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 number for non-Medicare plans: 888-632-3862,
- Phone number for Medicare Advantage plans: 800-624-0756,
- Fax number (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
- Mail 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 Availity or Aetna.com. 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: 1-800-624-0756
- Non-Medicare plans (including individual and family): 1-888-632-3862
— Brennan Cantrell, AAFP Senior Strategist, Market Transformation
Posted on June 29, 2026