Click the links below to download the PDF:
Aetna C.H.A.S Application HIPAA and Replacement Form
Aetna C.H.A.S Application HIPAA and Replacement Form
Regarding Medicare Advantage and Part D:
We do not offer every plan available in your area. Currently we represent five organizations which offer fifty-five products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.