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Member materials and forms

Here is where you’ll find the information and forms you need to get the most from your Aetna Better Health® of Maryland plan. 

Member materials 

 

Aetna Better Health of Maryland member handbook — English (PDF)

 

Aetna Better Health of Maryland member handbook — Spanish (PDF) 

 

Member Advisory Committee application (PDF)

 

Formulary (list of covered medicines) (PDF)

 

Specialty drug list (PDF)

 

Provider directory  (PDF)

 

 

 

 

Forms 

 

Fraud, waste and abuse form

 

Grievances and appeals form

 

Authorization to release protected health information (PDF) 

 

Authorization to release psychotherapy notes (PDF) 

 

Protected health information access request (PDF) 

 

Request for an accounting of disclosures of protected health information (PDF) 

 

Removal of authorization previously given to Aetna Better Health of Maryland (PDF) 


CVS Caremark Mail Service Pharmacy order form (PDF)

 

Diabetes Prevention Program form