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Find a Medicare Provider

Find a doctor, pharmacy or other provider

The Kansas State Employee Health PPO plan we've designed for you lets you:

  • Use doctors and hospitals in or out of the Aetna Medicare network
  • Pay the same cost share in or out of network
  • Get the same level of benefits for in or out of network

While you are not required to use Aetna network doctors, you may want to see if they are in the Aetna Network. If you need help submitting a claim for a provider that is out of network, we can help. If your doctor is not in network, they may have questions about submitting a claim. Call us at 1-844-233-1939 (TTY: 711), Monday to Friday, 8 a.m. to 6 p.m., all time zones.

Check below to see if your doctors and hospitals are in our network.

 

Types of providers in our network

You’ll find more than 25 types of health care providers in our online directories. Our network includes doctors, hospitals, pharmacies, urgent care centers, drug and alcohol counselors, hospice providers, diabetic supply providers, dialysis centers and physical therapists.

Select or change your doctor

Need a printed provider directory?

Members can also request a printed copy of the plan provider directory.
Send me a printed directory

Need a directory in another language?

View our Chinese directories

Participating physicians, hospitals and other health care providers are independent contractors. They're neither agents nor employees of Aetna. The availability of any particular provider can't be guaranteed. Provider network make-up is subject to change. 

Aetna has contracts with pharmacies that equal or exceed CMS requirements for pharmacy and preferred pharmacy access in your area.

Disclaimers

Aetna Medicare is a PDP, 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.

Aetna Medicare’s pharmacy network includes limited lower cost, preferred pharmacies in: Urban Mississippi, Urban Virginia, Rural Wisconsin, Rural Missouri, Rural Arkansas, Rural Oklahoma, Rural Kansas, Rural Iowa, Rural Minnesota, Rural Montana, Rural Nebraska, Rural North Dakota, Rural South Dakota, Rural Wyoming. 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 https://www.aetnamedicare.com/pharmacyhelp.


       GRP_4006_1930_M (12/2018)
       Page last updated: June 19, 2019

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Coming January 1st
The feature will be available to members beginning January 1, 2018.
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