- Home
- View Your Plan
- 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.
Click on the plus sign (+) for more information.
-
2021 Plan
2021 Evidence of Coverage (EOC)
Review your Evidence of Coverage (EOC) to learn about comprehensive plan details, and your rights and responsibilities.
2021 FCPS Evidence of Coverage (EOC)
2021 Online Document Tips
You can request a copy of your Evidence of Coverage if you need one.
2020 Plan
2020 Evidence of Coverage (EOC)
Star Ratings
Each year, Medicare rates health and prescription drug plans on a five–star quality rating system. The Star Ratings measure Medicare Advantage plans based on five areas:
- Staying healthy
- Managing chronic (long-term) conditions
- Member experience with the health plan
- Member complaints
- Health plan customer service
If you're enrolled in the Fairfax County Public Schools Aetna Medicare Advantage plan, your plan is rated 4 out of 5 overall stars!
About your pharmacy plan
Fairfax County Public Schools has chosen SilverScript®, an affiliate of CVS Caremark®, to provide your Medicare Part D prescription drug coverage. SilverScript is an approved Medicare Part D prescription drug plan provider.
Learn more about SilverScriptLearn more about vaccine coverage
Information for your doctor
24/7 access to board-certified doctors
Teladoc telemedicine is a 24/7 service that allows you to speak to a licensed doctor by web, phone or mobile app — usually within 15 minutes.
You’ll need to register for the service. After you’ve registered, you can schedule a session with a doctor. You can get more information or set up your account at Teladoc or call 1-855-835-2362 (TTY: 711), 7 days a week, 24 hours a day.
You’ll just have to request a visit. You can use Teladoc for non-emergency conditions like allergies, sinus infection, rash, cold or flu.
If you need emergency care, call 911 or go to the nearest emergency room immediately.
Cost and quality of care
Learn more about quality and cost of care on our secure member site.
Log on to the secure member websiteReferrals & prior authorizations
Looking for referral and pre-approval requirements?
Check your plan’s Evidence of Coverage.Check your claims
Flu shot coverage
Protect yourself from the flu.
Learn about your flu shot benefitMedicare coverage changes
The Centers for Medicare & Medicaid Services periodically issues National Coverage Determinations. They issue these when a service’s or drug’s coverage rules change.
Coverage during a disaster or emergency
We want to make sure you can access your benefits even during urgent situations - like a public health emergency or state of disaster.
Finding care during a disaster or emergencyHow we decide which health care services to cover
We help you get medically necessary health care services in the most cost-effective way under your health plan. And we work with you and doctors to evaluate services for medical appropriateness, timeliness and cost.
Specifically, we:
- Base our decisions on appropriateness of care, service and plan coverage
- Use nationally recognized guidelines and resources to make changes
- Don’t pay or reward providers, employees or others for denying coverage or care
- Focus on reviewing the risks of members who aren’t fully using certain services
How we review new technologies
Doctors and health care companies continuously develop new technologies. This can include anything from a new procedure to a new way to use a device.
When we learn about a new technology, we:
- Carefully review the latest information and ask experts for their opinions
- Compare the information with well-known standards
- Base all of our decisions on making sure you have the right care and services
We're here to help
Call us at 1-855-524-6027 (TTY: 711), Monday to Friday, 8 AM to 9 PM ET.
-
We speak your language
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
GRP_4006_1776_M 9/2018
Page last updated: Nov 02, 2020What 2016 coverage do you need?
Select a plan:
Offered by an employer or plan sponsor
Medical care with or without prescription drugs
Prescription drugs only
Supplements Original MedicareWhat coverage do you need?
Close