Aetna Medicare Rx Eligibility
Generally, you can apply for an Aetna Medicare Rx® Plan (PDP), regardless of your health, if you meet the following Aetna Medicare Rx eligibility guidelines:
- You are entitled to Medicare Part A and/or enrolled in Medicare Part B, and
- You live in the plan service area.
To join an Aetna Medicare Rx® Plan (PDP):
- You must enroll during the Annual Enrollment period — November 15 – December 31, 2009; OR
- You must be within your initial enrollment period (starting three months before and lasting for three months after you first qualify for Medicare); OR
- You qualify for a special enrollment period, such as when you move to a new service area or into an institution, or your Medicaid eligibility changes.
Aetna Medicare Rx Enrollment is easy! Just follow these simple steps:
- Online: Use our safe and secure enrollment tool.
- By phone: Call us at 1-800-529-5586 (TTY/TDD 1-888-760-4748), Monday – Sunday, 8 a.m. – 8 p.m. local time.
- By mail: Download an Enrollment Form, print and complete it, sign the form, and mail it to: Aetna Medicare Rx Plans
P.O. Box 14088
Lexington, KY 40512-4088
If you need help, call 1-800-529-5586 (TTY/TDD 1-888-760-4748), Monday – Sunday, 8 a.m. – 8 p.m. local time. We’ll be happy to help you.
Your coverage will become effective:
- January 1, 2010, if you enroll during the Annual Enrollment period; OR
- The first day of the month after you join if you enroll when you become eligible for Medicare.
If you were eligible to join a Medicare prescription drug plan before January 1, 2006, but did not, you may pay a penalty to join now. Medicare sets the penalty, and it increases your plan premium by 1% of the national base beneficiary premium for every month you were eligible but did not join (unless you have creditable coverage).
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 plan later.
After you become a member of an Aetna Medicare Rx Plan, you’ll receive an Evidence of Coverage document that explains your coverage in detail.
Medicare Rx Enrollment Disclaimers
You may enroll in only one Part D plan at a time. If you are enrolled in a Medicare Advantage plan, you may not enroll in a prescription drug plan unless you are a member of a Private Fee-for-Service Plan (PFFS) that does not provide Medicare prescription drug coverage, a Medical Savings Account MA Plan (MSA), or an 1876 Cost Plan.
The federal government has established periods when people can join and change their Medicare prescription drug coverage. In general, unless you qualify for a special election period, you can change Medicare prescription drug plans once each year during the annual enrollment, between November 15 and December 31. The change will take effect on January 1 of the following year.
You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for getting extra help, call:
- 1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/7days a week
- The Social Security Administration at 1-800-772-1213 (TTY/TDD:1-800-325-0778), Monday through Friday, between 7 a.m. and 7 p.m.
- Your State Medicaid Office
Get information about extra help to pay your premium
The benefit information provided herein is a brief summary, but not a comprehensive description of available benefits. Additional information about benefits is available to assist you in making a decision about your coverage. This is an advertisement; for more information contact the plan. Benefits coverage is provided by Aetna Life Insurance Company, a stand-alone prescription drug plan with a Medicare contract. Plans are offered by Aetna Health Inc., Aetna Health of California Inc., and/or Aetna Life Insurance Company. Benefits, limitations, service areas and premiums are subject to change on January 1 of each year.
