Aetna Medicare - Aetna Medicare Exceptions, Appeals and Grievances

Aetna Medicare Choices

Aetna Medicare Rx Plan (PDP): Exceptions, Appeals and Grievances

We understand the importance of having the coverage you need — and that includes your prescription drugs. If you're taking a medication that's not currently covered by your Aetna Medicare Rx® Plan (PDP), you have several options:

For more complete information about the various Aetna Medicare appeals processes, download PDF Icon Medicare Prescription Drug Coverage Determinations, Exceptions, Appeals, and Grievances Information Y0001_M_OT_WB_10926_R2 CMS Approved (9 pages, 106kb). 

You can find Summary of Benefits information and Medicare Contact Information in the Help and Resources section of this website. Paper versions of the Exceptions, Appeals and Grievances Forms are also found in the Help and Resources section at the bottom of the Other Forms and Documents tab. 

 

If you'd like to speak with the Office of the Medicare Ombudsman (OMO) for help with a complaint, grievance, or information request, visit the website of the Ombudsman on Medicare.gov

 

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Y0001_M_OT_WB_207239_R1 CMS Approved

Page Last Updated: January 22, 2013