Accident or Injury Claim
Have you recently received a letter from Aetna asking if one of your healthcare claims is the result of an accident? The reason you received the letter is because there may be another person or insurance company who is financially responsible to pay some or all of the costs of that claim. This is referred to as “Subrogation.”
One of the ways Costco is able to provide a high level of benefits at a low cost to employees and their families is to make sure the plan only pays for expenses that are not the responsibility of another party or insurance policy – like auto insurance.
To avoid delays in claim payment it’s important for you to respond to the letter you received, even if the claim is not the result of an accident. If there is no other party responsible Aetna can quickly and appropriately process your claim. While we wait for you to respond your claims will be pended for payment.
Responding is easy – you can follow the instructions on the letter or complete the on-line form below. No matter which way you respond – letter, phone call or on-line – please remember omitting facts or willfully giving wrong or misleading information is considered “Falsification of Company Records” and could result in disciplinary action up to and including termination of employment. In addition there may be underlying state laws that impose fines, civil penalties and possible confinement.
If you have any questions completing this inquiry please call Aetna Member Services at 1-800-814-3543.