What to do outside the Aetna Service Area?

What to do outside the Aetna Service Area?

Members who are traveling outside their service area or students who are away at school are covered for emergency and urgently needed care. Members can get urgent care from a private practice physician, a walk-in clinic, an urgent care center or an emergency facility. Certain conditions, such as severe vomiting or fever, are considered “urgent care” outside Aetna service areas and are covered in any of the above settings.

If, after reviewing information submitted to us by the health care professional who supplied care, the nature of the urgent or emergency problem does not qualify for coverage, it may be necessary for the member to provide us with additional information. We will send the member an Emergency Room Notification Report to complete, or a Member Services representative can take this information by telephone.

TBS also offers a short term world traveler option for employers that have employees travelling internationally. Please contact us today for a quote at global@tbsmga.com.

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