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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.

Annual enrollment is September 7 through November 30, 2021.


To learn more about the Aetna Medicare Advantage plan, review our "Find more brochure."

To enroll, call Retiree Health Care Connect at ${retireeHealthNumber} ${tty}, ${retireeHealthHours}.


General status Trust members — featuring plan enhancements for 2022!


 Aetna Medicare Plan (PPO) (PDF)


 Aetna Medicare Plan (PPO) with Extended Service Area (ESA) (PDF)

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.




Review your Evidence of Coverage 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.


Schedule a one-on-one appointment with an Aetna representative to talk about the Aetna plan

Find Medicare forms


See below for helpful resources for managing your plan and how to get started with common requests.



File claims & reimbursement requests

Give someone permission to manage your care

Exceptions, appeals & grievances

Additional information

We're here to help




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Not yet a member?

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Schedule a personal appointment