Form GC-7 Aetna Medical Benefits Request

Form GC-7, Aetna Medical Benefits Request: What Is It?

Form GC-7, Aetna Medical Benefits Request, is is a formal instrument used to ask Aetna - a healthcare insurance company - for reimbursement after a patient has paid for medical services out of their own pocket.

Alternate Name:

• Aetna Medical Claim Form.

In case the healthcare provider did not send a bill to Aetna, you can do it instead and receive the money you have spent back within a year after treatment or procedure was carried out.

You can find an Aetna Medical Claim Form below.

The document is supposed to include the personal details of the individual who is covered by Aetna insurance and the individual whose illness or injury led to medical expenses. Summarize the medical or dental services that were rendered, elaborate on the nature of the health issue or accidental injury and the eventual diagnosis, state the date of the medical visit, and indicate the hospital and doctor that helped the patient.

Explain how you would like to receive the payment and make sure you attach the medical bills and medication records to the form. Sign and date the papers to share private health data and authorize Aetna to send you the money. The document also warns the claimant about their obligation to provide true and accurate details in the request to receive compensation - otherwise, the party that submits the claim may have to wait longer while the documentation is processed or sometimes even deal with criminal penalties for their fraudulent statements.

Still looking for a particular form? Take a look at the related forms below:

• Aflac Hospital Indemnity Claim Form;
• Anthem Medical Claim Form;
• Hospital Admission Form.