Member materials and forms

• Member handbook – English (PDF)
• Member handbook – Spanish (PDF)
• Managed long-term services and supports (MLTSS) handbook – English (PDF)
• Managed long-term services and supports (MLTSS) handbook – Spanish (PDF)
• Hello to Health magazine – English (PDF)
• Hello to Health magazine – Spanish (PDF)

• Online appointment assistance request form
• Appointment assistance request form –  English (PDF)
• Appointment assistance request form –  Spanish (PDF)

The Appointment Assistance Request Form can be mailed to the address below:

Aetna Better Health of New Jersey - Appointment Assistance Request

3 Independence Way, Suite 104

Princeton, New Jersey 08540-6626

• Transition of care form – English (PDF)
• Transition of care form – Spanish (PDF)
• Online grievance and appeal form
• Online fraud, waste and abuse form
• Authorization to Release Protect Health Information (PHI) – English (PDF)
• Authorization to Release Protect Health Information (PHI) – Spanish (PDF)
• Authorization to Release Psychotherapy Notes – English (PDF)
• Authorization to Release Psychotherapy Notes – Spanish (PDF)
• Protected Health Information (PHI) Access  Request – English (PDF)
• Protected Health Information (PHI) Access  Request – Spanish (PDF)
• Request for Accounting of Disclosures of Protected Health Information (PHI) –  English (PDF)
• Request for Accounting of Disclosures of Protected Health Information (PHI) – Spanish (PDF)
• Removal of Authorization Previously Given to Aetna – English (PDF)
• Removal of Authorization Previously Given to Aetna – Spanish (PDF)