WPAS Travel Preauthorization Form

Under certain circumstances your Plan may provide benefits for reimbursement of travel expenses
for you or your dependent(s) to travel outside your locale for medical treatment. Travel may be
considered for: treatment not available locally, treatment at Alaska Regional Hospital, or travel
outside Alaska to use Aetna PPO providers.

2016-0812_Travel_Preauthorization_Form.docx.pdf, 257.76 KB; (Last Modified on April 4, 2018)