Form Type Form Instructions for Form
Claims Authorization S-00216.pdf
Disability (Due to Sickness) s-2029.pdf  
Sickness/Cancer s-2029.pdf  
Dental H-F004.PDF  
Disability (Due to Injury) S-00198.pdf  
Injury/Accident S-00198.pdf  

Mail or fax completed claim forms (excluding FLEX ONE and TRANSIT ONE reimbursement forms) to:

If you receive a Wellness claim form with a bar code printed at the top of the page, please be sure to MAIL it with supporting documentation to the address listed above. Faxing the bar-coded forms to our office will DELAY payment of your Wellness claim.

Form Type Form Instructions for Form
Medical Claim Form gc-7 Instructions on form
Dental gc-8 Instructions on form
Vision gc-10 Instructions on form
Emergency non-network Pharmacy Claim gc-1360 Instructions on form

You can also login into the website to locate a network doctor and order prescriptions for home delivery.  Just use the link in the Aetna logo above.