Effective November 16, 2009, Aetna implemented a new policy for dependent verification related to newborn/adopted child(children) for all Aetna Advantage Plans for Individuals, Families and Self-Employed nationwide. The new policy requires an attestation form verifying eligibility for the newborn/adopted child(children) to be submitted in order for the newborn/adopted child(children) to be added to the member’s policy after the first 31 days of life/adoption.

A verification form is required if:

• The mother is not on the plan
• The mother is on the plan, but has no record of maternity claims
• Adoption

To add a newborn/adopted child to the member’s policy, Aetna requires a completed attestation form from the subscriber/member within 31 days of the date-of-birth/adoption. In order for the child to remain on the plan, the policyholder must provide a birth certificate, Adoption Decree or proof of legal responsibility within 60 days of DOB/Adoption unless otherwise required by the state. If documentation is not received within the allotted time frame, the request for coverage may be declined.

Note: The newborn/adopted child will be covered under the policyholder’s plan during the first 31 days (whether or not we receive a form as is required by the state).

No additional verification is required if the mother is covered under an Aetna Advantage Plan, either as a subscriber or dependent, and has maternity-related claims in the system or an admission for delivery is indicated. Newborn child(children) will be enrolled when Aetna receives a written request within state guidelines.

Tags: Aetna Adoption Policy, Aetna Adoption Verification, Aetna Newborn Identification, Aetna Newborn Policy, Aetna Newborn Verification

Assurant Health is paying for the administration fee for vaccinations received at any Walgreens pharmacy or Take Care Clinic (located in select Walgreens) where the vaccine is available. This means the fee for the vaccine is not subject to deductible, coinsurance, or copay — and customers won’t be billed.

Individual Medical and Small Group customers simply present their Medco prescription drug card to the certified health care professional at the time of service. Short Term Medical, Student Select and any other members without a drug card, will receive Vaccine Vouchers — one per covered family member — along with the letter. The vouchers are used as cash and redeemable at Walgreens at the time of service. The vaccine benefit will be available through March 31, 2010.

If members get the vaccination at a location other than a Walgreens or a Take Care Clinic, they present their Assurant Health ID card. The charge will be covered according to their plan’s provisions.

Tags: Assurant Health Free H1N1 Vaccine, Assurant Health Free H1N1 Vaccine at Walgreens, Assurant Health H1N1 Vaccine, Assurant Health Walgreens Vaccines