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` Aetna

Application Code

Description

Submission Information

Applies to some Aetna plans

Fax:	1-866-441-2341 or 1-888-665-6296
Email:	[email protected]
Mail:	Aetna Medicare, P.O. Box 14088, Lexington, KY 40512-4088

Applies to legacy Coventry plans moving to Aetna brand and expansion markets

Fax:	1-866-756-5514
Mail:	P.O. Box 7405, London, KY 40742

Applies to Allina Health | Aetna Medicare and Innovation Health plans

Fax:	1-866-756-5514
Mail:	P.O. Box 7405, London, KY 40742

Applies to all DSNPs except those in Georgia

Fax:	1-866-756-5514
Mail:	P.O. Box 7405, London, KY 40742

Applies to DSNPs in Georgia

Fax:	1-844-984-0393
Mail:	P.O. Box 7083, London, KY 40742

America's 1st Choice

Fax: (888) 883-0703

AllWell

Fax: (844) 222-3180

CareFree

Fax: (855) 301-1569

CarePlus

Fax: (855) 819-8679

Freedom

Fax: (888) 883-0703

HealthSun

Email: [email protected]

Humana

MAPD
- Fax: (877) 889-9936
Med Supp
- Fax: (877) 889-9936
Dental & Vision
- Fax: (502) 508-6500

MMM

Fax: (786) 584-4595

Molina Healthcare

Fax: (844) 541-6848

Silver Scripts

Fax: (866) 552-6205

Simply Healthcare

Fax: (800) 833-8554

Solis

Fax: (305) 675-0933

United Healthcare (including AARP, Preferred Care Partners, and Medica Health Plans)

MAPD Fax: (888) 950-1170
PDP Fax: (888) 950-1170
Med Supp Fax: (888) 836-3985

WellCare

Fax: (866) 473-9124
Part D
- Fax: (866) 388-1521