Speak with a licensed insurance agent*
Using the Aetna® Medicare formulary
At a glance
- Low or $0 monthly premium plans
- Plans may include prescription drug coverage and vision, hearing, or dental benefits
- Over 4.1 million people are enrolled in an Aetna Medicare Advantage plan1
Enrollment may be limited to certain times of the year. See why you may be able to enroll.
A Medicare formulary is a list of medications that are covered by a Medicare plan. A formulary includes details about:
- How each drug is covered
- Any limits and requirements your plan may have for the drug
You can get Aetna® Medicare prescription drug coverage when you enroll in an Aetna Medicare Advantage plan that offers prescription drug coverage (MAPD).
What drugs are covered by Aetna Medicare plans?
An Aetna formulary typically lists drugs grouped by the types of medical conditions they are used to treat. It also lists them in alphabetical order.
To find out which drugs are covered by Aetna Medicare plans in your area, you can speak with a licensed insurance agent. You can reach one by calling 1-862-286-9770 (TTY: 711) 24 hours a day, 7 days a week.*
A licensed insurance agent can use Aetna Medicare plan formularies to help you find Aetna Medicare prescription drug coverage that fits your needs.
What are the drug tier copay levels in a formulary?
A Medicare formulary organizes prescription drugs into tiers. Your copay for each drug may differ based on the tier in which the drug fits.
The amount you pay can vary from one Aetna Medicare plan to another. So be sure to check your plan’s Summary of Benefits or Evidence of Coverage. There, you’ll find the copay or coinsurance amounts you can expect for the plan year.
The formulary tiers are as follows:
- Tier 1: Preferred Generic
- Tier 2: Generic
- Tier 3: Preferred Brand
- Tier 4: Non-Preferred Drug
- Tier 5: Specialty
Generally speaking, lower-cost drugs appear on lower tiers.
Does Aetna offer mail order prescription drug coverage?
Some drugs on an Aetna Medicare plan formulary may be eligible for home delivery through CVS Caremark® Mail Service Pharmacy.
You can typically get up to a 3-month supply for most long-term medications through this mail-order delivery service. Prescriptions usually arrive within 7 to 10 days.
Some medications aren’t available through mail-order delivery. You can check your plan’s formulary to see which drugs are available.
How can I get Aetna Medicare prescription drug coverage?
You can receive Aetna Medicare prescription drug coverage by enrolling in an Aetna Medicare Advantage plan that includes prescription drug coverage (MAPD).
Plans are available with low copay amounts for Tier 1 and Tier 2 drugs.
Medicare Advantage plans provide Original Medicare (Part A and Part B) benefits combined into a single plan.
Aetna Medicare Advantage plans include additional benefits, such as dental, vision and hearing benefits.
Medicare Advantage plans from Aetna may also include an over-the-counter (OTC) benefit. This benefit covers certain items such as vitamins and cold medicine at no additional cost to you.
To learn more about your Aetna Medicare plan options or to enroll in an Aetna Medicare plan that includes prescription drug coverage, speak with a licensed insurance agent. You can reach one by calling 1-862-286-9770 (TTY: 711) 24 hours a day, 7 days a week.*
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