Steps to make a doctor’s appointment:
1. Understand the insurance plan.
For details about the health insurance, click here. It is important to carry your insurance card with you. The card will have important details about your policy and account number. You can access your card, here.
2. Find a medical provider that accepts the Aetna Health Insurance plan. (for the service needed)
There are several locations in the Kansas City area that accept Aetna whether it be related to primary care, specific conditions, dental, therapy, etc. Minute Clinics or Urgent Cares are popular in the U.S. They are places that you can go when you don’t feel well, but you don’t have a primary doctor to visit, or your primary doctor is not available. Use the Healthcare Provider Directory to access information about other medical providers such as doctors, specialist, Minute Clinics, Urgent Cares, or hospitals.
Once you find the provider, call the Doctor to schedule an appointment!
3. Attend the appointment
In the United States, it is important to arrive to your appointment 10-15 minutes early, to fill out paperwork and provide information associated with your visit. This process is called checking in.
After you are checked in, have a seat and wait for a Registered Nurse to call your name.
The nurse will escort you to the examination room.
The nurse will do several things:
1. Ask basic health questions.
2. Take your vital signs (weight, height, temperature, blood pressure, pulse and respirations).
The Nurse Practitioner or Doctor will come in the examination room to discuss why you are there and to provide treatment
Depending on what happened during the appointment, you will return to the front desk and pay for services, file an insurance claim, receive a prescription, schedule a new appointment, etc. The Doctor or Nurse will instruct on what to do next.
4. File an Insurance Claim
The Healthcare Provider may have already filed a claim for you, if you showed your insurance card. However, it is important to ask. If they have not done so, you will need to file a claim yourself, if you’d like to be able to receive financial coverage (not guaranteed for all services). To file a claim, check out this information below from Aetna on how to do this.
If the Provider does not file the claim directly with Aetna Student Health, then you can file the claim by submitting an Aetna Claim Form along with an itemized bill and proof of payment (if you paid for the service) immediately after treatment to us. Always retain copies for your records.
Print an Aetna Claim Form
Fax your completed Aetna Prescription Drug Claim Form and receipts to 1-888-472-1128 or mail it to:
Aetna Pharmacy Management
P.O. Box 52444
Phoenix, AZ 85072-2444
5. Personal Health Information Requests
We need your permission to release your Personal Health Information.
You also can fax the form to (860) 907-3017 or mail it to:
Aetna Legal Support Services
151 Farmington Avenue, RT65
Hartford, CT 06156-9998
We need your permission to release your personal health information to your providers.
You also can fax the form to (859) 455-8650 or mail it to:
Aetna Legal Support Services
PO Box 14079
Lexington, KY 40512-4079
Pharmacies in Kansas City:
Use the Healthcare Provider Directory to access information about pharmacies in the area.
More Insurance Information:
How Insurance Works in the US by Aetna Insurance
This can be a confusing system to learn to navigate. Never hesitate to ask questions or seek help when needed.