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What you need for your post-enrollment health journey

Color portrait of Sachi Fujimori By Sachi Fujimori

Congratulations on choosing your Aetna Medicare Advantage plan! Now that you’re enrolled, it’s a great time to get to know some of the resources available to help you get the most from your coverage. We offer many sources of guidance and support to assist you in achieving your best health. Here are a few tips to maximize your benefits.

 

The member experience

One of the first things you’ll want to do is register at the secure member website. This is among the most important tools for communicating with Aetna® and understanding your benefits. On your secure member website you will be able to:

  • View, download and print your member ID card.
  • Manage communication preferences like your preferred contact information.
  • Manage your claims and review your Explanation of Benefits (EOB) along with other plan documents online.

Collectively, your plan documents can answer many of the questions you may have about your coverage.

If you’re interested in detailed information, you can also find a complete Evidence of Coverage (EOC) document online. This provides an in-depth description of your coverage that details everything from specific plan benefits to how much you will pay . If your plan includes prescription drug coverage, you will find a list of medications covered in your plan’s formulary.

While you’re in your secure member website, you can also check out your personalized video. This short video offers customized plan information which is updated throughout the year, including details about how to use extra benefits such as an over-the-counter allowance or dental, vision and hearing coverage that may be included in your plan.

 

Going beyond the basics

Once you’ve got the basics down, you can also use your secure member website to begin exploring how you can use your benefits. For example, there is an area on the site where you can select or change your primary care physician (PCP). If you’re new to Medicare, once you’ve selected your PCP you can ask your doctor about setting up a “Welcome to Medicare” exam at no extra cost.

You can also use our provider search tool to look up different doctors, labs available based on your plan’s network and ZIP code. When searching for care providers, you’ll be able to see how highly they are rated, their educational background and what languages they speak.

If your plan includes prescription drug coverage, you can use your secure member website to find pharmacies, estimate the cost of your medications and manage your mail order and prescriptions through tasks like ordering refills.

 

Accessing helpful benefits

Your plan also comes with a host of lesser-known benefits and services. And you can schedule a Healthy Home Visit where a doctor or nurse practitioner comes to your home to give you a health assessment at no extra cost to you. The provider can even check your home for potential health and safety risks, like places that may increase your risk for falling.

Some well-known benefits, like the SilverSneakers® fitness program, include extras that you may not be aware of. For example, many people don’t know that SilverSneakers includes access to live classes for all fitness levels led by trained instructors. These classes cover everything from strength training to yoga to cardio. The SilverSneakers website can give you more details and also provide you with information about the 16,000+ fitness locations that participate in the program. The site is also a good place to download the SilverSneakers GO™ app, which can help you stay in shape from anywhere.

And benefits don’t end with fitness. Some plans also offer Resources For Living® (RFL), a program to help find services and support in your community. Looking for qualified home repair vendors, emergency services or volunteer opportunities? Our consultants will research, at no cost to you, the options in your area and give you details on the ones that meet your specific needs.

 

A new chapter

As a new Medicare Advantage member, you’re starting an exciting new chapter in your health journey. And don’t worry, you’ll have a lot of support along the way. We offer a variety of tools and resources to help you make the most of your plan and live the fullest life possible.

 

 

Need help?

Call us at 1-833-329-0413 (TTY: 711) to chat about any Medicare questions you have.