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Coverage, Benefits & Star Ratings

Your plan information

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.

Disclaimers

Aetna Medicare is a HMO, PPO plan with a Medicare contract. 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.

For the 2019 plan year, Aetna Medicare’s pharmacy network includes limited lower cost preferred pharmacies in: Rural Wisconsin, Rural Missouri, Rural Arkansas, Rural Oklahoma, Rural Kansas, Rural Iowa, Rural Minnesota, Rural Montana, Rural Nebraska, Rural North and South Dakota, and Rural Wyoming. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. (Updated 10/2019) 

For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, 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.

For the 2020 plan year, Aetna Medicare’s pharmacy network includes limited lower cost preferred pharmacies in: Urban and Rural Michigan, Rural Nebraska, Rural Maine, Suburban Illinois, Suburban South Carolina. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. (Effective 1/2020)

For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, 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.

SilverScript Choice (PDP)’s pharmacy network includes limited lower-cost, preferred pharmacies in Rural Alaska. 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 whether there are any lower-cost preferred pharmacies in your area, please call 1-866-235-5660 (TTY: 711), or consult the online pharmacy directory at https://www.silverscript.com/pharmacy-locator.

This information is not a complete description of benefits. Call 1-855-335-1407 (TTY: 711) for more information.

Every year, Medicare evaluates plans based on a 5-star rating system.

       GRP_4006_1776_M 9/2018

       Page last updated: October 31, 2019

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