Coverage, Benefits & Star Ratings | UAW Trust Aetna Medicare

Find your plan information

If you're a Protected status Trust member, scroll down to the section titled "Protected status UAW Trust members" to view documents for your new Aetna plan for 2020.

General status UAW Trust members

Find your plan documents by selecting your state, county and plan below.

For 2020

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For 2019

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Protected status UAW Trust members

Find your plan documents by selecting your state, county and plan below.

For 2020

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Other coverage information

Referrals and prior authorizations

Looking for referral and pre-approval requirements?
Check your plan’s Evidence of Coverage.

Check your claims

Review your claim and payment status

Medicare coverage changes

The Centers for Medicare & Medicaid Services periodically issues National Coverage Determinations. They issue these when the coverage rules change for a service or prescription drug.
View a list of coverage determinations

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 emergency

How 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

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 UAW Trust Aetna Medicare PPO plan or PPO plan with Extended Service Area, your plan is rated 4.5 out of 5 overall stars!

2020 Star Rating

View Coverage and Benefits

Find your plan information

General status UAW Trust members

For 2020

Select your state, county and plan:

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For 2019

Select your state, county and plan:

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Protected status UAW Trust members

For 2020

Select your state, county and plan:

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Other coverage information

Referrals and prior authorizations

Check your claims

Medicare coverage changes

Coverage during a disaster or emergency

How we decide which health care services to cover

How we review new technologies

Star Ratings

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