Welcome to Aetna International
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Thank you for your interest in joining our network

We are excited that you are interested in joining our quality network of physicians and health care professionals

Facility or Provider Name
Requestor's Name *
Requestor's Email*
Address line 1 *
Address line 2
Address line 3
City *
Country *
Constituent country or Emirate (if applicable)
Contact name
Provider type*
Provider specialty
Website address
Additonal information

Your request will be submitted to our Aetna International Network team for review. Please allow 15 business days for a response. If you have any questions, please email our Provider Nominations team at AIProviderNominations@aetna.com