Aetna International ID Card Examples

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Aetna International ID Card examplesAetna International standard card2Middle East & AfricaAfrica MSO network access2Bahrain – BNL partner insurer3Kuwait – Warba partner insurer3Oman – MIC partner insurer3Qatar – Al Khaleej partner insurer4United Arab Emirates – Al Ain Ahlia partner insurerAbu Dhabi compliant4Dubai compliant5Other Emirates5Asia PacificChinaChina Life partner insurer6Huatai partner insurer6Indonesia – ACA Asuransi partner insurer6MalaysiaArchipelago partner insurer7Asia Assistance network access7Asia Assistance network access andMediclinic OP direct billing7Philippines – Starr Companies partner insurer8SingaporeSingapore Fullerton network access8Singapore Raffles Plan network access8Vietnam – Baoviet partner insurer9EuropeeCare – 3HR Benefits Consultancy product9Elect – Mercer product9AetnaInternational.com46.03.817.1 E (3/20)

Aetna International ID Card examplesActual cards will vary from those shown dependingon the exact cover the member has. For example,Outpatient direct billing cover availability is shownin two different ways: If there’s no plan sponsor, we completely removethat space. ‘OP direct billing: Yes, including chronic’ If the plan does not include outpatient directbilling, then the maternity and pre-existing fieldswill not display. If you have any questions, please contact us using thenumber on the member’s ID card ‘Direct Settlement Network’Aetna International standard cardMember name: Xxxxxxx XxxxxxxxxxxxxXXXX-XXX-XXXX FREE from [country name] XXX-X-XXX-XXXX COLLECT OR DIRECTMember ID: 123456789Plan sponsor: XYZ LimitedPlan type: XXXXXX XXXXXX XXXXXXXXXPlan number: XX10000000Area of cover: Area XDate of joining: DD Mmm YYYYEnd date: DD Mmm YYYYOP direct billing: Yes, including chronicPre-existing cover: Yes10% OP coinsurance to max USD 2000Maternity: Yes - 10% coinsuranceVisit: www.business.att.com/bt/access.jsp to find the number for the country you are in.Use the access code: XXX-XXX-XXXX when prompted.For general enquiries only: xxxxxxxxxxxxx@aetna.comMembers: Call for preauthorisation, 24-hour medical evacuation assistance, claims and coverquestions and all general enquiries. Show this card to your healthcare provider along with proof ofidentity This card is our property and you must return it to us on our request This card is not a creditcard or guarantee of payment.Healthcare providers: Call for preauthorisation.Always ask for proof of identity for the member presenting this card.www.aetnainternational.comMember ID card frontMember ID card backMiddle East & AfricaAfrica MSO network accessNote: Africa-based members with no MSO access will receive a standard Aetna International card.Member name: Xxxxxxx XxxxxxxxxxxxxXXXX-XXX-XXXX FREE from [country name] XXX-X-XXX-XXXX COLLECT OR DIRECTMember ID: 123456789Plan sponsor: XYZ LimitedPlan type: XXXXXX XXXXXX XXXXXXXXXPlan number: XX10000000Area of cover: Area XDate of joining: DD Mmm YYYYEnd date: DD Mmm YYYYOP direct billing: Yes, including chronicPre-existing cover: Yes10% OP coinsurance to max USD 2000Maternity: Yes - 10% coinsuranceVisit: www.business.att.com/bt/access.jsp to find the number for the country you are in.Use the access code: XXX-XXX-XXXX when prompted.For general enquiries only: xxxxxxxxxxxxx@aetna.comMembers: Call for preauthorisation, 24-hour medical evacuation assistance, claims and coverquestions and all general enquiries. Show this card to your healthcare provider along with proof ofidentity This card is our property and you must return it to us on our request This card is not a creditcard or guarantee of payment.Healthcare providers: Call for preauthorisation.Always ask for proof of identity for the member presenting this card.www.aetnainternational.comMember ID card front2Member ID card back

Bahrain – BNL partner insurer8008-1429 FREE from BahrainMember name: John DoeMember ID: 123456789Plan sponsor: XYZ LimitedPlan type: XXXXXX XXXXXX XXXXXXXXXPlan number: XX10000000Area of cover: Area XVisit:For general enquiries only:Date of joining: DD Mmm YYYYEnd date: DD Mmm YYYYOP direct billing: Yes, including chronicPre-existing cover: YesMembers:10% OP coinsurance to max USD 2000Maternity: Yes - 10% coinsuranceHealthcare providers:www.aetnainternational.comMember ID card frontMember ID card backKuwait – Warba partner insurer2208-3925 FREE from KuwaitMember name: John DoeMember ID: 123456789Plan sponsor: XYZ LimitedPlan type: XXXXXX XXXXXX XXXXXXXXXPlan number: XX10000000Area of cover: Area XVisit:For general enquiries only:Date of joining: DD Mmm YYYYEnd date: DD Mmm YYYYOP direct billing: Yes, including chronicPre-existing cover: YesMembers:10% OP coinsurance to max USD 2000Maternity: Yes - 10% coinsuranceHealthcare providers:www.aetnainternational.comMember ID card frontMember ID card backOman – MIC partner insurer8007-4324 FREE from Oman 971-4-438-7602 internationallyMember name: John DoeMember ID: 123456789Plan sponsor: XYZ LimitedPlan type: XXXXXX XXXXXX XXXXXXXXXPlan number: XX10000000Area of cover: Area XFor general enquiries only: MEAServices@aetna.comDate of joining: DD Mmm YYYYEnd date: DD Mmm YYYYOP direct billing: Yes, including chronicPre-existing cover: Yes10% OP coinsurance to max USD 2000Maternity: Yes - 10% coinsuranceVisit: www.business.att.com/bt/access.jsp to find the number for the country you are in.Use the access code: 855-491-9163 when prompted.Members: Call for preauthorisation, 24-hour medical evacuation assistance, claims and coverquestions and all general enquiries. Show this card to your healthcare provider along with proof ofidentity This card is our property and you must return it to us on our request This card is not a creditcard or guarantee of payment.Healthcare providers: Call for preauthorisation.Always ask for proof of identity for the member presenting this card.www.aetnainternational.comMember ID card frontAetna CVS MIC OMAN Card v1.indd 1Member ID card backAetna CVS MIC OMAN Card v1.indd 209/07/2019 10:4609/07/2019 10:46

NEURON NETWORK :NEURON:GroupNETWORK:Qatar – Al Khaleej partner insurerDENTAL:OPTICAL:MATERNITY:OPD CON: name: John DoeParticipantMATERNITY:DENTAL:Policy : 83XXXGroup :OPTICAL:Expiry :800-0108 FREE from QatarOPD CON:DENT:ParticipantID: 123456789DENT:Staff ID: xxxxxxxPlan sponsor: XYZ LimitedPlan type: XXXXXX XXXXXX XXXXXXXXXArea of cover: Area XVisit:Plan number: XXXXXXXXXXFor general enquiries only:Xxxxxxx XxxxxxDate of joining: DD Mmm YYYYEnd date: DD Mmm YYYYOP direct billing: Yes, including chronicPre-existing cover:YesEmployeeID :12345610% OP co-payment to max USD 2000XXXXXXMaternity: Yes - 10% co-payment83xxxxXxxxxxx XxxxxxParticipants:Employee ID :123456XXXXXXHealthcare providers:www.aetnainternational.com800 69 23862 (UAE only)83xxxxDHA Receiver/Payer ID:Expiry :Policy : 83XXXINS028/TPA001ParticipantID cardfrontHAAD Receiver/PayerID: A010/C005800 69 23862 (UAE only) 971 800 69 23862 (outside UAE)myaetna@neuron.aeDHA Receiver/Payer ID: INS028/TPA001www.neuron.ae/aetnaHAAD Receiver/Payer ID: A010/C005 971 800 69 23862 (outside t ID cardbackUnited Arab Emirates – Al Ain Ahlia partner insurerAbu Dhabi compliantGroupNETWORK:NEURON:NEURON NETWORK :DENTAL:MATERNITY:OPTICAL:OPD CON:DENT:Policy : 83XXXDENTAL:MATERNITY:Group :Expiry :OPTICAL:Policy : 83XXXExpiry :OPD CON:DENT:Insured by:MemberIDcard frontXXXXXXMember name: John DoeXXXXXXMember ID: 123456789Plan Xxxxxxxsponsor: XYZXxxxxxLimited83xxxxMember IDcard backPlan type: XXXXXX XXXXXX XXXXXXXXXPlan number: XX10000000Date of joining: DD Mmm YYYYEnd date: DD Mmm YYYYOP direct billing: Yes, including chronicPre-existing cover: YesEmployee ID :12345683xxxxArea of cover: Area XXxxxxxx XxxxxxEmployee ID :12345680069 23862 (UAE only)AED 50 excess per OPconsultation 971 800 69 23862 (outsideUAE) number: XXXXXXXXXXMaternity: Yes - Nil coinsuranceHAAD ProductDHA Receiver/Payer ID: INS028/TPA001HAAD Receiver/Payer ID: A010/C005myaetna@neuron.aeHAAD Receiver/Payer ID: A010/A010www.neuron.ae/aetnaHAAD Receiver/Payer ID: A010/C005DHA Receiver/PayerID: INS028/INS028DHA Receiver/PayerID: INS028/TPA001800 69 23862 (UAE only) 971 800 69 23862 (outside ed by:Insured by:8000-444-3265 FREE from United Arab Emirates 971-4-438-7602 internationallyMember name: John DoeMember ID: 123456789Plan sponsor: XYZ LimitedPlan type: XXXXXX XXXXXX XXXXXXXXXVisit:Plan number: XX10000000For general enquiries only: MEAServices@aetna.comArea of cover: Area XDate of joining: DD Mmm YYYYEnd date: DD Mmm YYYYOP direct billing: Yes, including chronicPre-existing cover: YesMembers:AED 50 excess per OP consultationMaternity: Yes - Nil coinsuranceHAAD Product number: XXXXXXXXXXDHA Receiver/Payer ID: INS028/INS028HAAD Receiver/Payer ID: A010/A010Member ID card front4Healthcare providers:www.alaininsurance.comMember ID card backorwww.aetnainternational.com

Dubai compliantNEURON NETWORK :DENTAL:NEURON:GroupNETWORK:OPTICAL:MATERNITY:OPD CON:MATERNITY:DENTAL:Policy : 83XXXGroup :OPTICAL:Expiry :Expiry :Policy : 83XXXOPD CON:DENT:DENT:Member IDcard backInsured by:MemberIDcard frontMembername:John DoeXxxxxxxXxxxxxXxxxxxx XxxxxxMember ID: 123456789EmployeeIDLimited:123456Plansponsor: XYZXXXXXX83xxxxPlan number: XX10000000Date of joining: DD Mmm YYYYEnd date: DD Mmm YYYYOP direct billing: Yes, including chronicPre-existing cover: YesAED 50 excess per OPconsultation80069 23862 (UAE only)83xxxxDHA Receiver/Payer ID: INS028/TPA001HAAD Receiver/Payer ID: A010/C005Administered by:Employee ID :123456Plan type: XXXXXX XXXXXX XXXXXXXXXXXXXXXArea of cover: Area XInsured by:MemberJohn:DoeNEURONname:NETWORKMember ID: 123456789DENTAL:Plansponsor:MATERNITY:XYZ LimitedAdministered by:GroupNETWORK:NEURON:OPTICAL:Plan type: XXXXXX XXXXXX XXXXXXXXX800 69 23862 (UAE only) 971 800 69 23862 (outside UAE)myaetna@neuron.aewww.neuron.ae/aetna 971 800 69 23862 (outsideUAE) number: XXXXXXXXXXMaternity: Yes - Nil coinsuranceHAAD Productmyaetna@neuron.aeDHA Receiver/PayerID: INS028/INS028 HAAD Receiver/Payer ID: A010/A010DHA Receiver/PayerID: INS028/TPA001www.neuron.ae/aetnaHAAD Receiver/Payer ID: A010/C005Policy : 83XXXDENTAL:MATERNITY:Group :Expiry :OPTICAL:Plan number: XX100000008000-444-3265 FREE from United Arab Emirates 971-4-438-7602 internationallyPolicy : 83XXXExpiry :Visit:Area of cover: Area XChosen tier: Tier XFor general enquiries only: MEAServices@aetna.comDate of joining: DD Mmm YYYYEnd date: DD Mmm YYYYMembers:OP direct billing: Yes, including chronicOPD CON:10% OP coinsurance to max USD 2000DENT:Maternity: Yes - 10% coinsurancePre-existing cover: YesOPD CON:DENT:DHA Receiver/Payer ID: INS028/INS028HAAD Receiver/Payer ID: A010/A010Healthcare providers:www.alaininsurance.comMemberID card frontXXXXXXXXXXXXXxxxxxx Xxxxxx83xxxxEmployee ID :12345683xxxxorwww.aetnainternational.comMember ID card backXxxxxxx XxxxxxEmployee ID :123456Other Emirate plans – not Dubai or Abu Dhabi compliantDHA Receiver/Payer ID: INS028/TPA001Administeredby:Insured by:HAADReceiver/PayerID: A010/C005800 69 23862 (UAE only) 971 800 69 23862 (outside UAE)myaetna@neuron.aeDHA Receiver/Payer ID: INS028/TPA001www.neuron.ae/aetnaHAAD Receiver/Payer ID: A010/C005Administered by:Member name: John Doe8000-444-3265 FREE from United Arab Emirates 971-4-438-7602 internationallyMember ID: 123456789Plan sponsor: XYZ LimitedPlan type: XXXXXX XXXXXX XXXXXXXXXVisit:Plan number: XX10000000For general enquiries only: MEAServices@aetna.comArea of cover: Area XDate of joining: DD Mmm YYYYEnd date: DD Mmm YYYYOP direct billing: Yes, including chronicPre-existing cover: Yes10% OP coinsurance to max USD 2000Maternity: Yes - 10% coinsuranceHAAD Product number: XXXXXXXXXXDHA Receiver/Payer ID: INS028/INS028HAAD Receiver/Payer ID: A010/A010Valid outside UAE onlyMember ID card front800 69 23862 (UAE only) 971 800 69 23862 (outside althcare tional.comMember ID card back5

Asia PacificChinaChina Life partner insurerMember ID card frontMember ID card backHuatai partner insurerProprietaryProprietaryMember ID card frontMember ID card backIndonesia - ACA Asuransi partner insurerProprietaryFOR CLAIMS AND COVER QUESTIONS,ELIGIBILITY VERIFICATION,DIRECT SETTLEMENT REQUEST,24-HOUR MEDICAL EVACUATIONASSISTANCE AND ALL GENERAL ENQUIRIESMember NamePlan SponsorMember ID: 123456789Plan namePolicy number: XX12345678Area of coverMember since: DD/MM/YYYYExpiry date: DD/MM/YYYYCopay Per Visit: NilTO SUBMIT CLAIMS,BENEFIT VERIFICATION REQUESTAND OTHER CORRESPONDENCEAetna International Service Center001-803-1-006-0716 (Toll free from Indonesia) 852-3071-5022Mail:PT Aetna Global Benefits IndonesiaSentral Senayan 2 Building16th Floor Suite West 16Jl. Asia Afrika No.8 Gelora Bung KamoJakarta Pusat - 10270Fax: 62-21-2965-5881Email: AsiaPacServices@aetna.comAnnual Deductible: NilOP Preauth: USD100.00PRODUCT OF THIS CARD DOES NOTGUARANTEE PAYMENTDirect Settlement NetworkPROVIDER CONTACT INFORMATIONProviders call the Aetna Int’l Service Centerat the telephone number listed at the top ofthis cardProprietaryMember ID card frontAetna CVS M062-IHP-ACA-Tirta-Fullerton Card JULY 2019 v1.indd 16Member ID card back23/07/2019 11:40Aetna CVS M062-IHP-ACA-Tirta-Fullerton Card JULY 2019 v1.indd 223/07/2019 11:40

MalaysiaArchipelago partner insurerMember name: John Doe1-800-885-801 FREE from Malaysia 60-3-7724-4179 collect or directMember ID: 123456789Plan sponsor: XYZ LimitedPlan type: XXXXXX XXXXXX XXXXXXXXXPlan number: XX10000000Area of cover: Area XDate of joining: DD Mmm YYYYEnd date: DD Mmm YYYYOP direct billing: Yes, including chronicPre-existing cover: Yes10% OP coinsurance to max USD 2000Maternity: Yes - 10% coinsuranceVisit: www.business.att.com/bt/access.jsp to find the number for the country you are in.Use the access code: 855-491-9161when prompted.For general enquiries only: AsiaPacServices@aetna.comMembers: Call for preauthorisation, 24-hour medical evacuation assistance, claims and coverquestions and all general enquiries. Show this card to your healthcare provider along with proof ofidentity This card is our property and you must return it to us on our request This card is not a creditcard or guarantee of payment.Healthcare providers: Call for preauthorisation.Always ask for proof of identity for the member presenting this card.www.aetnainternational.comMember ID card frontMember ID card backAsia Assistance network accessXXXX-XXX-XXXX FREE from [country name] XXX-X-XXX-XXXX COLLECT OR DIRECTVisit: www.business.att.com/bt/access.jsp to find the number for the country you are in.Use the access code: XXX-XXX-XXXX when prompted.For general enquiries only: xxxxxxxxxxxxx@aetna.comMembers: Call for preauthorisation, 24-hour medical evacuation assistance, claims and coverquestions and all general enquiries. Show this card to your healthcare provider along with proof ofidentity This card is our property and you must return it to us on our request This card is not a creditcard or guarantee of payment.Healthcare providers: Call for preauthorisation.Always ask for proof of identity for the member presenting this card.www.aetnainternational.comMember ID card frontMember ID card backAsia Assistance network access and Mediclinic OP direct billingMember name: John DoeMember ID: 123456789Staff ID: A123456Plan sponsor: XYZ LimitedPlan type: XXXXXX XXXXXX XXXXXXXXXVisit: www.business.att.com/bt/access.jsp to find the number for the country you are in.Plan number: XX10000000Area of cover: Area XEnd date: DD Mmm YYYYOP direct billing: Yes, including chronicPre-existing cover: yesMaternity: Yes - 10% coinsuranceUse the access code: XXX-XXX-XXXX when prompted.For general enquiries only: xxxxxxxxxxxxx@aetna.comDate of joining: DD Mmm YYYY10% OP coinsurance to max USD 2000XXXX-XXX-XXXX FREE from [countryname] XXX-X-XXX-XXXX COLLECT OR DIRECTMembers: Call for preauthorisation,claims andcover questions and all general enquiries. Show this card to your healthcare provider alongwith proof of identity This card is our property and you must return it to us on our request This card is not a credit card or guarantee of payment.Healthcare providers: Call for preauthorisation.Always ask for proof of identity for the member presenting this card.www.aetnainternational.comMember ID card frontMember ID card back7

Philippines - Starr Companies partner insurerFOR CLAIMS AND COVER QUESTIONS,ELIGIBILITY VERIFICATION,DIRECT SETTLEMENT REQUESTSAND ALL GENERAL QUERIES:Starr International Service Member Center180014410893 (PLDT)180089088278 (Globe)(852) 3071-5022 (International)Member NameMail:Plan SponsorMember ID: 123456789TO SUBMIT CLAIMS, BENEFIT VERIFICATIONREQUESTS AND OTHER CORRESPONDENCE:Plan namePolicy Number: AHA12345678Area of coverExpiration Date: DD MMM YYYYCopay Per Visit: NilMember Since: DD MMM YYYYDirect Settlement NetworkUnit 5, 23rd FloorTower 2 The Enterprise Center6766 Ayala Ave cor. Paseo de RoxasLegaspi Village, Makati City, PhilippinesEmail: AsiaPacServices@StarrCompanies.comPRODUCTION OF THIS CARD DOES NOTGUARANTEE PAYMENTPROVIDER CONTACT INFORMATIONProviders: call the Starr International ServiceMember Center at the telephone number listedat the top of this cardWorldwide excluding USA. Elective treatment is excluded in the USAMember ID card frontMember ID card backAetna CVS Maxicare Card JUNE 2019 v1.indd 114/06/2019 11:19Aetna CVS M062-IHP-ACA-Tirta-Fullerton Card JULY 2019 v1.indd 223/07/2019 11:40SingaporeFullerton network accessMember name: John Doe8008-1429 FREE from BahrainMember ID: 123456789Plan sponsor: XYZ LimitedPlan type: XXXXXX XXXXXX XXXXXXXXXPlan number: XX10000000Area of cover: Area XDate of joining: DD Mmm YYYYEnd date: DD Mmm YYYYOP direct billing: Yes, including chronicPre-existing cover: YesVisit:For general enquiries only:Members:10% OP coinsurance to max USD 2000Maternity: Yes - 10% coinsuranceHealthcare providers:www.aetnainternational.comMember ID card frontMember ID card backRaffles Plan network accessMember name: John DoeMember ID: 123456789Staff ID: A123456Plan sponsor: XYZ LimitedPlan type: XXXXXX XXXXXX XXXXXXXXXPlan number: XX10000000Area of cover: Area XDate of joining: DD Mmm YYYYEnd date: DD Mmm YYYYOP direct billing: Yes, including chronicPre-existing cover: yes10% OP coinsurance to max USD 2000Maternity: Yes - 10% coinsuranceXXXX-XXX-XXXX FREE from [country name] XXX-X-XXX-XXXX COLLECT OR DIRECTVisit: www.business.att.com/bt/access.jsp to find the number for the country you are in.Use the access code: XXX-XXX-XXXX when prompted.For general enquiries only: xxxxxxxxxxxxx@aetna.comMembers: Call for preauthorisation, 24-hour medical evacuation assistance, claims and coverquestions and all general enquiries. Show this card to your healthcare provider along with proof ofidentity This card is our property and you must return it to us on our request This card is not a creditcard or guarantee of payment.Healthcare providers: Call for preauthorisation.Always ask for proof of identity for the member presenting this card.www.aetnainternational.comMember ID card front8Member ID card back

Vietnam - Baoviet partner insurerMembername:John DoeMembername:1228-0496 FREE from Vietnam 84-4-4458-3363 collect or directMemberID: 123456789MemberID: 123456789Plan Plansponsor:XYZ Limitedsponsor:XYZ LimitedVisit: www.business.att.com/bt/access.jsp to find the number for the country you are in.Plan 00XXXXXXXXXXXXXXXXXXXXXPlan Plannumber:XX10000000Use the access code: 855-491-9160 when prompted.Area Areaof cover:Area AreaXof cover:XFor general enquiries only: AsiaPacServices@aetna.comDate Dateof joining:DD MmmYYYYYYYYof joining:DD MmmEnd date:DD MmmYYYYYYYYEnd date:DD MmmOP directbilling:Yes, includingchronicPre-existingcover:Yes YesYes, includingchronicPre-existingcover:OP directbilling:Members: Call for preauthorisation, 24-hour medical evacuation assistance, claims and coverquestions and all general enquiries. Show this card to your healthcare provider along with proof ofidentity This card is our property and you must return it to us on our request This card is not a creditcard or guarantee of payment.10% OPto maxUSD USD2000200010%coinsuranceOP coinsuranceto maxMaternity:Yes - Yes10%- coinsurance10% coinsuranceMaternity:Healthcare providers: Call for preauthorisation.Always ask for proof of identity for the member presenting this card.www.aetnainternational.comMember ID card frontMember ID card backEuropeeCare - 3HR Benefits Consultancy productFOR CLAIMS AND COVER QUESTIONS, ELIGIBILITYVERIFICATION, DIRECT SETTLEMENTREQUESTS, 24-HOUR MEDICAL EVACUATIONASSISTANCE, AND ALL GENERAL QUERIES:Aetna International Service Centre 44-203-788-3288Plan SponsorMember NameAetna Global Benefits50 Cannon StreetLondon EC4N 6JJ 44 870 442 4387Fax:Email: EuropeServces@aetna.comMail:3HR eCare GoldeCare Healthcare PlanMember ID: XX12345678Excess: GBP 00000TO SUBMIT CLAIMS, BENEFIT VERIFICATIONREQUESTS AND OTHER CORRESPONDENCE:Policy Number: AHPXXXXXXXExpiration Date: DD/MM/YYYYPRODUCTION OF THIS CARD DOES NOTGUARANTEE PAYMENTMember Since: DD/MM/YYYYMember ID card frontPROVIDER CONTACT INFORMATIONProviders: Call the Aetna InternationalService Centre at the telephonenumber at the top of this card.Member ID card backAetna CVS M001-3HR-Card JULY 2019 v1.indd 122/07/2019 10:34Aetna CVS M062-IHP-ACA-Tirta-Fullerton Card JULY 2019 v1.indd 223/07/2019 11:40Elect - Mercer product (Please note ‘Direct Billing’ has the same meaning as ‘OP direct billing: Yes’)FOR CLAIMS AND COVER QUESTIONS, Aetna International Service CentreELIGIBILITY VERIFICATION, DIRECT SETTLEMENT 44-203-788-3288REQUESTS, 24-HOUR MEDICAL EVACUATIONASSISTANCE, AND ALL GENERAL QUERIES:Plan SponsorMember ID: 123456789International Healthcare PlanMember NamePolicy Number: AHPXXXXXXXElectExpiration Date: DD/MM/YYYYExcess: GBP 00000Member Since: DD/MM/YYYYDirect BillingMail:TO SUBMIT CLAIMS, BENEFIT VERIFICATIONREQUESTS AND OTHER CORRESPONDENCE:Aetna Global Benefits50 Cannon StreetLondon EC4N 6JJEmail: mercerelect@aetna.comPRODUCTION OF THIS CARD DOES NOTGUARANTEE PAYMENTMember ID card frontPROVIDER CONTACT INFORMATIONProviders: Call the Aetna InternationalService Centre at the telephonenumber at the top of this card.Member ID card backAetna CVS M062-IHP-ACA-Tirta-Fullerton Card JULY 2019 v1.indd 2Aetna CVS M001-3HR-Card JULY 2019 v1.indd 123/07/2019 11:4022/07/2019 10:349

This communication does not affect the terms of the agreement pursuant to which you provide access to treatment andservices to members that benefit from plans insured, reinsured or administered by Aetna; the access and services youprovide remain subject to such terms.The contents of this communication are confidential. If you are not the intended recipient of this communication, anydisclosure, copying, distribution or use of its contents is strictly prohibited, and you should notify the sender immediatelyand then delete it (including any attachments) from your system.Aetna is a trademark of Aetna Inc. and is protected throughout the world by trademark registrationsand treaties.AetnaInternational.com 2020 Aetna Inc.46.03.817.1 E (3/20)

Aetna International ID Card examples Aetna International standard card 2 Middle East & Africa Africa MSO network access 2 Bahrain – BNL partner insurer 3 Kuwait – Warba partner insurer 3 Oman – MIC partner insurer 3 Qatar – Al Khaleej partner insurer 4 United Arab Emirates – Al Ain Ahlia partner insurer Abu Dhabi compliant 4 Dubai .File Size: 2MB

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