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Find a doctor or hospital near you
Find a doctor or hospital near you
With the Aetna Medicare Advantage PPO plan, you can get coverage from any doctor, in or out of network, at the same member cost share. The provider must be eligible to participate in Medicare and accept your Aetna Medicare Advantage PPO plan.
Steps to find all contracted providers in your area – Coming soon!
Please use this tool to look up your doctors and verify that they’re in Aetna’s network of more than 1.3 million providers.
Don’t see your doctor listed?
If you're browsing through our network and can't seem to find your trusted doctor, don't worry! We understand the importance of maintaining continuity of care with your preferred physician, and that’s why your union insisted that this plan be a PPO, which means you can continue to see your trusted doctors even if they are out-of-network. If your doctor accepts Medicare, they can bill Aetna for covered services.
If you don’t see your doctor or provider listed, please let us know. Aetna representatives will reach out to their office, and we'll do everything we can to bring them on board.
Watch this video to learn more about how to find a doctor or hospital near you.
Hello and welcome. I’m so glad you’re here!
I’m Mary and I’m going to demonstrate how to determine if your doctor or facility is the Aetna network.
We’ll start here. This is the page we created for you and the other City of New York retirees.
On this site you'll find information about the City of New York Aetna Medicare Advantage PPO plan.
Now, let's get started.
There are two spots on this page that take you to the provider search.
- The first is here. A link here at the top of the page.
- And the second, if we scroll down to here, beneath the heading Find a doctor or hospital near you.
Let’s click this link, Find a doctor or hospital.
A quick and easy way to begin this search is to Continue as guest on the right side of the screen.
Here's an example. I put in my location first — either zip code, city, county, or state.
I’ll use my zip code, 10314. The website recognizes what I’m typing and offers options in the drop-down box. I'll select the one that applies to me.
My provider is close by, so I'll move this slider to search within 3 miles of my location.
Press search here.
Now that I've specified my location, I can search for the provider or facility by name here.
There's also an option on this page to search by category such as medical doctor and specialist, hospital, urgent care, walk-in, pharmacy and more. This is really useful if you're looking for a new in-network provider or facility. When you click on these boxes, you’ll be guided to a list of in-network providers and facilities that are within the location and proximity specified on the previous screen.
Right now, I’ll search by my doctor’s name to see if he is in network and press enter on the keyboard.
My results show a green check mark beneath the provider’s name, confirming he is in network. And in network at the facility listed here.
Thanks for following along.
If you are still wondering if your provider is in network, feel free to call us at 1-855-648-0389 (TTY: 711), Monday through Friday, 8 AM to 9 PM ET. Any of my colleagues would be happy to assist you.
The formulary, provider and/or pharmacy network may change at any time. You will receive notice when necessary. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Aetna. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change.
©2023 Aetna Inc.
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Contact us
Contact us
The Aetna Medicare Advantage PPO plan takes a total, connected approach to your health. We’re on a mission to help you live your healthiest life possible, body and mind. We’re here for you if you need help understanding your care, the plan benefits, or if you ever have questions. Just call us at 1-855-648-0389 (TTY: 711), Monday through Friday, 8 AM to 9 PM ET.
About the Aetna Medicare Advantage PPO plan
About the Aetna Medicare Advantage PPO plan
We're here to help you get the most from the plan. Let’s get started!
See what’s covered
Aetna Medicare Advantage PPO plan – English (PDF)
Evidence of Coverage with Schedule of Cost sharing – English (PDF)
Frequently asked questions – English (PDF)
For your doctor – English (PDF)
Prior authorization information – English (PDF)
You’ll be automatically enrolled
Effective September 1, 2023: All City of New York Medicare eligible members, except HIP VIP Premier Medicare members will be automatically enrolled in the NYC Aetna Medicare Advantage PPO plan.
If you do not want to be automatically enrolled, you will need to opt out of the plan, between May 1 to June 30, 2023.
- You can opt out starting May 1 by calling us or by opting out online. You will not be able to opt out prior to May 1. You’ll receive more information on how to opt out.
If you opt out of the plan, your only option through the New York City Health Benefits Program (HBP) is the HIP VIP Premier Medicare plan, if you live in the NYC surrounding area (Manhattan, Brooklyn, Bronx, Staten Island, Queens, Nassau, Suffolk, and Westchester counties. To opt into the HIP VIP plan, you will need to complete a “Special Election” form. For more information or get the form, visit the City’s website at NYC.gov/hbp.
If you live outside NYC surrounding area and you opt out, there are no other options available through the New York City HPB and you will have to find coverage with Traditional Medicare and/or Medigap policy or a Medicare Advantage plan through the individual market.
If you opt out or waive coverage, you will be eligible to enroll during the City’s Annual Retiree Transfer Period, occurs every November.
You can also enroll outside the Retiree Annual Transfer period, if you either have a qualifying event or use your once-in-a-lifetime option.
If you opt out or waive the City of New York health benefits, you will NOT be eligible for the Part B premium reimbursement and/or IRMAA, if applicable.
If you are currently enrolled in HIP VIP and want to opt into the NYC Aetna Medicare Advantage plan, you will need to complete a “Special Election” form. For more information or get the form, visit the City’s website at NYC.gov/hbp.
You may be eligible to purchase Aetna Medicare Rx offered by SilverScript (or SilverScript Employer PDP for those in U.S. territories) if:
- If your union welfare fund does not offer prescription drug coverage, or
- The benefit provided by your union welfare fund is subject to a benefit maximum* (not a Part D plan), or
- You are currently enrolled in an individual Medicare Part D plan**
*Contact your union welfare fund for details about your prescription drug plan information and your eligibility to purchase the City’s prescription drug rider (Part D Plan).
**If you have purchased an individual Part D plan, enrolling in the Aetna Medicare Advantage PPO plan (Part C) or Aetna Medicare Rx offered by SilverScript (a Part D plan) will result in disenrollment from your individual Part D plan. You will need to obtain prescription drug coverage through either your union or by purchasing the prescription drug rider through Aetna Medicare Rx offered by SilverScript.
To purchase the City’s prescription drug rider, you will need to complete a “Special Election” form. For more information or get the form, visit the NYC OLR website at NYC.gov/hbp.
About the Prescription Drug plans
About the Prescription Drug plans
Important information if you are currently enrolled in other City prescription drug riders, excluding Senior Care.
If you are not enrolled in the Senior Care prescription drug rider, but have other prescription drug coverage through the City, you will be automatically enrolled in the Aetna Medicare Rx® offered by SilverScript® plan, effective September 1, 2023.
Access Aetna Medicare Rx offered by SilverScript plan documents to learn more:
List of Preferred Pharmacies – Coming soon!
If you live in a U.S. territory, you will be automatically enrolled in the SilverScript Employer Prescription Drug Plan (PDP) effective September 1, 2023.
Access SilverScript Employer Prescription Drug Plan (PDP) documents to learn more:
Important information if you are currently enrolled in the Senior Care prescription drug rider
If you are currently enrolled in the Senior Care prescription drug rider, you will remain in that plan until December 31, 2023. You will be automatically enrolled in the Aetna Medicare Rx offered by SilverScript plan effective January 1, 2024.
Access Aetna Medicare Rx offered by SilverScript plan documents to learn more:
List of Preferred Pharmacies – Coming soon!
If you live in a U.S. territory, you will be automatically enrolled in the SilverScript Employer Prescription Drug Plan (PDP) effective January 1, 2024.
Access SilverScript Employer Prescription Drug Plan (PDP) documents to learn more:
Important information if you are eligible to purchase prescription drug benefits through the City
You may be eligible to purchase Aetna Medicare Rx offered by SilverScript (or SilverScript Employer PDP for those in U.S. territories) if:
- Your union welfare fund does not offer prescription drug coverage, or
- The benefit provided by your union welfare fund is subject to a benefit maximum*, or
- You are currently enrolled in an individual Medicare Part D plan**
*Contact your union welfare fund for details on your prescription drug plan information.
**If you have purchased an individual Part D plan, enrolling in the Aetna Medicare Advantage PPO plan (Part C) or Aetna Medicare Rx offered by SilverScript (a Part D plan) will result in disenrollment from your individual Part D plan. You will need to obtain prescription drug coverage through either your union or by purchasing the prescription drug rider through Aetna Medicare Rx offered by SilverScript.
Check our drug list
Check our drug list
Find out if we cover the drugs you take and estimate how much you’ll pay for them.
Plan benefits focused on your well-being
Plan benefits focused on your well-being
Get rewarded for taking care of your health. Learn about the different wellness programs and tools available to you. The Aetna Medicare Advantage PPO plan offers a wide variety of benefits that go beyond Original Medicare — and help take care of the whole you.
Aetna Healthy Rewards
You deserve rewards for meeting your health goals. Earn gift cards through our member rewards program for completing important health care activities such as annual exams, flu shots and more.
Meals home delivery
You can get a week of healthy, precooked meals delivered to your home after an inpatient hospital stay. These meals let you focus on recuperating while getting good nutrition. This benefit is part of the Aetna Medicare Advantage PPO plan and is offered at no cost to you.
Transportation
We never want you to miss a medical appointment because you don’t have a way to get there. The Aetna Medicare Advantage PPO plan includes non-emergency transportation to your appointments and back home again.
Over-the-counter (OTC) benefit
Get OTC health and wellness products delivered straight to your home. The plan includes an allowance of $30 every quarter to spend on health and wellness products such as vitamins, pain relief and more.
Visit CVS.com/otchs/myorder to place your order. Or call 1-855-648-0389 (TTY: 711), Monday through Friday, 8 AM to 9 PM ET to request a printed OTC catalog.
Gym memberships and fitness classes
Exercise and physical activity can help you maintain and even improve your health. Whether you’re a marathoner, or you need to dust off your athletic shoes, the SilverSneakers benefit can jump start your healthy activity levels. Improve your health by going to any of thousands of participating fitness locations nationwide — or get a fitness kit that you can use at home.
Hearing aid reimbursement
Submit your itemized bills showing your costs on hearing aids from any licensed provider that accepts Medicare to Aetna and you can get reimbursed $500 per 12 months.
Sidekick Smart smartwatch
You’re eligible to receive a custom-designed smartwatch through LifeStation at no cost. This medical alert system can help you call for help in an emergency, 24/7. It can even track your steps, check the local weather and monitor your heart rate.
Virtual care
Virtual care
Access quality care at home with telehealth services, available through the Aetna Medicare Advantage PPO plan.
Teladoc®
The Aetna Medicare Advantage PPO plan includes a telehealth benefit from our partner Teladoc at $0 cost share. Teladoc allows you to speak to a licensed doctor by web, phone or mobile app 24/7 – usually within 15 minutes.
MDLIVE®
Speak with a licensed therapist or board-certified psychiatrist by phone or video appointment when you need care. There are no visit limits, and the copay is $0.
Webinars & meetings
Webinars & meetings
Ready to learn more about the Aetna Medicare Advantage PPO plan? Join us at an upcoming teleconference, webinar or in-person meeting. Our meetings will help you learn how to get the most from your plan.
View an OnDemand Open Enrollment/Educational Video – Coming soon!
View an Open Enrollment/Educational Presentation – Coming soon!
Hear from our members
City of New York Hospital for Special Surgery
{NARRATOR:}
Everyone’s body is different. When patients come to Hospital for Special Surgery, they receive precise clinical evaluation with the latest technology so treatment can be personalized. HSS has been ranked the number one orthopedic hospital in the nation for thirteen years in a row, and this year, the City is excited to bring their services to you.
Starting in 2023, we have an arrangement for Medicare-eligible retirees who are in the City of New York Aetna Medicare Advantage plan. These members will have access to HSS services in network. This means that more City of New York retirees can receive care at HSS locations within the New York City area.
HSS connects patients to breakthrough orthopedic and rheumatology care—and has been doing that for 160 years right here in New York City. They understand what it takes to keep this city running, and appreciate the hard work you’ve contributed. Now you can rest assured that if you ever need care, Hospital for Special Surgery will be there for you. Visit HSS.edu for information on their services.
{Disclaimer:}
The provider network may change at any time. You will receive notice when necessary. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Aetna. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change.
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City of New York Memorial Sloan Kettering
{NARRATOR:}
At Memorial Sloan Kettering Cancer Center, we’re proud to be a leading provider of cancer care in the New York City area. Starting in 2023, we have an arrangement for Medicare-eligible retirees who are in the City of New York Aetna Medicare Advantage plan. These members will have access to our services as we are now in network. This means that more City of New York retirees can receive care at any of our locations in New York City and the tri-state area.
At MSK, cancer is our only focus. That’s why we specialize in more than 400 types, including the most important one: yours. From the most common to the most rare type of cancer, you'll get personalized treatment. Because of MSK’s world-renowned expertise in cancer research, we are able to offer the latest innovative treatments to our patients. Because when it comes to cancer, where you’re treated first matters.
Visit MSKCC.org to learn more and reach out to our care advisors to help guide you through the process.
{Disclaimer:}
The provider network may change at any time. You will receive notice when necessary. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Aetna. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change.
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