Aetna Medicare Choices
Low Income Subsidy
Aetna Medicare Rx Prescription Drug Plan (PDP)
2011 Monthly Plan Premium for People who get Extra Help from Medicare to Help Pay for Their Prescription Drug Costs
If you get Extra Help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get Extra Help from Medicare. The amount of Extra Help you get will determine your total monthly plan premium as a member of our Plan.
If you aren’t getting Extra Help, you can see if you qualify for Extra Help to pay for your prescription drug costs. If eligible, Medicare could pay for up to one-hundred (100) percent of drug costs including monthly prescription drug premiums, annual deductibles, and coinsurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don't know it.
See if you qualify for Extra Help by calling:
- 1-800-Medicare (TTY/TDD users call 1-877-486-2048) - 24 hours a day/7 days a week,
- Your State Medicaid Office, or
- The Social Security Administration at 1-800-772-1213. TTY/TDD users should call 1-800-325-0778 between 7 a.m. and 7 p.m., Monday through Friday.
If you have any questions, please call our representatives at 1-800-529-5586 (TTY/TDD: 1-888-760-4748), Monday to Sunday, 8 a.m. to 8 p.m.
The table below tells how much you will pay for your monthly Aetna Medicare plan premium based on the percentage of Extra Help you receive. (This does not include any Medicare Part B premium you may have to pay.)
| Your State | Aetna Medicare Rx (PDP) Plan Name |
Premium Without Extra Help |
Aetna Medicare Plan Premium Based on Your Level of Extra Help | |||
| 100% | 75% | 50% | 25% | |||
| Alabama | Aetna Medicare Rx Essentials | $51.50 | $17.80 | $26.20 | $34.60 | $43.10 |
| Aetna Medicare Rx Plus | $66.10 | $32.40 | $40.80 | $49.20 | $57.70 | |
| Aetna Medicare Rx Premier | $109.40 | $75.70 | $84.10 | $92.50 | $101.00 | |
| Alaska | Aetna Medicare Rx Essentials | $57.00 | $20.10 | $29.30 | $38.60 | $47.80 |
| Aetna Medicare Rx Costco Plus Plan | $60.10 | $23.20 | $32.40 | $41.70 | $50.90 | |
| Aetna Medicare Rx Premier | $119.90 | $83.00 | $92.20 | $101.50 | $110.70 | |
| Arizona | Aetna Medicare Rx Essentials | $57.60 | $30.30 | $37.10 | $43.90 | $50.80 |
| Aetna Medicare Rx Costco Plus Plan | $58.20 | $30.90 | $37.70 | $44.50 | $51.40 | |
| Aetna Medicare Rx Premier | $97.20 | $69.90 | $76.70 | $83.50 | $90.40 | |
| Arkansas | Aetna Medicare Rx Essentials | $30.30 | $0.00 | $7.60 | $15.10 | $22.70 |
| Aetna Medicare Rx Plus | $60.50 | $29.40 | $37.20 | $44.90 | $52.70 | |
| Aetna Medicare Rx Premier | $109.90 | $77.80 | $85.80 | $93.80 | $101.90 | |
| California | Aetna Medicare Rx Essentials | $59.80 | $27.40 | $35.50 | $43.60 | $51.70 |
| Aetna Medicare Rx Costco Plus Plan | $60.80 | $28.40 | $36.50 | $44.60 | $52.70 | |
| Aetna Medicare Rx Premier | $108.50 | $76.10 | $84.20 | $92.30 | $100.40 | |
| Colorado | Aetna Medicare Rx Essentials | $57.50 | $24.60 | $32.90 | $41.10 | $49.30 |
| Aetna Medicare Rx Costco Plus Plan | $58.70 | $25.80 | $34.10 | $42.30 | $50.50 | |
| Aetna Medicare Rx Premier | $111.10 | $78.20 | $86.50 | $94.70 | $102.90 | |
| Connecticut | Aetna Medicare Rx Essentials | $35.70 | $0.00 | $10.50 | $18.90 | $27.30 |
| Aetna Medicare Rx Plus | $65.90 | $32.20 | $40.70 | $49.10 | $57.50 | |
| Aetna Medicare Rx Premier | $118.20 | $84.50 | $93.00 | $101.40 | $109.80 | |
| Delaware | Aetna Medicare Rx Essentials | $34.50 | $0.00 | $8.80 | $17.40 | $25.90 |
| Aetna Medicare Rx Plus | $66.30 | $32.00 | $40.60 | $49.20 | $57.70 | |
| Aetna Medicare Rx Premier | $102.00 | $67.70 | $76.30 | $84.90 | $93.40 | |
| District of Columbia | Aetna Medicare Rx Essentials | $34.50 | $0.00 | $8.80 | $17.40 | $25.90 |
| Aetna Medicare Rx Plus | $66.30 | $32.00 | $40.60 | $49.20 | $57.70 | |
| Aetna Medicare Rx Premier | $102.00 | $67.70 | $76.30 | $84.90 | $93.40 | |
| Florida | Aetna Medicare Rx Essentials | $58.20 | $32.80 | $39.10 | $45.50 | $51.80 |
| Aetna Medicare Rx Costco Plus Plan | $58.10 | $32.70 | $39.00 | $45.40 | $51.70 | |
| Aetna Medicare Rx Premier | $104.50 | $79.10 | $85.40 | $91.80 | $98.10 | |
| Georgia | Aetna Medicare Rx Essentials | $31.90 | $0.00 | $8.00 | $15.90 | $23.90 |
| Aetna Medicare Rx Plus | $60.40 | $29.40 | $37.10 | $44.90 | $52.60 | |
| Aetna Medicare Rx Premier | $107.90 | $75.10 | $83.30 | $91.50 | $99.70 | |
| Hawaii | Aetna Medicare Rx Essentials | $51.90 | $22.10 | $29.60 | $37.00 | $44.50 |
| Aetna Medicare Rx Costco Plus Plan | $60.40 | $30.60 | $38.10 | $45.50 | $53.00 | |
| Aetna Medicare Rx Premier | $110.80 | $81.00 | $88.50 | $95.90 | $103.40 | |
| Idaho | Aetna Medicare Rx Essentials | $52.40 | $11.70 | $21.90 | $32.10 | $42.20 |
| Aetna Medicare Rx Costco Plus Plan | $59.60 | $22.50 | $31.80 | $41.00 | $50.30 | |
| Aetna Medicare Rx Premier | $117.60 | $76.90 | $87.10 | $97.30 | $107.40 | |
| Illinois | Aetna Medicare Rx Essentials | $32.40 | $0.00 | $9.40 | $17.10 | $24.70 |
| Aetna Medicare Rx Costco Plus Plan | $59.70 | $29.00 | $36.70 | $44.40 | $52.00 | |
| Aetna Medicare Rx Premier | $104.40 | $73.70 | $81.40 | $89.10 | $96.70 | |
| Indiana | Aetna Medicare Rx Essentials | $38.00 | $0.00 | $10.70 | $19.80 | $28.90 |
| Aetna Medicare Rx Plus | $65.10 | $29.60 | $38.50 | $47.30 | $56.20 | |
| Aetna Medicare Rx Premier | $107.20 | $70.80 | $79.90 | $89.00 | $98.10 | |
| Iowa | Aetna Medicare Rx Essentials | $39.00 | $0.00 | $10.90 | $20.30 | $29.60 |
| Aetna Medicare Rx Plus | $66.60 | $29.70 | $38.90 | $48.10 | $57.40 | |
| Aetna Medicare Rx Premier | $108.30 | $70.80 | $80.20 | $89.60 | $98.90 | |
| Kansas | Aetna Medicare Rx Essentials | $38.30 | $0.00 | $10.60 | $19.80 | $29.10 |
| Aetna Medicare Rx Plus | $66.50 | $29.70 | $38.90 | $48.10 | $57.30 | |
| Aetna Medicare Rx Premier | $107.50 | $70.60 | $79.80 | $89.00 | $98.30 | |
| Kentucky | Aetna Medicare Rx Essentials | $38.00 | $0.00 | $10.70 | $19.80 | $28.90 |
| Aetna Medicare Rx Plus | $65.10 | $29.60 | $38.50 | $47.30 | $56.20 | |
| Aetna Medicare Rx Premier | $107.20 | $70.80 | $79.90 | $89.00 | $98.10 | |
| Louisiana | Aetna Medicare Rx Essentials | $48.60 | $13.80 | $22.50 | $31.20 | $39.90 |
| Aetna Medicare Rx Plus | $65.60 | $30.80 | $39.50 | $48.20 | $56.90 | |
| Aetna Medicare Rx Premier | $107.20 | $72.40 | $81.10 | $89.80 | $98.50 | |
| Maine | Aetna Medicare Rx Essentials | $51.40 | $22.50 | $29.70 | $36.90 | $44.20 |
| Aetna Medicare Rx Plus | $65.40 | $36.50 | $43.70 | $50.90 | $58.20 | |
| Aetna Medicare Rx Premier | $104.30 | $75.40 | $82.60 | $89.80 | $97.10 | |
| Maryland | Aetna Medicare Rx Essentials | $34.50 | $0.00 | $8.80 | $17.40 | $25.90 |
| Aetna Medicare Rx Plus | $66.30 | $32.00 | $40.60 | $49.20 | $57.70 | |
| Aetna Medicare Rx Premier | $102.00 | $67.70 | $76.30 | $84.90 | $93.40 | |
| Massachusetts | Aetna Medicare Rx Essentials | $35.70 | $0.00 | $10.50 | $18.90 | $27.30 |
| Aetna Medicare Rx Plus | $65.90 | $32.20 | $40.70 | $49.10 | $57.50 | |
| Aetna Medicare Rx Premier | $118.20 | $84.50 | $93.00 | $101.40 | $109.80 | |
| Michigan | Aetna Medicare Rx Essentials | $35.70 | $0.00 | $9.70 | $18.30 | $27.00 |
| Aetna Medicare Rx Costco Plus Plan | $58.00 | $23.30 | $32.00 | $40.60 | $49.30 | |
| Aetna Medicare Rx Premier | $105.60 | $70.90 | $79.60 | $88.20 | $96.90 | |
| Minnesota | Aetna Medicare Rx Essentials | $39.00 | $0.00 | $10.90 | $20.30 | $29.60 |
| Aetna Medicare Rx Plus | $66.60 | $29.70 | $38.90 | $48.10 | $57.40 | |
| Aetna Medicare Rx Premier | $108.30 | $70.80 | $80.20 | $89.60 | $98.90 | |
| Mississippi | Aetna Medicare Rx Essentials | $33.60 | $0.00 | $8.80 | $17.10 | $25.30 |
| Aetna Medicare Rx Plus | $60.60 | $29.40 | $37.20 | $45.00 | $52.80 | |
| Aetna Medicare Rx Premier | $101.50 | $68.50 | $76.70 | $85.00 | $93.20 | |
| Missouri | Aetna Medicare Rx Essentials | $38.70 | $3.80 | $12.50 | $21.20 | $30.00 |
| Aetna Medicare Rx Plus | $66.60 | $31.70 | $40.40 | $49.10 | $57.90 | |
| Aetna Medicare Rx Premier | $108.00 | $73.10 | $81.80 | $90.50 | $99.30 | |
| Montana | Aetna Medicare Rx Essentials | $39.00 | $0.00 | $10.90 | $20.30 | $29.60 |
| Aetna Medicare Rx Plus | $66.60 | $29.70 | $38.90 | $48.10 | $57.40 | |
| Aetna Medicare Rx Premier | $108.30 | $70.80 | $80.20 | $89.60 | $98.90 | |
| Nebraska | Aetna Medicare Rx Essentials | $39.00 | $0.00 | $10.90 | $20.30 | $29.60 |
| Aetna Medicare Rx Plus | $66.60 | $29.70 | $38.90 | $48.10 | $57.40 | |
| Aetna Medicare Rx Premier | $108.30 | $70.80 | $80.20 | $89.60 | $98.90 | |
| Nevada | Aetna Medicare Rx Essentials | $52.30 | $22.20 | $29.80 | $37.30 | $44.80 |
| Aetna Medicare Rx Costco Plus Plan | $60.30 | $30.20 | $37.80 | $45.30 | $52.80 | |
| Aetna Medicare Rx Premier | $121.20 | $91.10 | $98.70 | $106.20 | $113.70 | |
| New Hampshire | Aetna Medicare Rx Essentials | $51.40 | $22.50 | $29.70 | $36.90 | $44.20 |
| Aetna Medicare Rx Plus | $65.40 | $36.50 | $43.70 | $50.90 | $58.20 | |
| Aetna Medicare Rx Premier | $104.30 | $75.40 | $82.60 | $89.80 | $97.10 | |
| New Jersey | Aetna Medicare Rx Essentials | $53.20 | $17.50 | $26.40 | $35.30 | $44.30 |
| Aetna Medicare Rx Plus | $66.20 | $30.50 | $39.40 | $48.30 | $57.30 | |
| Aetna Medicare Rx Premier | $101.10 | $65.40 | $74.30 | $83.20 | $92.20 | |
| New Mexico | Aetna Medicare Rx Essentials | $57.00 | $34.40 | $40.00 | $45.70 | $51.30 |
| Aetna Medicare Rx Costco Plus Plan | $57.90 | $35.30 | $40.90 | $46.60 | $52.20 | |
| Aetna Medicare Rx Premier | $102.90 | $80.30 | $85.90 | $91.60 | $97.20 | |
| New York | Aetna Medicare Rx Essentials | $58.10 | $19.40 | $29.10 | $38.80 | $48.40 |
| Aetna Medicare Rx Costco Plus Plan | $58.10 | $21.60 | $30.70 | $39.80 | $49.00 | |
| Aetna Medicare Rx Premier | $103.80 | $65.10 | $74.80 | $84.50 | $94.10 | |
| North Carolina | Aetna Medicare Rx Essentials | $35.80 | $0.00 | $9.60 | $18.40 | $27.10 |
| Aetna Medicare Rx Plus | $66.10 | $31.20 | $39.90 | $48.70 | $57.40 | |
| Aetna Medicare Rx Premier | $114.00 | $79.10 | $87.80 | $96.60 | $105.30 | |
| North Dakota | Aetna Medicare Rx Essentials | $39.00 | $0.00 | $10.90 | $20.30 | $29.60 |
| Aetna Medicare Rx Plus | $66.60 | $29.70 | $38.90 | $48.10 | $57.40 | |
| Aetna Medicare Rx Premier | $108.30 | $70.80 | $80.20 | $89.60 | $98.90 | |
| Ohio | Aetna Medicare Rx Essentials | $30.70 | $0.00 | $8.40 | $15.90 | $23.30 |
| Aetna Medicare Rx Costco Plus Plan | $54.00 | $24.30 | $31.70 | $39.20 | $46.60 | |
| Aetna Medicare Rx Premier | $97.90 | $68.20 | $75.60 | $83.10 | $90.50 | |
| Oklahoma | Aetna Medicare Rx Essentials | $33.30 | $0.00 | $8.30 | $16.60 | $25.00 |
| Aetna Medicare Rx Plus | $66.30 | $32.70 | $41.10 | $49.50 | $57.90 | |
| Aetna Medicare Rx Premier | $106.60 | $73.00 | $81.40 | $89.80 | $98.20 | |
| Oregon | Aetna Medicare Rx Essentials | $37.30 | $0.00 | $10.80 | $19.60 | $28.50 |
| Aetna Medicare Rx Costco Plus Plan | $61.40 | $26.10 | $34.90 | $43.70 | $52.60 | |
| Aetna Medicare Rx Premier | $112.90 | $77.60 | $86.40 | $95.20 | $104.10 | |
| Pennsylvania | Aetna Medicare Rx Essentials | $51.30 | $17.20 | $25.70 | $34.30 | $42.80 |
| Aetna Medicare Rx Plus | $65.70 | $31.60 | $40.10 | $48.70 | $57.20 | |
| Aetna Medicare Rx Premier | $103.20 | $69.10 | $77.60 | $86.20 | $94.70 | |
| Rhode Island | Aetna Medicare Rx Essentials | $35.70 | $0.00 | $10.50 | $18.90 | $27.30 |
| Aetna Medicare Rx Plus | $65.90 | $32.20 | $40.70 | $49.10 | $57.50 | |
| Aetna Medicare Rx Premier | $118.20 | $84.50 | $93.00 | $101.40 | $109.80 | |
| South Carolina | Aetna Medicare Rx Essentials | $36.80 | $0.00 | $9.20 | $18.40 | $27.60 |
| Aetna Medicare Rx Plus | $64.00 | $29.50 | $38.10 | $46.70 | $55.40 | |
| Aetna Medicare Rx Premier | $118.70 | $81.80 | $91.00 | $100.20 | $109.50 | |
| South Dakota | Aetna Medicare Rx Essentials | $39.00 | $0.00 | $10.90 | $20.30 | $29.60 |
| Aetna Medicare Rx Plus | $66.60 | $29.70 | $38.90 | $48.10 | $57.40 | |
| Aetna Medicare Rx Premier | $108.30 | $70.80 | $80.20 | $89.60 | $98.90 | |
| Tennessee | Aetna Medicare Rx Essentials | $51.50 | $17.80 | $26.20 | $34.60 | $43.10 |
| Aetna Medicare Rx Plus | $66.10 | $32.40 | $40.80 | $49.20 | $57.70 | |
| Aetna Medicare Rx Premier | $109.40 | $75.70 | $84.10 | $92.50 | $101.00 | |
| Texas | Aetna Medicare Rx Essentials | $29.10 | $0.00 | $7.30 | $14.50 | $21.80 |
| Aetna Medicare Rx Plus | $60.60 | $30.10 | $37.70 | $45.40 | $53.00 | |
| Aetna Medicare Rx Premier | $90.60 | $60.10 | $67.70 | $75.40 | $83.00 | |
| Utah | Aetna Medicare Rx Essentials | $52.40 | $11.70 | $21.90 | $32.10 | $42.20 |
| Aetna Medicare Rx Costco Plus Plan | $59.60 | $22.50 | $31.80 | $41.00 | $50.30 | |
| Aetna Medicare Rx Premier | $117.60 | $76.90 | $87.10 | $97.30 | $107.40 | |
| Vermont | Aetna Medicare Rx Essentials | $35.70 | $0.00 | $10.50 | $18.90 | $27.30 |
| Aetna Medicare Rx Plus | $65.90 | $32.20 | $40.70 | $49.10 | $57.50 | |
| Aetna Medicare Rx Premier | $118.20 | $84.50 | $93.00 | $101.40 | $109.80 | |
| Virginia | Aetna Medicare Rx Essentials | $35.80 | $2.50 | $10.90 | $19.20 | $27.50 |
| Aetna Medicare Rx Costco Plus Plan | $57.30 | $24.00 | $32.40 | $40.70 | $49.00 | |
| Aetna Medicare Rx Premier | $103.40 | $70.10 | $78.50 | $86.80 | $95.10 | |
| Washington | Aetna Medicare Rx Essentials | $37.30 | $0.00 | $10.80 | $19.60 | $28.50 |
| Aetna Medicare Rx Costco Plus Plan | $61.40 | $26.10 | $34.90 | $43.70 | $52.60 | |
| Aetna Medicare Rx Premier | $112.90 | $77.60 | $86.40 | $95.20 | $104.10 | |
| West Virginia | Aetna Medicare Rx Essentials | $51.30 | $17.20 | $25.70 | $34.30 | $42.80 |
| Aetna Medicare Rx Plus | $65.70 | $31.60 | $40.10 | $48.70 | $57.20 | |
| Aetna Medicare Rx Premier | $103.20 | $69.10 | $77.60 | $86.20 | $94.70 | |
| Wisconsin | Aetna Medicare Rx Essentials | $38.20 | $0.00 | $10.50 | $19.70 | $29.00 |
| Aetna Medicare Rx Plus | $66.30 | $29.60 | $38.80 | $47.90 | $57.10 | |
| Aetna Medicare Rx Premier | $99.30 | $62.30 | $71.60 | $80.80 | $90.10 | |
| Wyoming | Aetna Medicare Rx Essentials | $39.00 | $0.00 | $10.90 | $20.30 | $29.60 |
| Aetna Medicare Rx Plus | $66.60 | $29.70 | $38.90 | $48.10 | $57.40 | |
| Aetna Medicare Rx Premier | $108.30 | $70.80 | $80.20 | $89.60 | $98.90 | |
A Medicare approved Part D sponsor. Benefits, limitations, service areas and premiums are subject to change on January 1, 2012. You must be entitled to Medicare Part A or B and continue to pay your Part B premium and Part A, if applicable.
In general, beneficiaries must use network pharmacies to access their prescription drug benefit, except in non-routine circumstances. Pharmacy clinical programs such as prior authorization, step therapy, and quantity limits may apply to your prescription drug coverage.
