Medication Therapy Management

Working to ensure the safety and effectiveness of your medications

Our Medication Therapy Management (MTM) program helps you and your doctor manage your medications.

If you qualify for the program, a pharmacist will review your medications and talk with you about:

How to get the most benefit from the drugs you take
Any side effects or reactions
Any questions or concerns you have
Options that may help you save money

We automatically enroll members in our MTM programs, if you qualify. Participation is voluntary. You can opt out of the program at any time.

What does it cost?

There's no added cost to be in our MTM program.

Do you qualify? (collapsed): You qualify for our MTM program if you:

Have three or more of these conditions:

Osteoporosis

Chronic Heart Failure (CHF)

Diabetes

Depression

Asthma

Chronic Obstructive Pulmonary Disease (COPD)

Cardiovascular Disorders

Are likely to spend more than $3,919 in 2017 on prescription drug costs (includes amounts paid by both you and the plan)

Take eight or more maintenance medications that are covered by your Part D plan

If you meet all of these criteria, we'll mail you a letter confirming your enrollment in our MTM program. You'll also get a call from us.

To leave the program, just call our MTM representatives at 1-866-208-1223 (TTY: 711), Monday through Friday from 8:30 a.m. to 5:30 p.m. ET.

See a sample 2017 MTM enrollment letter

See a sample 2017 MTM enrollment letter (Spanish)
Learn how the program works (collapsed): Once in the program, you’re offered a comprehensive medication review. It includes several steps:

A pharmacist reviews all of your medications to see if there are any drug therapy issues.

If needed, a pharmacist will work with your doctor to resolve any drug therapy issues.

The pharmacist will talk with you over the phone or in person at your local pharmacy. They'll review your current medications (both prescription and over-the-counter) and your medical conditions. This will take about 30 minutes.

The pharmacist will give you a personal medication list and an action plan to help you manage your medications. Be sure to share this information with your doctor.

See a sample personal medication list

See a sample personal medication list (Spanish)

See a sample medication action plan

See a sample medication action plan (Spanish)

We'll review your medications at least once every three months. After each review, we may mail or fax suggestions to your doctor about prescriptions that may be safer or a better alternative. As always, your doctor will decide whether to consider our suggestions. Your prescription drugs won’t change unless you and your doctor decide to change them.

MTM programs are not considered benefits.

Man holding prescription bottle and talking on phone

We're here to help!

Members:
Email us or call Member Services at the number on your ID card.

Don’t have your ID card handy?
Find a phone number

Not yet a Member?
Email us or call an Aetna representative at (TTY: 711), Monday through Friday, 8 a.m. to 8 p.m..

We speak your language (collapsed): We have free interpreter services to answer questions you may have about our health or drug plan.
Get help from an interpreter

¿Habla español?
Visite nuestro sitio en español

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, premium and/or copayments/coinsurance may change on January 1 of each year.

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.

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.

Medication Therapy Management Programs

Working to ensure the safety and effectiveness of your medications

What does it cost?

We're here to help!

You are now leaving the Aetna Medicare website.

You are now leaving the Aetna Medicare website.

You are now leaving our Medicare website.

What 2016 coverage do you need?

Select your plan to request a directory

What 2016 coverage do you have?

What 2017 coverage do you have?

Doctors & Hospitals

Mental Health Providers

What coverage do you need?

Choose a 2017 plan type to enroll

Choose a 2016 plan type to enroll

Choose a plan type (and year) to enroll

What coverage do you need?

Medication Therapy Management Programs

Working to ensure the safety and effectiveness of your medications

What does it cost?

We're here to help!

You are now leaving the Aetna Medicare website.

You are now leaving the Aetna Medicare website.

You are now leaving our Medicare website.

Select your plan to log in or register

What 2016 coverage do you need?

Select your plan to request a directory

What 2016 coverage do you have?

What 2017 coverage do you have?

Doctors & Hospitals

Mental Health Providers

What coverage do you need?

Choose a 2017 plan type to enroll

Choose a 2016 plan type to enroll

Choose a plan type (and year) to enroll

What coverage do you need?