Aetna Medicare Prescription Drug Plan
Find out what it will cost you.
Aetna Medicare offers two different prescription drug plans in each state.* Aetna Medicare Prescription Drug Plans provide Medicare Part D coverage for many Medicare-approved Part D prescription drugs.**
And there are more than 65,000 pharmacies in our national network. Refer to our Pharmacy Directory or use DocFind to find a pharmacy near you.
* Aetna CVS/pharmacy Prescription Drug Plan: available everywhere but AK, AR, CO, ID, OR, UT, and WA
Aetna Medicare Rx Essentials Plan: only available in AK, AR, CO, ID, OR, UT, and WA
Aetna Medicare Rx Premier Plan: available everywhere except HI, ME and NH
** Clinical pharmacy programs such as prior authorization, step therapy, and quantity limits may apply
*** Cost sharing varies by region
Why do you need an Aetna Medicare Rx plan now?
Even if you don't take a lot of prescription drugs now, your Medicare prescription drug coverage will be there when you need it. Enrollment in an Aetna Medicare Rx plan will help you avoid penalties in the future.
Aetna Medicare is an HMO/PPO/PDP plan with a Medicare contract. Enrollment in Aetna Medicare depends on contract renewal. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change on January 1 of each year.
Plans are offered by Aetna Health Inc., Aetna Health of California Inc., and/or Aetna Life Insurance Company (Aetna). Not all health services are covered. See Evidence of Coverage for a complete description of benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by location.
You must have both Medicare Part A and Part B to enroll in a Medicare Advantage plan. You must have Medicare Part A and/or Part B to enroll in a Medicare prescription drug plan. You must continue to pay your Medicare Part B premium.
Members may enroll in a plan only during specific times of the year. Contact Aetna Medicare for more information.
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.
People with limited incomes may qualify for extra help to pay for their prescription drug costs. If you qualify, Medicare could pay for 75% or more of drug costs including monthly prescription drug premiums, annual deductions, and co-insurance. Additionally, those who qualify won’t have a coverage gap or a late enrollment penalty. If Medicare pays only a portion of this premium; we will bill you for the amount that Medicare doesn’t cover.
It’s easy and free to apply for “Extra Help.” You or a family member, trusted counselor, or caregiver can apply online at http://www.socialsecurity.gov/prescriptionhelp or call Social Security at 1-800-772-1213 (TTY users should call 1-800-325-0778).
Aetna receives rebates from drug manufacturers that may be taken into account in determining Aetna’s Preferred Drug List. Rebates do not reduce the amount of a member pays the pharmacy for covered prescriptions. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not provide care or guarantee access to health services. Discount programs provide access to discounted prices and are not insured benefits.
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