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 to enroll unless you are currently a member of an Aetna commercial HMO plan or have had a kidney transplant within the past 36 months and no longer require dialysis. However, if you are already enrolled in an Aetna Medicare Advantage plan, you can choose to enroll in another Aetna Medicare Advantage plan (e.g. change from HMO to PPO) if:
- The new Aetna Medicare Advantage plan operates in the same state as your current Aetna Medicare Advantage plan, and
- You meet all the other requirements for enrollment in that Aetna Medicare Advantage plan.
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 between October 15 and December 7. During this time you can select a new Medicare health and/or prescription drug plan for the next calendar year.
Otherwise you need to meet certain special exceptions to make a plan change during the year, such as if you move out of your plan's service area or newly become eligible for Medicare.
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