Aetna
Application Code Description Submission Information

MA

Applies to some Aetna plans

Fax:

1-866-441-2341 or 1-888-665-6296

Mail:

Aetna Medicare, P.O. Box 14088, Lexington, KY 40512-4088

NG

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

JV

Applies to Allina Health | Aetna Medicare and Innovation Health plans

Fax:

1-866-756-5514

Mail:

P.O. Box 7405, London, KY 40742

DS

Applies to all DSNPs except those in Georgia

Fax:

1-866-756-5514

Mail:

P.O. Box 7405, London, KY 40742

US

Applies to DSNPs in Georgia

Fax:

1-844-984-0393

Mail:

P.O. Box 7083, London, KY 40742

AllWell
  • Fax: (844) 222-3180
CarePlus
  • Fax: (855) 819-8679
Freedom/Optimum
  • Fax: (888) 883-0703
HealthSun 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
  • Scopes Fax: (866) 994-9659
  • Med Supp Fax: (888) 836-3985
WellCare
  • Fax: (866) 473-9124
  • Part D
    • Fax: (866) 388-1521

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