Skip to main content

Main Navigation

Aetna logo

Find a Provider / Pharmacy


  • Español
  • English
  • A - Decrease the font size in the Page
  • A - Increase the font size in the Page
  • Log in
  • Fraud & Abuse
  • Contact us



Menu
  • Home
  • Become a member
  • For members
  • For providers
  • Health & wellness

Forms

Helpful forms

  • Dual Appointment of Representative
  • Non-Par Provider Appeal Form
  • Waiver of Liability
  • Online Provider Dispute Instructions
  • PAR Provider Dispute Form
  • Member transition of care form (English/Spanish)
  • Member Care Information registration form
  • My Care Information member authorization form (English/Spanish)
  • Prior authorization form 
  • Prescription Drug Mail Order Form (English & Español)
  • Medicare Part D Prescription Claim Form (English & Español)
  • Pharmacy Coverage Determination Form
  • ERA Authorization Enrollment Form
  • Wire Authorization Form
  • EFT Enrollment Form

 

 

  • For providers
    • Join our network
    • Aetna Better Health Premier Plan (Medicare-Medicaid plan)
    • Resources
    • Notices
    • Claim and Configuration Projects
    • Forms
    • FAQs
    • Newsletters
    • Portal

Quick links

  • Premier Plan Prior authorization
  • Providers forms
  • Formulary Search Tool

Skip Footer Sitemap

[+]
  • Home
    • Log in
    • News
    • Contact us
    • Adobe Reader Download
  • Become a member
    • Aetna Better Health Premier Plan (Medicare-Medicaid Plan)
  • For members
    • Aetna Better Health Premier Plan (Medicare-Medicaid Plan)
    • My Care Information
    • Advocates & community resources
  • For providers
    • Join our network
    • Aetna Better Health Premier Plan (Medicare-Medicaid Plan)
    • Resources
    • Notices
    • Forms
    • Newsletters
    • Portal
  • Health & wellness
    • Doctor visits
    • Disease management
    • Health education resources
    • Women's health
    • Men's health
    • Post-stabilization

  • Privacy policy
  • ·
  • Member Rights and Responsibilities
  • ·
  • Legal statement
  • ·
  • Web privacy statement
  • ·
  • Careers

Copyright © Aetna Better Health of Illinois, All Right Reserved.

H2506_15_127R

CMS Approved

Updated 03/12/2019

Aetna Better Health Premier Plan is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. Aetna Better Health Premier Plan may terminate, or non-renew, its contract with the Illinois Department of Human Services and the Centers for Medicare and Medicaid Services (CMS), or reduce its service area. If this occurs you will be notified ahead of time and your enrollment with our plan may end.

Aetna Better Health Premier Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

 

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-866-600-2139 (TTY: 711) 24 hours a day, 7 days a week. The call is free.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-600-2139 (TTY: 711) durante las 24 horas, loos 7 días de la semana. La llamada es gratuita.

You are now leaving Aetna Better Health of Illinois

You are now leaving Aetna Better Health of Illinois' website. You are leaving our website and going to a non-Medicare/Medicaid website. If you do not intend to leave our site, please click Close.

Continue