Employee Benefits Resource Page

Member Services: 1-800-US-AETNA (7:00am - 7:00pm EST)

Small Group Member Enrollment/Change Form: Enroll, Terminate or Change Status of Subscriber

Large Group Enrollment/Change Form: Enroll, Terminate or Change Status of Subscriber

Medical Claim Form: Manual submission for Medical Claim Reimbursement

Dental Claim Form: Manual submission for Dental Reimbursement

Prescription Drug Claim Form: Manual submission for Prescription Drug Reimbursement

 

Member Services: 1-877-842-3625 (8:00am - 5:00pm EST)

Transaction Form: Enroll, Terminate or Change Status of Subscriber

Medical Claim Form: Manual Submission for Out-Of-Network Providers

Prescription Drug Claim Form:  Manual Submission for Prescription Drug Reimbursement

 

Member Services: Number On Back of Your Empire ID
General Information: 212-476-1000 (8:30am - 5:00pm EST)

Member Enrollment Form: Enroll or Change Status of Subscriber

Termination Worksheet: Terminate Individual or Multiple Employees

Medical Claim Form: Manual Submission for Out-of-Network Providers

Prescription Drug Claim Form: Manual Submission for Prescription Drug Reimbursement

 

 

Member Services: 1-800-HIP-TALK  (8:00am - 6:00pm EST)

Member Enrollment Form: Enroll or Change Status of Subscriber
Termination Worksheet: Terminate Individual or Multiple Employees
Medical Claim Form: Manual Submission for Medical Claim Reimbursement
Prescription Drug Claim Form: Manual Submission for Prescription Drug Reimbursement

Member Services: 1-800-444-6222

Member Enrollment Form: Enroll Subscriber
Change Form: Add Dependent(s), Change Status or Terminate Subscriber
Medical Claim Form: Manual Submission for Medical Claim Reimbursement
Prescription Drug Claim Form: Manual Submission for Prescription Drug Reimbursement
Exercise Facility Reimbursement