Aetna changes method for requesting fee schedule

Aetna has changed its procedures for requesting fee schedules as of June 1. While the insurer’s intent is to simplify access, Aetna has retired its fee schedule mailbox and practices will have to transition to new workflows to avoid delays.

Here’s how to request fee schedules under the new process.

For small requests

Requests of 10 codes or fewer can still be submitted via phone or in writing:

• Phone
  • Non-Medicare plans: 888-632-3862
  • Medicare Advantage plans: 800-624-0756
• Fax (all plans): 859-455-8650
• Mail
  • For plans in Colorado, Connecticut, Washington, D.C., Delaware, Iowa, Illinois, Indiana, Kansas, Kentucky, Massachusetts, Maryland, Maine, Michigan, Minnesota, Missouri, Montana, Nebraska, North Dakota, New Hampshire, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Dakota, Texas, Virginia, Vermont, Wisconsin, West Virginia, Wyoming:
    • Aetna
      PO Box 981106
      El Paso, TX 79998-1106
  • For plans in all other states:
    • Aetna
      PO Box 14079
      Lexington, KY 40512-4079

For larger requests

For requests of 11 or more codes (including full fee schedules), physicians who have direct contracts with Aetna can access fee schedules directly through the Availity provider portal. This is now the preferred and fastest method.

Physicians who don’t have direct contracts with Aetna can submit large requests using the “Contact Us” form on the Availity or Aetna websites. Select “Fee Schedule” as the request type and be sure to include your service address (all locations, if applicable) and Tax Identification Number(s) (TINs). Aetna will deliver by mail fee schedules requested in this manner.

For more information, call the following numbers:

• Medicare Advantage plans: 800-624-0756,
• Non-Medicare plans (including individual and family): 888-632-3862.

— Brennan Cantrell, AAFP Senior Strategist, Market Transformation

Posted on June 29, 2026