Fifteen minutes have passed since you took an action on this page. To protect your privacy, we will log you out in 2 minutes.
Member information
Enter your information to make a one-time premium payment.
All fields are required.
Account summary
Total balance
$51
Payment information
Total balance:
Enter your information to make a one-time premium payment.
All fields are required.
Payment Amount
Review & confirm
Credit card Ending in 0000 (Exp. 12/24)
I agree to pay the above amount.
Payment approved
RECEIPT
Aetna Medicare Prescription Drug Plan
P.O. Box 505869, St. Louis, MO 63150-4898
- Date
- Type
- First name
- Last name
- Payment ID
- Requested amount
- Authorization code
- Name on card/account
- Card type/Account type
- Card number/Account number
- Response message code
- Mode
It may take up to 5 days for this payment to be reflected in your premium balance. Please print the receipt page for your records.
The decision to deny your card is based on information from your issuing bank. Please contact your issuing bank for more information.
Have questions?
Call us at 1-855-651-4856 ${tty}, 24 hours a day, 7 days a week.
Where is my payment ID?
Where is my payment ID?
You can find your payment ID on the coupon portion of your Aetna® premium invoice, in the bottom left section.