Depending on how you’re contracted with Aetna Better Health®, we’ll either end your individual contract or your participation from a group agreement. You’ll need to first contact the state (KMAP) and then notify us if you’re ending your contract for any of these reasons: 

• Moving to a new state 

• Changing your group participation within the same address 

• Retiring 

• Provider deceased  

• No longer employed  

You or the requestor will need to have this information ready: 

• Requestor’s first and last name 

• Requestor’s title (example: office manager) 

• Requestor’s email address 

• Provider’s first and last names, and middle initial

• Address (including city, state and ZIP code) 

• TIN

• National provider identifier (NPI) number 

• Aetna® provider ID number (if known)

• Termination effective date 

• Reason for termination