Our prescription drug list (formulary) shows:
Refer to your plan documents to find out which formulary your prescription drug plan uses. You'll need to know the formulary name and the number of tiers. You have two options to find this information:
There’s a lot more information on changes to our drug list (formulary), prior authorization, step therapy, quantity limits, exceptions and transition rules.
Your EOC includes comprehensive plan details, and your rights and responsibilities.
Some members may have access to an Extended Service Area (ESA), giving them the freedom to use providers in- and out-of-network. If a provider is not part of the Aetna Medicare network, ESA members can continue to see them as long as they are licensed, eligible to receive Medicare payment and agree to accept the ESA plan. If ESA members do not live in an Aetna network service area, they can view general provider information for their area by visiting Medicare.gov.
Each year, Medicare rates health and prescription drug plans on a Five–Star Quality Rating System.
The Star Ratings measure Medicare Advantage plans based on five areas:
If you get coverage from an employer or plan sponsor, this program may be available to you. The program, offered through Healthyroads™, provides ongoing support and coaching to make positive changes in your health. Members may receive a weekly coaching session for stress management, nutrition, tobacco cessation and exercise. You may also have access to online tools, educational resources and Milestone Kits.
Or, call 1-800-650-2747 (TTY: 711) Monday to Friday, 6 AM to 7 PM PST, or Saturday, 7 AM to 4 PM PST.
This material is for informational purposes only and is not medical advice. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Contact a health care professional with any questions or concerns about specific health care needs.
Aetna handles premium payments through InstaMed, a trusted payment service. Your InstaMed log-in may be different from your Caremark.com secure member site log-in.
Aetna handles premium payments through Payer Express, a trusted payment service. Your Payer Express log-in may be different from your Aetna secure member site log-in.
The information you will be accessing is provided by another organization or vendor. If you do not intend to leave our site, close this message.
La información a la que accederá es proporcionada por otra organización o proveedor. Si tu intención no era salir del sitio web, cierra este mensaje.
Aetna has selected Caremark as the prescription management and mail delivery service for our members. If you do not intend to leave our site, close this message.