Here are frequently asked questions about Medicare. To see an answer, simply click on that question.
It’s possible that your company refers to the plans by different names. Please refer to the open enrollment materials provided to you by your former employer.back to top
You will usually get more benefits, and you will often pay a lower monthly plan premium, with an Aetna Medicare Advantage Plan. Also, many Aetna Medicare Advantage Plans include Part D coverage so you have the coverage you need in one plan.back to top
No. You get the same or better coverage, plus additional benefits. You must still be entitled to Medicare Part A and continue to pay your Part B premium.*
* Unless you are eligible for the Aetna Medicare Open Plan (Part B only) offered by your former employer.back to top
A PCP is a primary care doctor you choose from our network to provide your routine and preventive care. With the Aetna Golden Medicare Plan, you must select a PCP to get coverage. You don't need to choose a PCP for Aetna (PPO) Plan or Aetna Medicare (PFFS) Plan.back to top
Yes. Trained Aetna Medicare specialists are available to assist our members. So, whether you need information about your coverage, a drug formulary, or a pharmacy, we can answer your questions.back to top
Here’s an overview of what the Original Medicare Plan includes:
Yes. You can get covered prescriptions filled at any network pharmacy in the United States. In fact, our network includes 60,000 participating pharmacies nationwide where you can purchase medications. You can also use the prescription mail order service.back to top
Eligibility for financial help is based on guidelines set by the federal government. You can apply for extra help through the Social Security Administration or a State Medical Assistance Office. Remember, the amount of help received depends on income and resources, and is determined by the federal government.
If you think you qualify for help, call the Social Security Administration at 1-800-772-1213 (TTY/TDD 1-800-325-0778). You may also visit www.socialsecurity.gov. The Social Security Administration's application process provides the quickest decision. You can also go to a local Medicaid office and apply.back to top
Creditable coverage is Prescription Drug Coverage that is on average at least as good as that offered under the Medicare standard Part D plan. If you have Pharmacy coverage as a member of a group plan through your former employer and that coverage is not a Part D plan, you will be notified whether the plan is creditable, or not.
If you don't join a Medicare drug plan when you are first eligible for Medicare Part A and/or B and you go without creditable prescription drug coverage for 63 continuous days or more, you may have to pay a late-enrollment penalty to join a Part D plan later.back to top
Questions? Call the number listed on your enrollment materials
or on the back of your Aetna Medicare ID Card.
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