off or complete them online.

The Health Hub is designed to make it simple for you to find information and get support for your health and wellness needs when you need it most. To make a new claim or track an existing claim, you’ll need to be registered for the Health Hub. Log in and click on ‘Claims’. You can start a new claim or continue working on one you started earlier. Before you begin the process, make sure you have:

• Your personal details (although Aetna will prefill as much information as they can);
• The patient’s contact details and information about the claim;
• Payment details; and
• Any relevant documents, including invoices and receipts. These will need to be uploaded. We accept files in many formats including picture jpgs.

Next, you’ll need to tell Aetna about the claim:

• The reason for your visit to the medical provider;
• Some general details about your symptoms;
• The medical condition;
• The diagnosis;
• The date of the treatment; and
• Whether you were treated as an inpatient or an outpatient.

Your claim can be paid by electronic bank transfer or cheque — it’s your choice. Make sure you’ve got your bank’s details, including the bank address and SWIFT code or International Bank Account Number — also known as IBAN.

To set up your online payment preference, click on ‘Plan & details’ and then click ‘Repayment details’ at the foot of the
page. Fill in the required details, following which, you can select this payment option with every future claim — or you can set up new ones.

To track a claim, you’ll need to go to ‘Claims’ and choose the ‘In Progress’, ‘Paid’ or ‘Denied’ tabs to see the progress and status of your claims. The ‘All’ tab gives you access to all your claims information.

If you have any problems or questions about submitting a claim, visit the FAQ section of the Health Hub or call a member of the team
using the phone number on the back of your Member ID card. Aetna International offer round-the-clock help and support, over the phone and online.

Your Member ID Card also tells you your plan type, and whether you’re an International plan member or World Traveller plan member. You’ll need to know this information to register for the Health Hub.

If you haven’t received your Member ID Card or welcome pack and you need to make a claim, the main plan member can ask their account manager or sales consultant for their unique membership number. Once they have it, they can register for the Health Hub and make a claim for themselves.

As soon as a family member on the policy has registered for the Health Hub, they can make a claim. The main plan member (or policy holder) can look up the family member’s membership number in the Certificate of Insurance, which can be found in the ‘Plan & details’ section of the Health Hub.

To put all the features of the Health Hub at your fingertips, you can also download Aetna International’s ‘International Mobile Assistant’ app to your mobile. Go to the App Store or Google Play to get access. You’ll need to register for the Health Hub before you can submit claims via the app.

Useful Info

• Aetna International were also awarded the Business+ Award for ‘2020 Product Innovation’ for their newly launched vHealth app.

vHealth is an app that enables users to consult a doctor virtually by phone or computer at any time of the day or night, and from anywhere in the world. The convenient service makes it easy to access personal, affordable, high quality health care.

VHealth gives members the ability to:

• Store and share their medical records
• Store their health data
• Receive prescriptions
• Find local clinics, if the need them.

Aetna Health app puts the most important and useful features of your secure member website right at your fingertips.

You can use our Aetna Health app to:

• Submit and track your claims
• Find the documents, forms and health care resources you need
• Search for doctors and hospitals

The most up-to-date information           

You can access the most current health care provider information on our Aetna Health app or through Health Hub — your secure member website.

On the whole, all Aetna International members get access to a wide range of services including 24-hour Member Service Center, clinical and case management services, emergency assistance services and a massive network of hospitals, doctors, clinics and medical specialists. They give 360 degree customer service and an easy to use direct billing network.

With comprehensive employee benefits also available through Aetna International, the insurance company is able to offer great corporate policies as well as cater for expatriate individuals.