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What to Expect After You Enroll

Welcome!

If you're new to Aetna Medicare or recently changed plans, we can help you learn about your benefits and how to use your plan.

Once you're enrolled, you'll receive:

  • A letter stating that you’re a member in our plan
  • Your Aetna member ID card (usually within 14 days)
  • A complete description of your coverage (see your Evidence of Coverage)

Disclaimers

Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. 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.

Our dual-eligible Special Needs Plan is available to anyone who has both Medical Assistance from the state and Medicare. Premiums, copays, coinsurance and deductibles may vary based on the level of Extra Help that you receive. Please contact the plan for further details. 

You must continue to pay your Medicare Part B premium. 

The Part B premium is covered for full-dual members (those who have both Medicare and Medicaid, and meet the state’s requirements for full Medicaid benefits).  

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change on January 1 of each year.

Members who get “Extra Help” are not required to fill prescriptions at preferred network pharmacies in order to get Low Income Subsidy (LIS) copays.  

The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. 

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. 

This material is for informational purposes only and is not medical advice. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Contact a health care professional with any questions or concerns about specific health care needs. 


       GRP_4037_1522 (05/2018)
       Page last updated: Fri May 18 09:45:18 EDT 2018

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