Colorado Table of contents Open Access® Managed Choice® Elect Choice® EPO 1. Introduction ...... 2 Open Choice® PPO Our main goal ...... 2 Network access plan 2. Network adequacy ...... 3 Our network numbers ...... 3 This manual will help you understand our health programs and policies. Provider and facility availability ...... 3 And we’ll be right there with you, Measurable process for access to care and service ...... 3 throughout all of life’s stages. Provider selection and criteria — how we build our networks .....4 How we choose providers ...... 4 Quality management program and scope ...... 5 Member experience ...... 6 Corrective action process ...... 6 Accessing services outside the network ...... 6 Monitoring access ...... 6 Provider directories ...... 7 3. Network access plan procedures for referrals ...... 7 Referrals within the provider network ...... 7 4. Network access plan disclosures and notices ...... 7 Grievance and appeal ...... 7 Specialty medical services ...... 7 Emergency and nonemergency medical care ...... 8 Access and accessibility of services of covered persons with limited English proficiency and illiteracy, with diverse cultural and ethnic backgrounds and with physical or mental disabilities ...... 8 Assessing needs ...... 8 5. Plans for coordination and continuity of care ...... 8 Keeping the provider you go to now ...... 8 Discharge planning ...... 9 Changing your primary care (PCP) ...... 9 Provider termination ...... 9 The hold-harmless provision ...... 9

02.02.332.1-CO A (5/20)

1 1. Introduction Our access plan provides a broad view of plan policies and procedures that cover participating providers and facilities. This Colorado network access plan is for Aetna Open This material is for information only. It is neither an offer Access Managed Choice, Elect Choice exclusive provider of coverage nor medical advice. It’s only a partial, general organization (EPO), and preferred provider organization description of plan or program benefits. It isn’t a contract. (PPO) plans. This network is a statewide network and Consult your plan documents (such as the Schedule of covers all counties. Aetna Life Company Benefits or the Certificate of Coverage) to find governing (Aetna) uses this network for group health products. contractual provisions, including procedures, exclusions The HIOS ID is 39041. and limitations relating to the health plan. If there’s a The Colorado Division of Insurance has licensed Aetna conflict between the plan documents and this access plan, Life Insurance Company as a life, accident, health and the plan documents will govern. disability insurance company. We don’t provide health care services, so we can’t We are required as an issuer to create an access plan guarantee any results or outcomes. We don’t advise the specific to each network. This access plan describes our self-management of health problems, nor do we promote strategy, policies and procedures to create, maintain and any particular form of medical treatment. Consult your administer an adequate network. health care provider for the care that’s right for your specific medical needs. The Colorado network access plan for Aetna Open Access Managed Choice, Elect Choice EPO, and PPO plans is We’ve created certain policies and procedures to ensure applicable to the following fully insured products: our members get access through the Colorado network access plan for Aetna Open Access Managed Choice, Elect • Aetna HealthFund® Choice EPO, and PPO plans. You’ll find brief descriptions ® ® • Aetna Open Access Managed Choice in this document. Unless stated otherwise, this access • Aetna Open Access Elect Choice® plan also includes facilities. • Aetna Student HealthSM Visit Aetna.com to get more information about the • Elect Choice® EPO network. • Open Choice® PPO If you’re a member, to reach Aetna, use the toll-free phone number on your Aetna® member ID card. Not Our main goal yet a member? Just call 1-888-98-Aetna (TTY: 711) We work every day to ensure the power of health is in or 1-888-982-3862 (TTY: 711). your hands. We strive to see the world from your eyes. This access plan is available upon request. Call the You can make confident choices and live a healthier life toll-free phone number on your Aetna member ID card. with our support and tools. And with us, you’ll find Or write to: Aetna, 4582 South Ulster Street Parkway, convenient tools and resources that fit your life. Suite 900, Denver, CO 80237. You pay less out of pocket when you use doctors and This access plan also includes information for both in our network. Our networks focus on quality the Aetna national pharmacy and Aetna managed and efficiency. This improves the health care experience pharmacy networks. for all. And members find it easy to get the care they need. The network includes doctors, hospitals and other health care professionals and facilities in the Colorado market. We negotiate discounted rates for covered health care services. In-network doctors and hospitals won’t bill you for costs above our rates for covered services.

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company, Aetna Health Inc. and their affiliates (Aetna). Each insurer has sole financial responsibility for its own products.

2 2. Network adequacy providers and/or facilities. Even in counties where there may not be a pediatrician, obstetrician, or Our network numbers gynecologist available, there are participating PCPs who As of January 2020, the Aetna Open Access Managed can provide services to our members. We monitor counties Choice, Elect Choice EPO, and PPO plans in the Colorado for new providers and facilities and reach out to pursue network include: signing a contract with them. • 4,348 primary care providers We meet the availability (the provider-to-enrollee ratio) standards for each county of the network for primary care, • 15,817 medical specialists pediatrics, obstetric and gynecologic care, behavioral health • 963 obstetricians and/or gynecologists providers, and substance use disorder care providers. • 642 pediatricians Measurable process for access to care • 5,059 behavioral health providers and substance use and service disorder providers The state insurance regulation and the Aetna National We also have: Quality Oversight Committee (NQOC) create standards • 845 pharmacies (663 are in the Aetna managed for service and wait time. We monitor these standards pharmacy network) to help ensure our memebers receive care within a reasonable time period. • 109 hospitals Each year, we measure service standards in these ways: • 109 emergency facilities • We monitor access to primary care (PCPs) for • 54 urgent care centers routine care appointments, urgent care appointments, • 18 behavioral health and substance use disorder facilities and after-hours care. To do this, we conduct phone surveys with our Colorado providers. Provider and facility availability • We monitor access to specialty care, prenatal care, and We’ve created provider standards for access to care and high-volume and high-impact providers for routine care, service that comply with Colorado regulations. This is to urgent care, and after-hours care. To do this, we conduct ensure that our network has enough licensed health care phone surveys with our Colorado providers. providers available to meet members’ needs. The Aetna National Quality Oversight Committee (NQOC) assesses • We check Member Services telephone access by these standards, which include: reviewing call abandonment rates, average speed of answer, and total service factors. We also track member • Adequate provider-to-enrollee ratio (examples of complaint data. providers are PCPs, obstetricians and gynecologists, behavioral health care providers, and specialists) Each year, we measure behavioral health accessibility • Geographic distribution — participating providers are standards in these ways: within a reasonable proximity to members • We monitor access for routine behavioral health care, • Appointment availability — service and wait times urgent care appointments, and after-hours care. We look at member complaints, behavioral health member • An assessment of cultural needs, linguistic needs, and experience and provider experience survey data, and/or cultural and linguistic preferences of members phone surveys. At least once every year, we check network adequacy • We monitor access to behavioral health Member based on member needs. We use the results to develop Services by reviewing call abandonment rates, average and implement market contracting plans. speed of answer, and total service factors. We also track For telehealth services, we provide the same benefit for member complaint data. covered services, whether the providers see you in their If we see opportunities for quality improvement, we office or consult with you via telehealth. This helps to prioritize and implement them. meet your health care needs, and gives you access to health care services. In remote or rural areas, occasionally availability standards are not able to be met due to lack of, or absence of, qualified

3 Provider selection and criteria — how we build Our contracts require hospitals to participate in our our networks quality and patient management activities. Facilities To build a robust provider network, we carefully review the must notify us of any material change of licensure or providers available in each region, county and municipality. accreditation status. They must have adequate liability We make sure there is a broad range of qualified providers insurance or self-insurance. They must provide proof so that access to care is safe and convenient. of insurance upon request. Aetna pursues all available qualified providers. Providers Every three years, our credentialing team reviews the must meet our high standards before we ask them to join following for each hospital in our network. They make our network. sure that the hospitals: Our network includes primary care providers, specialists, • Are in good standing with state and federal hospitals and other facilities. We want to ensure that regulatory bodies members have access to the right medical services. • Are accredited by an Aetna-recognized accrediting entity How we choose providers • Have liability insurance limits • Physicians • Have a certification number, when applicable To be in our network, providers must: • More services - Pass our credentialing process We also have participation standards for every type - Work with our medical benefits programs, including of provider service in our network, including: preventive care - Free-standing surgical centers - File claims on behalf of our members - Urgent care centers - Accept our fees - Skilled nursing facilities - Agree to not bill the member for covered services - Hospices charges that are over our fee - Ambulance services - Have active admitting privileges in at least one network hospital (depending on provider specialty) - Home health care agencies • Hospitals - Laboratories To be in our network, hospitals must have a current - X-ray facilities license and be accredited by one of these entities: Participation criteria may vary based on specialty, market, - The (TJC) and applicable local, state, or federal laws. - The American Osteopathic Association (AOA) Facilities must meet required: - Det Norske Veritas Healthcare, Inc. (DNVHC) • Licensing - An accrediting entity that meets Aetna policy and/or • Certification business participation requirements or state/ • Professional staffing standards regulatory standards • Access standards These entities perform detailed reviews of hospitals, • Patient emergency standards including onsite visits. Hospitals also need to show them their quality improvement activities. They must also: If a hospital is not accredited from these entities, then • Have certain levels of liability insurance they need to meet these alternative requirements: • Follow patient confidentiality rules • They must complete an onsite quality assessment. All network providers must have: • If the Centers for Medicare & Services (CMS) • Proper licensing or a state survey has a similar review process as Aetna, we may substitute the CMS or state survey for an onsite • Appropriate education quality assessment. • Appropriate training • Applicable board certifications • Certain levels of liability insurance

4 They must also not have: Pharmacy quality assurance procedures • A history of professional liability claims Participating pharmacies are recredentialed every two years. Between formal credentialing cycles, we check • A work history that would raise concerns for these issues as part of ongoing quality review: our members • Pharmacies that are placed on an excluded list by Quality measures either the Office of Personnel Management or the Our quality measures are based on the National Office of the Inspector General Committee for Quality Assurance (NCQA) Healthcare • New Medicare opt-outs Effectiveness Data and Information Set (HEDIS®).* Our quality measures include: • Potential quality-of-care concerns (member complaints and internally identified events) • Blood sugar control for high-risk diabetics • Antidepressant medical management How we grow our dental networks To grow our network, we look at the number of primary • Breast cancer screening and specialty dentists in a specific area. In this way, we • Cervical cancer screening can make sure there are enough providers available to • Colon cancer screening meet your dental care needs. So you don’t have to spend a lot of time looking for a dentist. • Diabetes/lipid blood screening How we choose dental providers • Follow-up care for children prescribed attention-deficit/ We created the dental networks based on many market hyperactivity disorder (ADHD) medication variables. We choose providers based on: • Initiation and engagement of alcohol and other drug • Access and availability dependence treatment • Our credentialing standards • Low-density lipoprotein (LDL) targets for diabetic and cardiac patients • Our participation criteria • Other preventive care measures • Cost efficiency All doctors and hospitals must meet certain standards Dental quality assurance procedures and agree to accept our rates before joining our network. Participating dentists are recredentialed using our standard process every three years. And in between Visit Aetna.com/docfind/cms/html/ formal credentialing cycles, we monitor these issues MedicalCredentialing.html for more information about as part of our ongoing quality review: how we credential primary care physicians and specialists. • State board sanctions Visit Aetna.com/docfind/cms/html/ HospitalCredentialing.html for more information • Loss of license about how we credential hospitals and other health • Reports by the Office of Personnel Management care providers. or the Office of the Inspector General How we build our pharmacy networks • New Medicare opt-outs We look at the number of pharmacies in a specific area. • Potential quality-of-care concerns (member complaints This way we can make sure we have enough providers to and internally identified events) meet your pharmacy needs. So you don’t have to spend a lot of time looking for a pharmacy. Quality management program and scope How we choose our pharmacy providers Our quality management program checks and improves We created the pharmacy networks based on many the quality and safety of clinical care and services to market variables. We chose providers for our networks members. The quality management program includes based on: but is not limited to: • Access and availability • Evaluation of accessibility and availability of • Our credentialing standards network providers • Its ability to meet our participation criteria • Evaluation of member experience and practitioner satisfaction

*HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

5 • Review and evaluation of preventive and behavioral Corrective action process health services; ambulatory, inpatient, primary, and We continue to monitor and improve availability and specialty care; high-volume and high-risk services; access to providers and facilities. Here are steps we and continuity and coordination of care routinely take: • Development of written policies and procedures • Every year, we measure and analyze: reflecting current standards of clinical practice - Geographic distribution of providers • Development, implementation and monitoring of - Member-to-practitioner ratios patient safety initiatives, and preventive and clinical practice guidelines - Member complaints • Monitoring of medical, behavioral health, case and - Closed practice data — specifically against the goals disease management programs and standards for availability • Establishing standards for and auditing of medical and - Tracking and trending of data relating to the network behavioral health record documentation • We review counties where enrollees don’t have easy • Performing credentialing and recredentialing activities access to care. We try to determine availability of providers and, when possible, recruit them. • Oversight of delegated activities • Supporting initiatives to address racial and ethnic Accessing services outside the network disparities in health care You can get a service or supply from an out-of-network provider at the same out-of-pocket cost share as a Member experience network provider, if you can’t: An important part of the quality management program • Get a medically necessary service or supply through is to check and improve the member experience. For this, an in-network physician or hospital without we use surveys and aggregation, analysis, and trending unreasonable delay of member complaints. And we encourage members to offer suggestions or express their concerns through our • Find a participating physician who can provide the customer service phone lines and our member website. service or supply We work hard to support providers and members and You must get the service or supply pre-certified first. create a culture of better health — one that is connected, Then we’ll cover it at the in-network benefits level. That simpler, intuitive, convenient, affordable and powerful. means you’ll pay your share of the costs (copayment, Providers influence the consumer experience. We support coinsurance, and/or deductible) at the in-network level. providers by giving them helpful tools, information and Medical emergencies don’t require pre-certification. Your payment models. share of the costs for medical emergencies will also be at the in-network level. We contract with a certified vendor to administer the respective surveys. Monitoring access • Behavioral health member experience survey • Every year, we track nonparticipating provider approval requests and report the data to the NQOC We send this survey every year to the adult (age 18 and older) commercial behavioral health population • Network staff monitor access to hospital-based who used behavioral health care. It measures members’ providers at participating facilities and attempt to put experience of care in behavioral health services and new contracts in place where we have deficiencies. administrative services. • Members who receive services from a nonparticipating • Member experience surveys with care management provider at a participating facility will have no greater services cost share than if the service or treatment was done by a participating provider. Each year, we send this survey to a random sample of members in the case management and disease management programs. The aim is to check the member experience from those who have used these services. This process informs us how well the program meets our members’ expectations. This in turn helps to find areas where the program performs well and areas where it needs to improve.

6 Provider directories • Members may get timely referrals for access to To find a provider, use the printed provider directory specialty care or the online search tool. Some plans may require PCP selection and PCP referrals • Printed provider directory for specialty care. In such cases, a member may get specialty care by consulting their PCP. Referrals not - We publish a fully updated directory once a year. requiring prior authorization are valid as soon as the - We print quarterly addenda (these show providers that PCP requests it. Network doctors and other health have been added and removed from the networks). care providers are required by contract to follow access - To get a directory and get on the list to receive the standards for care. Any plan that has a PCP referral addenda, call the toll-free phone number on your requirement gives members direct access to benefits Aetna member ID card or send us a written request. for medical emergency services, urgent care, and obstetric or gynecologic visits. Plans that don’t require • Online provider search tool referrals permit members to go to any participating - Go to Aetna.com, and then visit your member specialty care provider to receive network benefits. website to use the tool. • Members may expedite the referral process when - It’s usually updated six days a week. indicated by their medical condition For referrals requiring prior authorization by us, 3. Network access plan procedures we’ll notify you within 5 business days for non-urgent requests. For urgent requests, we’ll inform you no for referrals later than 2 business days (and not to exceed a total of 72 hours from when we receive the original request). Referrals within the provider network You may expedite the prior authorization process when Some health plans require you to get a referral from your medically appropriate by consulting your PCP. PCP to get care from a specialist. Please refer to your plan • Referrals cannot be retroactively denied or changed documents to see: except for fraud or abuse: • If you need to select a PCP We can’t retrospectively deny or change referrals • Whether a PCP must refer you to a specialist before you approved by us, except for fraud or abuse. can get access to a specialist’s services If you need a referral, contact your PCP before you get 4. Network access plan disclosures specialty care. You can find in-network specialists listed in our online provider search tool. This tool offers the most and notices up-to-date list of doctors, hospitals and health care Grievance and appeal professionals in our network. Visit Aetna.com to use You can find grievance procedures in a number of the tool. Or go to your member website. If you don’t have documents. These include member disclosures and plan access to a computer, just call the toll-free phone number documents, including the Certificate of Coverage and the on your Aetna member ID card to get a printed directory. Summary of Benefits and Coverage (SBC). The grievance • Referral options may be restricted to fewer than all procedures are also on our website. The Explanation of providers in the network who are qualified to provide Benefits (EOB) statement also provides information that covered specialty services addresses members’ rights. While a member can be referred to any provider in the network, certain doctors may be affiliated with integrated Specialty medical services delivery systems, independent practice associations or You can find information on available specialty medical other provider groups. Members who select these doctors services in the plan documents. These include the will generally be referred to specialists and hospitals within Certificate and the SBC. The Certificate describes the that system or group. benefits and the SBC shows available services, cost-sharing amounts and visit limits. The SBC also shows some common medical events and the therapy services that may help to treat them.

7 Emergency and nonemergency medical care If a member chooses to provide certain information You’ll find information on our procedures for providing about race, ethnicity and languages spoken, it may help emergency and nonemergency medical care in the plan to improve access to health care and better serve a and member disclosure documents. Visit Aetna.com member. All information that a member provides is to read it online. private. The member disclosure document addresses privacy and access to health care in more detail. These documents and our website also define: • What an emergency medical condition is Assessing health care needs • What to do when an emergency occurs Aetna is committed to providing members with quality health care. Through our quality management program • Where to go for treatment and strategy, we assess, measure and monitor the care • Differences between nonurgent care and an emergency we provide. The member disclosure form has online • Processes a member must follow search instructions on how to find information about quality management programs. A printed copy of this Access and accessibility of services of information is also available. Just call Member Services covered persons with limited English at the number on your Aetna member ID card. proficiency and illiteracy, with diverse Program information includes goals, scope and outcome cultural and ethnic backgrounds and with with clinical data and is publicly available on our website. physical or mental disabilities Just go to Aetna.com/individuals-families/ Aetna uses Language Line Services, an interpretation member-rights-resources/commitment-quality/ service, to address the needs of enrollees with limited quality-management.html to find out about more English proficiency. Language Line Services offers 24/7 information our programs. over-the-phone interpretation in over 200 languages. explanation of benefits (EOB) statements and other correspondence generated through the claims and 5. Plans for coordination and appeal process provide notice that translation services continuity of care are available. And Aetna member disclosure information (available to members on our public website as well as Keeping the provider you go to now in enrollment packets) includes a notice that language You may have to find a new provider when you: services are available for members who speak another • Join our plan and the provider you have now is not in language or are hearing impaired. the network For hearing-impaired or speech-disabled individuals, • Are already a member and your provider stops being Aetna uses a relay service. The relay service acts as an in our network intermediary for telecommunications between hearing individuals and individuals who are deaf, hard of hearing, But in some cases, you may need to complete a deaf-blind and/or have speech disabilities. We have treatment or have treatment that was already scheduled. specially trained communication assistants who complete And you may continue to go to your current provider. the calls and stay online to relay messages either: This is called continuity of care or transition of care. • Electronically over a teletypewriter (TTY) or If you join a plan and you’re in an active course of telecommunications device for the deaf (TDD), or treatment with a provider who is not in the network, we’ll • Verbally to hearing parties provide transition-of-care benefits. Transition of care gives you temporary coverage as we transfer services from an Aetna doesn’t consider the member’s race, disability, out-of-network specialty provider to an in-network religion, sex, sexual orientation, health, ethnicity, creed, specialty provider. age or national origin when providing access to care. Transition-of-care requests do not apply to facilities. For Aetna and participating providers must comply with transition-of-care coverage requests due to a provider these laws: becoming inactive, we provide continuity of care coverage: • Title VI of the Civil Rights Act of 1964 • For an active course of treatment that includes having • The Age Discrimination Act of 1975 undergone treatment, or having been seen at least once • The Americans with Disabilities Act in the last 12 months, as long as you have not been released from treatment • Laws that apply to those who receive federal funds • All other laws that protect your rights to receive health care

8 • For transition of care coverage requests for maternity The discharge plan may include: care, we’ll allow an active course of treatment from • Identifying eligible members for referral to covered the second trimester through the postpartum period specialty programs • For transition-of-care coverage requests for primary care, • Coordinating a variety of services or benefits to be used we’ll allow an active course of treatment for pediatrics, upon discharge (such as a transfer to inpatient skilled general practice, family , internal medicine, nursing, sub-acute care, or a rehabilitation facility, or obstetrics and gynecology, and physician assistants and arranging for home health care, community services, or nurse practitioners supervised by, or working with, a PCP. durable medical equipment) These providers qualify for transition of care coverage only if they are credentialed and individually contracted. Changing your primary care physician (PCP) You can change your designated PCP at any time. Just Once approved for transition-of-care coverage due to a call the number on your Aetna member ID card. Or visit provider becoming inactive, the care period is the earlier of: your member website. • The termination of the course of treatment by the covered person or the treating provider Provider termination Our provider contracts with participating providers and • Ninety days after the effective date of your provider’s facilities ensure a seamless transition in the event the departure or termination, unless the medical director contract ends. Our providers agree to continue services determines that a longer period is necessary to our members for a limited time after termination. • The date that care is successfully transitioned to the When we terminate a PCP from the network, we send a in-network provider letter to inform you. We also help members select a new • Benefit limitations under the plan are met or exceeded PCP or practice site. • Care is no longer necessary When a specialist no longer participates in our network, we inform members who see the specialist regularly Discharge planning by letter. The letter asks the member to have their PCP Proactive discharge planning is a process that anticipates contact the Aetna Patient Management Department. your needs prior to discharge from an inpatient care That way, they can coordinate continued care and issue setting. It provides the right transition plan from the a referral to a specialist, if necessary. inpatient setting to the next level of care and addresses your entire care. The process begins at the time of The hold-harmless provision notification and may include the hospital (or other Our contracts contain a hold-harmless provision. alternate care provider, health plan, other health care This prevents network providers from providers, or the treating practitioner) you, and your members in the event of the insurer’s insolvency or family or caregiver. The staff finds and refers potential inability to continue operations. quality-of-care needs and patient safety events for more review during the discharge planning process. The discharge plan considers your: • Age • Prior level of functioning • Past medical history • Anticipated discharge location • Current medical condition, including diagnosis • Current level of functioning • Family and community support • Psychosocial factors • Potential barriers to discharge planning

9 Aetna complies with applicable federal civil rights laws and does not unlawfully discriminate, exclude or treat people differently based on their race, color, national origin, sex, sexual orientation, age or disability. We provide free aids/services to people with disabilities and to people who need language assistance. If you need a qualified interpreter, written information in other formats, translation or other services, call the number on your ID card. If you believe we have failed to provide these services or otherwise discriminated based on a protected class noted above, you can also file a grievance with the Civil Rights Coordinator by contacting: Civil Rights Coordinator, P.O. Box 14462, Lexington, KY 40512 (CA HMO customers: P.O. Box 24030 Fresno, CA 93779), 1-800-648-7817, TTY: 711, Fax: 859-425-3379 (CA HMO customers: 860-262-7705), [email protected]. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, or at 1-800-368-1019, 1-800-537-7697 (TDD).

10 TTY:711

English To access language services at no cost to you, call the number on your ID card. Para acceder a los servicios lingüísticos sin costo alguno, llame al número que figura Spanish en su tarjeta de identificación. Để sử dụng các dịch vụ ngôn ngữ miễn phí, vui lòng gọi số điện thoại ghi trên thẻ ID Vietnamese của quý vị. Chinese Traditional 如欲使用免費語言服務，請撥打您健康保險卡上所列的電話號碼 무료 다국어 서비스를 이용하려면 보험 ID 카드에 수록된 번호로 전화해 Korean 주십시오. Для того чтобы бесплатно получить помощь переводчика, позвоните по Russian телефону, приведенному на вашей идентификационной карте. Amharic የ ቋን ቋ አ ገ ል ግ ሎቶ ች ን ያ ለ ክ ፍያ ለ ማግ ኘ ት ፣ በ መታወ ቂ ያ ዎ ት ላይ ያ ለ ውን ቁ ጥር ይ ደ ውሉ ፡ ፡ لل حص و ل عل ى ال خ د م ا ت الل غ وي ة د و ن أ يتكلف ة ، ال ر ج ا ء االتص ا ل عل ى ال رق م ال م و ج و د عل ىبط اق ة اشت ر اك ك . Arabic Um auf den für Sie kostenlosen Sprachservice auf Deutsch zuzugreifen, rufen Sie die German Nummer auf Ihrer ID-Karte an. Pour accéder gratuitement aux services linguistiques, veuillez composer le numéro French indiqué sur votre carte d'assurance santé. श쥍कु पहԁच रा奍 आ굍 ो का셍 डमा रहेको 륍बरमा कलﴃ भाषास륍बꅍधी सेवाह셂माथि न Nepali ु ग हुड ो स्। Upang ma-acce Tagalog ss ang mga serbisyo sa wika nang walang bayad, tawagan ang numero sa iyong ID card. Japanese 無料の言語サービスは、IDカードにある番号にお電話ください。 Tajaajiiloota afaanii gatii bilisaa ati argaachuuf,lakkoofsa fuula waraaqaa Cushitic-Oromo eenyummaa (ID) kee irraa jiruun bilbili. ارب دی س بیسرت امدخه زت بناب وطه ارر قهرامشاب،ناگي دشدی سنشتراکیوره اا ي گباسمتدوخی رید.ي Persian Farsi Inweta enyemaka asụsụ na akwughi ụgwọ obụla, kpọọ nọmba nọ na kaadi njirimara Igbo gị I nyuu kosna mahola ni language services ngui nsaa wogui wo, sebel i nsinga i ye Kru-Bassa ntilga i kat yong matibla Yoruba Láti ráyèsí àwọn iṣẹ́ èdè fún ọ lọfẹ́ ̀ẹ́, pe nọmbà́ tó wà lórí káàdì ìdánimọ ̀ rẹ.

©2020 Aetna Inc. 02.02.332.1-CO A (5/20)