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Coverage, Benefits & Star Ratings

Get the most value from your plan

The following information can help you learn about your 1199SEIU Aetna Medicare Advantage Plan (PPO). Your plan name is indicated in the Aetna pre-enrollment kit and member ID card.

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1199SEIU National Benefit Fund Plan

1199SEIU National Benefit Fund Plan Evidence of Coverage (EOC)

1199SEIU Greater New York Benefit Fund Plan

1199SEIU Greater New York Benefit Fund Plan Evidence of Coverage (EOC)

1199SEIU Greater New York Benefit Fund "P" Plan

1199SEIU Greater New York Benefit Fund "P" Plan Evidence of Coverage (EOC)

 

Other coverage information

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 Mississippi, Urban Virginia, Rural Missouri, Rural Arkansas, Rural Oklahoma, Rural Kansas, Rural Iowa, Rural Minnesota, Rural Montana, Rural Nebraska, Rural North Dakota, Rural South Dakota, Rural Wyoming. 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.

This information is not a complete description of benefits. Call 1-866-539-6750 (TTY: 711).

Every year, Medicare evaluates plans based on a 5-star rating system.


       GRP_4006_1851_M Approved 10/2018
       Page last updated: June 19, 2019

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