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Caregiver Resources Contact us Caregiver Resources Contact us Search Policies, procedures and forms Policies, procedures and forms File claims & reimbursements Coverage decisions, appeals and grievances Give someone permission to manage your care Accessing benefits during a disaster or emergency Change your address or phone number Manage your plan Get an ID card opens in secure site Check your claims opens in secure site Change address or phone Plan benefits Wellness Wellness Flu shots Health tools Manage your health Resources For Living ® Stay well: Mental health matters High blood pressure Avoiding falls at home Caregiver resources Telehealth Ask a nurse Healthy Home Visit Lifestyle magazine Medicare Myths Manage your plan Get an ID card opens in secure site Check your claims opens in secure site Change address or phone Plan benefits Find doctors & prescription drugs Find a doctor or provider Find a doctor, provider or hospital Select or change your doctor Quality improvement initiative Prescription drugs Check our drug list Find a pharmacy Mail order pharmacy Medication Therapy Management Extra help paying for prescriptions Manage your plan Get an ID card opens in secure site Check your claims opens in secure site Change address or phone Plan benefits About Medicare Ready for Medicare? Learn more about Medicare The parts of Medicare Glossary Member testimonials Manage your plan Get an ID card opens in secure site Check your claims opens in secure site Change address or phone Plan benefits Login/Register Back toNavigation load Policies, procedures and forms Menu load Wellness Menu load Find doctors & prescription drugs Menu load About Medicare Menu Login/Register Policies, procedures and forms load Policies, procedures and forms menu Policies, procedures and forms File claims & reimbursements Coverage decisions, appeals and grievances Give someone permission to manage your care Accessing benefits during a disaster or emergency Change your address or phone number Manage your plan Manage your plan Get an ID card Check your claims Change address or phone Plan benefits Wellness load Wellness menu Wellness Flu shots Health tools Manage your health Resources For Living ® Stay well: Mental health matters High blood pressure Avoiding falls at home Caregiver resources Telehealth Ask a nurse Healthy Home Visit Lifestyle magazine Medicare Myths Manage your plan Manage your plan Get an ID card Check your claims Change address or phone Plan benefits Find doctors & prescription drugs load Find a doctor or provider menu Find a doctor or provider Find a doctor, provider or hospital Select or change your doctor Quality improvement initiative load Prescription drugs menu Prescription drugs Check our drug list Find a pharmacy Mail order pharmacy Medication Therapy Management Extra help paying for prescriptions Manage your plan Manage your plan Get an ID card Check your claims Change address or phone Plan benefits About Medicare Ready for Medicare? load Learn more about Medicare menu Learn more about Medicare The parts of Medicare Glossary Member testimonials Manage your plan Manage your plan Get an ID card Check your claims Change address or phone Plan benefits Have a Medicare Advantage plan with a former employer, union or trust? This website provides you with tools and resources that can help you get the most value out of your group Medicare Advantage plan. Since retiree plans vary, it’s important to review the information from your former employer or plan sponsor. – Medicare Advantage plans can be medical only (MA) or include prescription drug coverage (MAPD). Be sure to check your plan documents to see if your plan includes prescription drug coverage or not. – Medicare Advantage plans are an alternative to Original Medicare and can be either HMO or PPO type plans. – Medicare Advantage plans also cover services such as a fitness benefit, vision, and/or hearing care. Review your plan documents to confirm which benefits and services are available to you. View a series of videos to help you learn more about group Medicare Advantage plans – what they are and how they work. GO TO: Select one option Prescription drug list Evidence of Coverage Star Ratings Virtual care Prescription drug list Evidence of Coverage Star Ratings Virtual care Manage your prescription Manage your prescription Our prescription drug list (formulary) shows: The drugs we cover The tier a drug is on Any limits or requirements before we cover the drug Mail order availability Refer to your plan documents to find out which formulary your prescription drug plan uses. You’ll need to know the formulary name and the number of tiers. You have two options to find this information: Already an Aetna ® member? Look in your Schedule of Cost Sharing. Haven’t enrolled yet? Review the Plan Benefit Summary. 2024 2023 2024 Loading, please wait Choose a 2024 formulary (drug list) name to see documents Plan Type Select Formulary Name Select Request a copy of your 2024 plan’s formulary 2023 Loading, please wait Choose a 2023 formulary (drug list) name to see documents Plan Type Select Formulary Name Select Request a copy of your 2023 plan’s formulary Important information There’s a lot more information on changes to our drug list (formulary), prior authorization, step therapy, quantity limits, exceptions and transition rules. Learn about drug list changes, special rules and more Read More Read Less Review Evidence of Coverage (EOC) Review Evidence of Coverage (EOC) Your EOC includes plan details and your rights and responsibilities. CHOOSE YOUR PLAN YEAR 2024 2023 Loading, please wait Choose an EOC from the list below to see the document EOC Select Request a copy of your 2022 plan’s Evidence of Coverage Loading, please wait Choose an EOC from the list below to see the document EOC Select Request a copy of your 2023 plan’s Evidence of Coverage Loading, please wait Choose an EOC from the list below to see the document EOC Select Request a copy of your 2024 plan’s Evidence of Coverage If applicable, Request or View a copy of your 2024 plan’s Schedule of Cost Sharing For some plans, you can request a copy of your Schedule of Cost Sharing along with your EOC. Just click on the link above. Read More Read Less Find Medicare Star Ratings for your plan Find Medicare Star Ratings for your plan 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 2023 2022 2023 Loading, please wait Select state and plan to see your 2023 Star Ratings State Select Plan Name Select 2022 Loading, please wait Select state and plan to see your 2022 Star Ratings State Select Plan Name Select Read More Read Less Virtual care Virtual care If you need after hours or weekend care, your plan also provides access to the following virtual care: Teladoc® : Allows you to speak to a licensed doctor by web, phone or mobile app 24/7 — usually within 15 minutes. MDLIVE® : Offers virtual behavioral health services with licensed therapists and board-certified psychiatrists by appointment and on demand 24/7. MinuteClinic Virtual Care™ : Allows you to speak with a licensed provider, 7 days a week. If you’re enrolled in an Aetna Medicare Advantage ESA or PPO plan through your former employer, trust or union, you can also access telehealth visits with out-of-network providers. They have to be Medicare eligible and willing to bill and receive payment from Aetna Medicare. If you’re in a PPO plan, it may cost you less if you use in-network providers. Read More Read Less Meet Gerry Meet Gerry Gerry uses the Aetna Medicare Advantage plan to help him live his best life — hear his retirement story and discover how you can do the same. Read More Read Less View transcript Gerald O’Hare Aetna Medicare Advantage member My...