Patient Advocate Foundation, Aetna Offer Program to Help Members Navigate the Most Complex Access and Coverage Issues

Mon Feb 18, 2013 11:05am EST

* Reuters is not responsible for the content in this press release.

--Aetna Clinical Appeals Care Line is now available to provide one-on-one
support for members--
HARTFORD, Conn. & HAMPTON, Va.--(Business Wire)--
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 decisions." 

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

About Aetna

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

Photos/Multimedia Gallery Available:

Media Contact:
Trasee Carr, 614-855-6254
Media Contact:
For Patient Advocate Foundation
Rebecca Reid, 703-548-0019

Copyright Business Wire 2013