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Find a Medicare Provider

Find a doctor, pharmacy or other provider

The 1199SEIU Aetna Medicare Advantage Plan lets you use doctors and hospitals in or out of the Aetna Medicare network.

While you are not required to use Aetna network doctors, you may want to see if they are in the Aetna Network. If you need help submitting a claim for a provider that is out of network, we can help. If your doctor is not in network, they may have questions about submitting a claim. Call us at 1-866-429-3585 (TTY: 711), Monday to Friday, 8 a.m. to 6 p.m., all time zones.

Check below to see if your doctors and hospitals are in our network.

Not yet a member?

Find doctors & other providers

Use the link above to search for providers covered under your medical plan. 

Find a pharmacy

Review easy steps to find a pharmacy(PDF)

Find a Dentist

View dental benefits summary (PDF)

 

Types of providers in our network

You’ll find more than 25 types of health care providers in our online directories. Our network includes doctors, hospitals, pharmacies, urgent care centers, drug and alcohol counselors, hospice providers, diabetic supply providers, dialysis centers and physical therapists.

Select or change your doctor

 

Need a printed provider directory?

Members can also request a printed copy of the plan provider directory.

Send me a printed directory

Need a directory in another language?

View our Chinese directories

Participating physicians, hospitals and other health care providers are independent contractors. They're neither agents nor employees of Aetna. The availability of any particular provider can't be guaranteed. Provider network make-up is subject to change. 

Aetna has contracts with pharmacies that equal or exceed CMS requirements for pharmacy and preferred pharmacy access in your area.

Disclaimers

Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal.

See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.

Aetna Medicare's pharmacy network includes limited lower cost preferred pharmacies in: Urban Michigan, Rural Nebraska, Rural Maine, Rural Michigan, Suburban Illinois, Suburban South Carolina. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use.

For up-to-date information about our network pharmacies,including whether there are any lower-cost preferred pharmacies in your area, members please call the number on your ID card, non-members please call 1-855-338-7027 (TTY: 711) or consult the online pharmacy directory at https://www.aetnamedicare.com/pharmacyhelp.


       GRP_4006_1851_M Approved 10/2018
       Page last updated: August 30, 2019

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