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Plan benefits & forms

Medicare plans have many different details and forms, so we’ve organized everything together into one convenient place.

Your Aetna plan benefits & Star Ratings

Knowing more about your plan can help you get the most from your benefits and covered services. Find your plan’s Summary of Benefits and other coverage details below. Your member ID card shows your plan’s name. See a word or term you don't know? Check our glossary.


To assist you in the transition from a Medicare Advantage HMO to the new Retired Employees Health Program (REHP) Medicare Open Access PPO, the Commonwealth waived the Medicare Part B deductible for 2020 only. As a reminder, beginning January 1, 2021, you will be subject to the annual deductible. 


Medicare Open Access PPO  


Also known as the Aetna MedicareSM Plan (PPO), which is a Medicare Advantage plan with an open access feature.  



Review your Evidence of Coverage (EOC) to learn about comprehensive plan details, and your rights and responsibilities. You can request a copy of your Evidence of Coverage if you need one.


For questions about prescription drug coverage, call SilverScript® at 1-866-329-2088 (TTY: 711), 24 hours a day, 7 days a week or visit

Find Medicare forms


The following tools and references can help you manage your Medicare Open Access PPO Plan. Since retiree plans vary, it’s important to review the Retired Employees Health Program (REHP) plan information.



File claims & reimbursement requests

Give someone permission to manage your care

Exceptions, appeals & grievances

Additional information

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