To access your complete insurance information, please log in at: 
www.eSecutive.com/MyInsurance 
 
Aetna ID#: ( from your card)
Aetna Group#: 863961-012-00100
Start Date: (from your card)
End Date:(from your card)
Certificate Number: LB0032
Co-ins: 0%
Co-Payment: $200; emergency room $350**
To access your complete insurance information, please log in at:
www.eSecutive.com/MyInsurance
RxBIN#: 610425 RXGrp#: J257 0001 RxID#: 
 
Emergency Medical Assistance/Pre-authorization/Benefit
Verification
24 Hour Customer Service
U.S./Canada Toll-free:
1.866.914.5333
Worldwide Collect:
1.905.669.4920
Email:  GBGAssist@gbg.com
Claims Submission
Online:  www.gbg.com
Mail to ICS
27422 Portola Parkway, Suite 110
Foothill Ranch, CA 92610 USA
 
Mail to Aetna: (U.S. Aetna Providers Only)
P.O. Box 30259
Payor ID#: 60054
Tampa, FL 33630 USA
Provider Services:
1.800.414.0596
** benefits subject to change, read policy declarations
 

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