Forms

Below are forms that you may need as a member of Aetna Better Health of Ohio. These forms can help you manage claims, access information and more. If you need a form not listed here, contact us.

Advance Directives (coming soon)
Appointment of Representative Form (coming soon)
Prescription Drug Mail Order Form (English & Español) (coming soon)
Prescription Reimbursement Request Form
Coverage Determination Form (online & print) (coming soon)
Redetermination Request Form (online & print) (coming soon)
Medicare Part D Prescription Claim Form (English & Español) (coming soon)
Health risk assessment (coming soon)
Privacy Request Form
Provider Nomination Form
Member Advisory Application