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Have Medicare with an employer or group?

Get the most value from your plan. The following tools and references can help you manage your employer or group sponsored Medicare Plan. Since retiree plans vary, it’s important to review the information from your former employer, group sponsor or us.

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GO TO:

Manage your prescription

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Manage your prescription

Our prescription drug list (formulary) shows:

  • The drugs we cover
  • The tier a drug is on
  • Any limits or requirements before we cover the drug
  • Mail order availability

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:

  • Already an Aetna member? Look in your Schedule of Cost Sharing.
  • Haven’t enrolled yet? Review the Plan Benefit Summary.

 

Choose a 2021 formulary (drug list) name to see documents

Important information


There’s a lot more information on changes to our drug list (formulary), prior authorization, step therapy, quantity limits, exceptions and transition rules.

 

Learn about drug list changes, special rules and more

 

Review Evidence of Coverage (EOC)

Review Evidence of Coverage (EOC)

Your EOC includes comprehensive plan details, and your rights and responsibilities.

Choose a 2021 EOC from the list below to see the document

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Find a doctor, pharmacy or other provider

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.

Find Medicare Star Ratings for your plan

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Find Medicare Star Ratings for your plan

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:

 

  • Staying healthy
  • Managing chronic (long-term) conditions
  • Member experience with the health plan
  • Member complaints
  • Health plan customer service

 

Select state and plan to see your 2021 Star Ratings

Healthyroads™ lifestyle coaching

Healthyroads™ lifestyle coaching

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.

 

Enroll online now

 

Or, call 1-800-650-2747 (TTY: 711) Monday through 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.