DoD NAF Health Plan
Medical and Dental claim forms

These forms are available in several ways:

1. You may print these forms on your own printer, after clicking on the desired form below.

2. You may exit out of this page, use the "Back" button at the top of the Benefits page, which will take you back to the main AAFES Intranet page. In the left margin, you’ll see "Forms & Pubs". Click on that, then click on "E-Forms" on the following page. Scroll down to the "Search Forms" text button. On the search screen, you may use any part of the form # or title as shown below to find the form:

  • 1700-140d Medical Benefits Request - use for services performed in 2000 and after
  • 1700-107d Dental Plan Benefits Request Form (Aetna GC-14207) Use for services performed in 2000 and after
3. You may call Aetna at 1-800-367-6276 (the number on your insurance ID card) and they will mail you the forms.

Click on desired form below if you wish to print these forms on the printer hooked up to your computer:

CLICK HERE TO RETURN TO AAFES

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