What Happens if you Disagree With a Benefits Cost Decision?

You have the right to appeal a decision on benefits. For active and Pre-Medicare retirees, please refer to your Summary Plan Description (SPD) for the process to do this. You can call your Care Navigators at 888-779-7247. They will be happy to assist you!

Retiree members must access their Aetna account. Under Coverage & Benefits, select Policies, Procedures and Forms. Slide over to File Claims & Reimbursements and follow the page to External Appeal & Grievances.