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Find the forms and documents you need

Not all forms may apply to your coverage and benefits. To find forms customized for your benefits, log in to your member account.

If you have questions about which forms are meant for your use, call the toll-free number on the back of your member ID card.  

Medical, dental & vision claim forms

Pharmacy mail-order & claims

Spending account reimbursement (FSA, HSA)

Critical illness & accident forms

Massachusetts residents: health insurance mandate

Are you a Massachusetts resident? Are you 18 or older? Can you afford health insurance? If you answered yes to all three questions, you must have health coverage according to Massachusetts laws. If you do not, you must pay a penalty through your tax return.

Read more about this requirement

CALIFORNIA GRIEVANCE FORMS

Aetna Health of California HMO has procedures for Members to use if they are dissatisfied with a decision that the HMO has made or with the operation of the HMO.

View more information on how California members can get help 

Tax Form 1095

1095-A comes from the federal government Federal Exchange Marketplace or state-based Exchange Marketplace.

1095-B comes from your insurance company.

1095-C comes from your employer.

People generally receive only one version, though some may get both a 1095-B and a 1095-C.

The Internal Revenue Service (IRS) recently issued a Notice related to information reporting requirements that were added by the Affordable Care Act (ACA). Because the tax penalty for filing to meet the “individual mandate” has now been reduced by Congress to zero, the IRS indicated in its Notice that “an individual does not need the information on Form 1095-B in order to compute his or her federal tax liability or file an income tax return with the Service.” As a result, Aetna will not be mailing Form 1095-B for the 2019 tax year. For those that previously received their Form 1095-B in the mail, you can receive a copy of your 2019 Form 1095-B by going out to the Aetna Member Website in the “Message Center” under the “Letters and Communications” tab or by sending us a request at Aetna PO BOX 981206, El Paso, TX 79998-1206. We will continue to provide the 1095-B form to members in New Jersey and Washington, D.C.

If you have an interest in receiving this form, please follow the steps above, email us at AetnaMemberServices@o1kz9kv.cn or call 1-855-531-6837 with any questions.

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