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UBR quick reference

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UBR quick reference

Your retirees trust you, and you’ll play a big role in helping them navigate the transition to Aetna and Medicare Advantage. Just know that we’re here to help.


Below, you can access all materials that detail the plan available in your area, along with important links for your retirees.

Doctors and the Aetna network

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Doctors and the Aetna network

Keeping their current doctors is important to retirees. And the county a retiree resides in will determine whether they have the preferred provider organization (PPO) plan or the extended service area (ESA) plan. With both plans, the retirees can use the doctors in or out of their Aetna network. However, there are differences. 


  • Aetna Medicare Advantage PPO plan
    Retirees in the PPO plan can see any provider who participates with Medicare and accepts the Aetna plan. When they use providers in Aetna’s network, they’ll pay less out of pocket. Retirees can also use out-of-network providers, but they’ll pay more.
  • Aetna Medicate Advantage PPO ESA plan
    Retirees in the PPO ESA plan can see any provider who participates with Medicare and is willing to treat them, even if they are not in our network. Regardless of whether the provider is in or out of the network, retirees will pay the same cost-share amount.

Not sure which plan applies to your retiree? Click on the links below for details.

We're here to help

Retirees that already have Aetna Medicare Advantage can call Aetna Member Services at 1-800-663-0885 (TTY: 711), Monday – Friday, 8 a.m. to 6 p.m. all time zones, for help with provider questions. Retirees that aren’t yet a member can call 1-855-406-4062 (TTY: 711), Monday – Friday, 8 a.m. to 6 p.m. all time zones.

Additional resources

Let retirees know about meetings

We hold regular meetings so our current members can ask questions. See the Retiree meetings schedule to find one near you. We also have monthly informational conference calls for retirees who are just turning 65 and are new to Medicare. Let your retirees know about this great resource that runs through October 2018.

Living healthy

With the Aetna Medicare Advantage plan, members get extra health and wellness benefits beyond what Original Medicare offers. Check out the links below to services that enhance their benefit plans.


Your Aetna contact


Regional dedicated contacts for UBRs:


Region 2B (IN, OH)
Pam Killebrew 1-860-900-5962


Region 4 (IA, IL, MN, ND, NE, SD, WI)
Angela Plante 1-860-900-5964


Region 5 (AR, AZ, CA, CO, ID, HI, KS, LA, MO, MT, NM, NV, OK, OR, TX, UT, WA, WY)
Brian Perkins 1-959-299-5290


Region 8 (AL, FL, GA, KY, MS, NC, SC, TN, VA, WV)
Kaketta Mills 1-860-900-5967 


Region 9 (ME, MA, CT, DE, MD, NH, RI, VT)
Diane Peers 1-860-900-5971


Region 9A (NY, PA)

Michael Young 1-860-900-5969


Dedicated UBR contacts

Contact us by email

Important: If you’re sending PHI to this email, be sure to send securely. Be sure to include your region number in the email.


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.


This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply.


Benefits, premium and/or co-payments/co-insurance may change on January 1 of each year.


Notice of Non-Discrimination