Aetna Medicare Rx Eligibility
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 have 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 Election Period (AEP) — October 15 – December 7; OR
- You must enroll during the Initial Election Period (starting three months before, including the month of, and lasting for three months after you first qualify for Medicare); OR
- You qualify for a Special Election 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 1-888-247-1028, (TTY/TDD: 711), 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 1-888-247-1028, (TTY/TDD: 711), Monday – Sunday, 8 a.m. – 8 p.m. local time. We'll be happy to help you.
Your coverage will become effective:
- The first day of the month after Aetna receives your completed enrollment OR
- January 1 if you enroll during the Annual Election Period from October 15 – December 7.
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. Members who qualify for Medicare Extra Help do not have to pay a late-enrollment penalty.
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 Election Period (AEP), this year between October 15 and December 7. The change will take effect on January 1.
You may be able to get Medicare Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for 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 Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday - Friday. TTY/TDD users should call 1-800-325-0778; or
- Your State Medicaid Office
Get information about extra help to pay your premium >
The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. A Medicare approved Part D sponsor. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1 of each year. Limitations, copayments, and restrictions may apply. See plan documents.
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. Plan features and availability may vary by location and are subject to change each year.
Members may enroll in the plan only during specific times of the year. Contact Aetna Medicare for more information. You must be entitled to Medicare Part A or B and continue to pay your Part B premium and Part A, if applicable. You must continue to pay your Medicare Part B premium. Medicare beneficiaries may also enroll in Aetna Medicare through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply.
