Aetna Medicare Choices
Aetna Medicare Advantage: Eligibility and Enrollment
Eligibility
As with Original Medicare (Parts A and B), you must meet the same government requirements to qualify for an Aetna Medicare Advantage plan, whether it’s with or without Medicare prescription drug coverage:
- You must be entitled to Medicare Part A and enrolled in Medicare Part B, and continue to pay your Part B premium.
- You must live an Aetna Medicare plan service area.
If you have permanent kidney failure, you are not eligible unless you are currently a member of an Aetna commercial HMO plan or have had a kidney transplant within the past 36 months.
If you already have Medicare coverage, when can you switch to Aetna Medicare?
Generally, if you are age 65 and over or disabled and made your Medicare selections for the first time, you can make plan selections or changes to your current Medicare coverage only during certain times of the year:
- November 15 through December 31 — You can select a new Medicare health and/or prescription drug plan for the next year.
- January 1 through March 31 — You have an additional, yet more limited, ability to make another choice, if eligible.
Examples of the limited changes you can make between January 1 and March 31:
| If you’re enrolled in: | You can only join: |
|---|---|
| A Medicare Advantage plan with prescription drug coverage (MAPD plan) |
|
| Original Medicare with a stand-alone Medicare prescription drug plan |
|
| A Medicare Advantage plan (MA plan with no prescription drug coverage) |
|
| Original Medicare only |
|
Other than the enrollment periods above, to make changes during the year, you need to meet certain special exceptions, such as if you move out of your plan's service area or newly become eligible for Medicare.
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