How do I know what Aetna plan I have? To check on the status of your enrollment at Aetna, you can call 1-800-282-5366, option 1. Here is a second way to get your membership information. On the internet go to www.aetna.com. on the right-hand side, there is a Log In / Register link.
Full Answer
How do I get a referral for Aetna Medicare?
Generally, you must get your health care coverage from your primary care physician (PCP). Your PCP will issue referrals to participating specialists and facilities for certain services. For some services, your PCP is required to obtain prior authorization from Aetna Medicare.
Does Aetna have a Medicare plan?
Aetna Medicare is a 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.
How do I find out what Medicare coverage I have?
Fill out the requested information, including your zip code, Medicare number, name, date of birth and your effective date for Medicare Part A coverage or Part B coverage. Click “Continue,” and you should be taken to a page that shows the the coverage that you have. If you just recently enrolled, it may not be immediately reflected online.
How do I pay my Aetna premium payments?
Aetna handles premium payments through Payer Express, a trusted payment service. Your Payer Express log-in may be different from your Aetna secure member site log-in. You are now leaving our Medicare website.
How do you check what Medicare plan you have?
Visit the Check Your Enrollment page on Medicare.gov, the official website for Medicare. Fill out the requested information, including your zip code, Medicare number, name, date of birth and your effective date for Medicare Part A coverage or Part B coverage.
What is Aetna Medicare plan called?
Aetna Medicare Advantage D-SNPs Our dual-eligible Special Needs Plan (D-SNP) is a type of Medicare Advantage plan, available to people who have both Medicare and Medicaid. We can help you find out if you qualify.
Is Aetna Medicare the same as Aetna Medicare Advantage?
Both terms refer to the same thing. Instead of Original Medicare from the federal government, you can choose a Medicare Advantage plan (Part C) offered by a private insurance company. These plans include all of the benefits and services of Parts A and B. They may include prescription drug coverage as part of the plan.
Is Aetna Medicare Value PPO a Medicare Advantage plan?
Aetna Medicare Value (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.. Plan ID: H7301-007. Aetna Medicare Value (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc..
Is Aetna Medicare Part D?
Medicare prescription drug coverage (Part D) is offered through private insurance companies, like Aetna and SilverScript.
Is SilverScript now Aetna?
SilverScript is now part of Aetna Medicare Access and print plan documents. Pay your premium. Check drug coverage.
Is Aetna direct a Medicare Advantage plan?
Aetna Direct is not Medicare, but it works seamlessly with Medicare to coordinate your coverage. With Aetna Direct, you get money-saving features — low plan premiums, low out-of-pocket costs and a fund to help pay for prescriptions or Medicare Part B premiums.
Does Aetna have a Part D plan?
Aetna offers three standalone Part D prescription drug plans: SilverScript Smart Rx. SilverScript Choice. SilverScript Plus.
Is Aetna Medicare elite an Advantage plan?
Aetna Medicare Elite Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.. Plan ID: H5521-118.
Is Aetna Medicare Premier plus an Advantage plan?
Aetna Medicare Premier Plus (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.. Plan ID: H5521-272.
What is an Aetna PPO plan?
PPO: The plan with the most freedom A Preferred Provider Organization (PPO) has pricier premiums than an HMO or POS. But this plan allows you to see specialists and out-of-network doctors without a referral. Copays and coinsurance for in-network doctors are low.
Is Medicare PPO the same as Medicare Advantage?
There are differences between Medicare Advantage plans. The specific structure of the plan you choose dictates how much you pay for care and where you can seek treatment. HMO plans limit you to a specific network of providers, while PPO plans offer lower rates to beneficiaries who seek care from a preferred provider.
How long does Medicare AEP last?
The Medicare AEP lasts from October 15 to December 7 every year. During this time, Medicare beneficiaries may do any of the following: Change from Original Medicare to a Medicare Advantage plan. Change from Medicare Advantage back to Original Medicare. Switch from one Medicare Advantage plan to another.
What is an annual review of Medicare?
An annual review of your Medicare coverage can help you determine if your plan combination is right for your needs. For example, if you’re spending a considerable amount of money on prescription drugs, a Medicare Part D plan or a Medicare Advantage plan with prescription drug coverage may be something to consider.
What are the benefits of Medicare Advantage?
Most Medicare Advantage plans offer additional benefits not covered by Original Medicare, such as dental, vision and prescription drug coverage. Medicare Part D provides coverage for prescription medications, which is something not typically covered by Original Medicare.
What is Medicare Part B?
Medicare Part B is medical insurance and provides coverage for outpatient appointments and durable medical equipment. Part B is optional, but is required for anyone wanting to enroll in Medicare Part C, Part D or Medicare Supplement Insurance. Part A and Part B are known together as “Original ...
Is Medicare Part A and Part B the same?
Part A and Part B are known together as “Original Medicare.”. Medicare Part C, also known as Medicare Advantage, provides all the same benefits as Medicare Part A and Part B combined into a single plan sold by a private insurance company.
I have Original Medicare only
I’ve enrolled in Medicare but haven’t signed up for additional coverage. Help me learn about out-of-pocket costs Original Medicare may not cover
I have a Medicare Advantage plan
I have Medicare Advantage with or without drug coverage. Help me understand if this is still the right choice for me.
I have a different Medicare plan
I have Medicare coverage but am taking a new look at my options. Help me learn more about what's available and find a plan that's right for me.
Understanding Original Medicare
Learn about Original Medicare, what it covers, and how to choose the right option for additional coverage that best matches your health needs.
Understanding Medicare Part D
Learn what you need to know about Medicare prescription drug plans (Part D) before you choose the coverage that’s right for you.
Compare your Medicare options
In order to get the most out of Medicare, you need to understand the relationship among its parts. Check out our coverage comparison chart to learn how the parts of Medicare can be combined to give you the coverage that best fits your health needs.
How to control your Medicare costs
Frankie Satterfield-Vaughn has more than two decades of experience helping people budget for Medicare costs. Listen to her share some of her best insider tips.
Need help paying for Medicare?
You’ve earned each and every benefit associated with Medicare. But if you think you can’t afford it, help may be available. Learn more about Medicare Savings Programs, Medicaid and other forms of financial assistance for your health care costs.
How I did it: staying fit
Donna Innamorati works out four days a week with her SilverSneakers ® fitness benefit. She rarely gets sick and has the strength and endurance to live a full life. Learn more about how she’s an inspiration to others who want to adopt an active lifestyle.
When to enroll in Medicare
Turning 65 may be important when it comes to Medicare, but you’ll need to keep track of several other key dates. Learn more about the enrollment periods that cover everything from signing up for the first time to making changes to your Medicare plan.
Choosing the right plan
Asking the right questions will help you choose the Medicare plan that best fits your needs. Here are some questions to help you get started.
Understanding Original Medicare
Learn about Original Medicare, what it covers, and how to choose the right option for additional coverage that best matches your health needs.
Understanding Medicare Part D
Learn what you need to know about Medicare prescription drug plans (Part D) before you choose the coverage that’s right for you.
Is Medicare Advantage right for you?
Medicare Advantage plans offer 3 advantages: cost, coverage and convenience. Learn more about Medicare Advantage plans and see if they are right for you.
What do the parts of Medicare cover?
In order to get the most out of Medicare, you need to understand the relationship among its parts. Check out our coverage comparison chart to learn how the parts of Medicare can be combined to give you the coverage that best fits your health needs.
Medicare Star Ratings: 5 things to know
When it comes to choosing a Medicare Advantage or prescription drug plan, it may seem like you have an abundance of options. The Medicare Star Ratings system is a useful tool to help you decide the best plan to fit your needs.
Research Medicare benefits
A satisfied Medicare member shares advice on what to focus on when researching plans.
Your member website
When you create an account, you get your own personalized information. You can use it to:
New members start here
The first 30 days of being a new Aetna Medicare member are important. So, we made a Looking Ahead Brochure. It includes all the information you need to get started with your health plan.
Health is a journey
A good journey needs a good guide, and our Quick Start Guide can help you on your way. It’s full of useful terms and definitions, benefit overviews and helpful contact information.
Search providers and prescription drugs
It’s always a good idea to find out what is and isn’t covered by your plan. Use the links below to search for specific doctors and medicines.
Your everyday health products are covered
Members have a quarterly allowance to buy a wide range of certain over-the-counter (OTC) medicines and health and wellness products. Watch our OTC video to learn more about your allowance.
How your plan works
We encourage you and your loved ones to look at some useful resources that go over the complete details of your plan.
Healthy foods card benefit for members beginning January 2022
New in 2022, D-SNP members in most plans will receive a monthly allowance card to spend on healthy foods at approved stores.
