Caregiver

We appreciate this chance to help make your health care easier. Also, thank you for helping us

get the paperwork required. Just complete the enclosed form(s) as soon as possible. Also, please provide copies of any requested documents.

If you have any questions please contact us at:

1-877-***-**** (TTY: 711), Monday–Saturday, 8 AM–8 PM local time. 1619 NW 136th Ave

Suite D100

Sunrise, FL 33323

Here’s the information we promised to send

©2024 Aetna Inc.

Y0001_NR_ 30428_2022_C

Name:

Email/Fax:

To ensure these documents get to where they need to go, please return this page with your documents.

Thank you.

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. This message is intended only for the use of the individual or entity to which it is addressed and may contain confidential and/or proprietary information. If you are not the intended recipient or the employee or agent responsible for delivering the message to the intended recipi- ent, you are hereby notified that any further use such as dissemination, distribution, and copying of the information contained in this message is strictly prohibited. If you received this message in error, please notify the sender and then destroy the information immediately.r By destroying the information you are acknowledging this disclaimer and attesting to the fact that no misuse of the information will occur. EVA MICHAELS

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