Patient Advocate Foundation, Aetna Offer Program to Help Members Navigate
the Most Complex Access and Coverage Issues
--Aetna Clinical Appeals Care Line is now available to provide one-on-one
support for members--
HARTFORD, Conn. & HAMPTON, Va. -- February 18, 2013
Patient Advocate Foundation (PAF) and Aetna (NYSE: AET) announced today a
joint effort to help members navigate the sometimes unavoidable complexities
of the health care system. Personalized information and resources offered
through the Aetna Clinical Appeals Care Line help members with complicated
health care cases and, most importantly, get them needed care.
The Care Line is part of Aetna’s commitment to give members support, when they
need it, to make confident choices and live a healthier life.
“We are proud that nearly 92 percent of our group medical members are
satisfied with the service they get from Aetna. But sometimes they need
financial support and assistance to supplement what their health plan covers,”
said James D. Cross, M.D., Aetna’s head of National Medical Policy and
Operations. “We are glad to offer a resource that helps members maximize their
coverage, connect to community support and make informed health care
Aetna members who may benefit from the services are referred as part of
Aetna’s appeals process. Members can access PAF through the Care Line. This
dedicated phone line is staffed by professional case managers from PAF’s
Mission Delivery team. They use their knowledge of coverage issues, health
care resources and clinical experience to independently find solutions when
members face challenges. Their patient-focused approach assists members with:
*Research and resolution of claims pending coverage
*Screening and enrollment for Medicare, Medicaid and Disability
*Referrals to local, state or federal resources
“We are pleased to help Aetna members when potential barriers to the health
care system can’t be overcome through a health plan alone,” said Beth
Patterson, PAF’s president of Mission Delivery.
Aetna and PAF began working together last year. Their relationship has
benefitted members by making health care easier to understand, access and
“Aetna members now have another dedicated support team for clinically complex
issues. They will appreciate the attention, expertise and guidance of PAF,”
said PAF Founder and CEO Nancy Davenport-Ennis.
About Patient Advocate Foundation (PAF)
PAF is a national non-profit organization, established in 1996, that seeks to
safeguard patients through effective mediation assuring access to care,
maintenance of employment and preservation of financial stability relative to
their diagnosis of chronic, life threatening or debilitating disease. Patient
Advocate Foundation has been consistently rated as a 4-star “exceptional”
charity by Charity Navigator, the foremost independent evaluator of charities
in the United States. For more information about Patient Advocate Foundation,
please visit www.patientadvocate.org.
Aetna is one of the nation's leading diversified health care benefits
companies, serving approximately 37.3 million people with information and
resources to help them make better informed decisions about their health care.
Aetna offers a broad range of traditional, voluntary and consumer-directed
health insurance products and related services, including medical, pharmacy,
dental, behavioral health, group life and disability plans, and medical
management capabilities, Medicaid health care management services and health
information technology services. Our customers include employer groups,
individuals, college students, part-time and hourly workers, health plans,
health care providers, governmental units, government-sponsored plans, labor
groups and expatriates. For more information, see www.aetna.com.
Photos/Multimedia Gallery Available:
Trasee Carr, 614-855-6254
For Patient Advocate Foundation
Rebecca Reid, 703-548-0019
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