Find your plan information
If you get coverage from an employer or group health plan, review the information you received about your plan.
If you have a Medicare Supplement Insurance Plan, follow this link to view Medicare Supplement benefits.
2018 Plans
Choose your location and plan for 2018:
Star Ratings for 2018 plans won’t be available from Medicare until later in October. We’ll post them here as soon as they’re available.
2017 Plans
Choose your location and plan for 2017:
Other coverage information
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Prescription drug coverage
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Referrals & prior authorizations
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Check your claims
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Flu shot coverage
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Medicare coverage changes
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Coverage during a disaster or emergency
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How we decide which health care services to cover
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How we review new technologies
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We're here to help
Email us or call Member Services at the number on your ID card.
Don’t have your ID card handy?
Find a phone number
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We speak your language
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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.
This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change on January 1 of each year.
Our dual-eligible Special Needs Plan is available to anyone who has both Medical Assistance from the state and Medicare. Premiums, copays, coinsurance and deductibles may vary based on the level of Extra Help that you receive. Please contact the plan for further details.
You must continue to pay your Medicare Part B premium.
The Part B premium is covered for full-dual members (those who have both Medicare and Medicaid, and meet the state’s requirements for full Medicaid benefits).
The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
Aetna Medicare’s pharmacy network offers limited access to pharmacies with preferred cost sharing in: Suburban NY; and Rural AR, NY, and UT. 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 pharmacies with preferred cost sharing, 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 http://www.aetnamedicare.com/pharmacyhelp.
