The answer to whether your doctor will accept your Aetna Medicare Advantage (also called Medicare Part C) plan depends on the specific plan you’re enrolled in and whether your doctor is in your plan’s network.
Aetna networks include close to 1.2 million health care professionals, over 690,000 primary care doctors and specialists and over 5,700 hospitals.1
Seven percent of all Medicare Advantage enrollees in 2017 were enrolled in an Aetna Medicare plan. This accounts for over 1 million Medicare Advantage plan beneficiaries.2
If you’re enrolled in an Aetna Medicare Advantage plan, you’re likely a member of an:
Each type of plan has different network rules. No matter which Aetna Medicare Advantage plan you choose, be sure to ask your doctor or health care provider if they accept the terms of your plan before seeking care.
Aetna Medicare Plans (HMO) have a contracted provider network. This means that you have access to tens of thousands of health care providers across the United States who are in your plan network.
Aetna Medicare Open Access Plans (HMO) give you access to tens of thousands of network health care providers nationwide. In-network coverage is also available when you travel, and you are not required to seek a referral from your primary care physician to see a specialist.
Aetna Medicare Prime Plans (HMO) require you to use providers from your local provider network, except for out-of-network renal dialysis, urgent care or emergency situations.
Aetna Medicare Plans (PPO) give you the flexibility to visit providers that are both in-network and out-of-network. Your out-of-pocket costs for receiving care are typically lower when you visit an in-network provider.
Each year, the Centers for Medicare and Medicaid Services (CMS) release Star Ratings that measure the performance of Medicare Advantage plans.3
For 2018, Aetna Medicare Advantage Prescription Drug (MAPD) plans earned an overall weighted average rating of 4 out of 5 stars. And 87% of Aetna Medicare plan members are enrolled in plans with a rating of 4 stars or higher.4
You can speak with a licensed insurance agent to find out what Aetna Medicare Advantage plans are offered in your area and to learn more about whether your health care provider is in that plan’s network.
Speak with a licensed insurance agent by calling TTY users: 711 24 hours a day, 7 days a week.
1 www.aetna.com/about-us/aetna-facts-and-subsidiaries/aetna-facts.html.
2 Jacobson, Gretchen; Damico, Anthony; Neuman, Tricia; Gold, Marsha. Medicare Advantage 2017 Spotlight: Enrollment Market Update. (Jun. 06, 2017). Kaiser Family Foundation. Retrieved from https://www.kff.org/medicare/issue-brief/medicare-advantage-2017-spotlight-enrollment-market-update.
3 Every year, Medicare evaluates plans based on a 5-star rating system.
4 Medicare Star Ratings released Oct. 11, 2017. https://www.aetnamedicare.com/en/compare-plans-enroll/star-ratings.html.
The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent/producer or insurance company.
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.
This information is not a complete description of benefits. Call TTY Users: 711 for more information.
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.
Out-of-network/non-contracted providers are under no obligation to treat Aetna members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
You must continue to pay your Medicare Part B premium.
The Part B premium is covered for full-dual members (those who have both Medicare and Medicaid, and meet the state’s requirements for full Medicaid benefits).
The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
Aetna Medicare’s pharmacy network includes limited lower cost, preferred pharmacies in applicable areas. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including pharmacies with preferred cost sharing, members please call the number on your ID card, non-members please call 1-855-338-7027 (TTY: 711) or consult the online pharmacy directory at http://www.aetnamedicare.com/pharmacyhelp.
Medicare beneficiaries may also enroll in an Aetna Medicare plan through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
For up-to-date information about our network pharmacies, including pharmacies with preferred cost sharing, members please call the number on your ID card, non-members please call 1-855-338-7027 (TTY: 711) or consult the online pharmacy directory at http://www.aetnamedicare.com/pharmacyhelp.
Medicare has neither reviewed nor endorsed this information.
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Copyright 2018 TZ Insurance Solutions LLC. All rights reserved.
The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent/producer or insurance company.
MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC is a licensed and certified representative of A Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. Enrollment in any plan depends on contract renewal.
TZ Insurance Solutions LLC and the licensed sales agents that may call you are not connected with or endorsed by the U.S. Government or the federal Medicare program. This website does not contain a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call (877) 486-2048), 24 hours a day / 7 days a week or consult www.medicare.gov.
Not all plans or products are available in all markets. Additional plans may be available in your service area.
We comply with applicable Federal civil rights laws and do not discriminate, exclude or treat people differently based on their race, color, national origin, sex, age, or disability. We provide free aids/services to people with disabilities and to people who need language assistance. If you need a qualified interpreter, written information in other formats, translation or other services, contact the phone number on your member identification card. If you believe we have failed to provide these services or otherwise discriminated based on a protected class noted above, you can file a grievance in writing with our Grievance Department (write to the address listed in your Evidence of Coverage) or by phone by calling the phone number on your member identification card (TTY: 711). You can also file a grievance by contacting our Civil Rights Coordinator by phone at 1-855-348-1369, by email at MedicareCRCoordinator@aetna.com. You may file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, or at 1-800-868-1019, 800-537-7697 (TDD).
TTY: 711
ENGLISH:
ATTENTION: If you speak a language other than English, free language assistance services are available. Visit our website at www.aetnamedicare.com or call the phone number on your member identification card.
ESPAÑOL (SPANISH):
ATENCIÓN: Si usted habla español, se encuentran disponibles servicios gratuitos de asistencia de idiomas. Visite nuestro sitio web en www.aetnamedicare.com o llame al número de teléfono que se indica en su tarjeta de identificación de afiliado.
简体中文(CHINESE):
请注意：如果您说中文，您可以获得免费的语言援助服务。访问我们的网站www.aetnamedicare.com 或致电您会员卡上的电话号码。
TAGALOG (TAGALOG - FILIPINO):
PAUNAWA: Kung nagsasalita ka ng Tagalog, may makukuhang libreng tulong na serbisyo para sa wika. Puntahan ang aming website sa www.aetnamedicare.com o tawagan ang numero ng telepono sa inyong ID kard ng miyembro.
FRANÇAIS (FRENCH):
ATTENTION : Si vous parlez le français, des services gratuits d’aide linguistique sont disponibles. Visitez notre site Web à l’adresse www.aetnamedicare.com ou appelez le numéro de téléphone figurant sur votre carte d’adhérent.
TIẾNG VIỆT (VIETNAMESE):
LƯU Ý: Nếu quý vị nói tiếng Việt, chúng tôi có sẵn dịch vụ hỗ trợ ngôn ngữ miễn phí. Xin truy cập trang web của chúng tôi tại www.aetnamedicare.com hoặc gọi số điện thoại ghi trên thẻ chứng minh thành viên của quý vị.
DEUTSCH (GERMAN):
ACHTUNG: Wenn Sie deutsch sprechen, steht ein kostenloser Dolmetscherservice zur Verfügung. Besuchen Sie unsere Website unter www.aetnamedicare.com oder rufen Sie unter der auf Ihrem Mitgliedsausweis aufgeführten Telefonnummer an.
한국어 (KOREAN):
주의: 한국어를 하시는 분들을 위해 무료 통역 서비스가 제공됩니다. www.aetnamedicare.com에서 웹사이트를 방문하거나 귀하의 회원 ID 카드에 제공된 전화번호로 문의해 주시기 바랍니다.
РУССКИЙ (RUSSIAN):
ВНИМАНИЕ: Если вы говорите по-русски, вы можете воспользоваться нашими бесплатными услугами переводчиков. Посетите наш веб-сайт по адресу www.aetnamedicare.com или позвоните по телефону, указанному на вашей карточке-удостоверении.
العربية(ARABIC):
تنبيه: إذا كنت تتحدث اللغة العربية، فإن خدمات المساعدة اللغوية سوف تتوفر لك مجانًا. تفضل بزيارة الموقع الإلكتروني الخاص بنا www.aetnamedicare.com أو اتصل برقم الهاتف الموجود على بطاقة هوية العضو الخاصة بك.
हिंदी(HINDI):
ध्यान दें: अगर आप बात करने में सक्षम हैं हिंदी, तो नि शुल्क भाषा सहायता सेवाएं उपलब्ध हैं। हमारी वेबसाइट www.aetnamedicare.com पर विजिट करें या अपने सदस्य पहचान कार्ड पर दिए गए फोन नंबर पर कॉल करें।
ITALIANO (ITALIAN):
ATTENZIONE: Se parli italiano, sono disponibili servizi di assistenza linguistica gratuiti. Visita il nostro sito web www.aetnamedicare.com o chiama il numero telefonico riportato sulla tua tessera personale.
PORTUGUÊS (PORTUGUESE):
ATENÇÃO: Se você fala português, serviços gratuitos de ajuda para esse idioma estão disponíveis. Visite nosso site www.aetnamedicare.com ou ligue para o número listado em seu cartão de identificação de associado.
KREYOL AYISYEN (FRENCH CREOLE):
ATANSYON: Si ou pale Kreyòl Ayisyen, gen sèvis èd gratis nan lang ki disponib pou ou. Ale sou sitwèb nou nan www.aetnamedicare.com oswa rele nimewo telefòn ki nan kat idantifikasyon manm ou.
POLSKI (POLISH):
UWAGA! Osoby mówiące po polsku, mogą skorzystać z bezpłatnych usług pomocy językowej. Proszę wejść na naszą stronę internetową www.aetnamedicare.com lub zadzwonić pod numer telefonu podany na karcie identyfikacyjnej członka.
日本語 (JAPANESE):
ご注意：日本語を話す方を対象に、無料の言語支援サービスを用意しております。当社ウェブサイトwww.aetnamedicare.comをご覧いただくか、会員カードに記載の電話番号までお電話ください。
SHQIP (ALBANIAN):
KUJDES: Nëqoftëse flisni shqip, shërbimet e ndihmës gjuhësore janë në dispozicion tuaj falas. Vizitoni Faqen tonë të Internetit në adresën: www.aetnamedicare.com ose telefononi në numrin e telefonit që paraqitet në kartën e identifikimit të anëtarësisë tuaj.
አማርኛ (AMHARIC):
ማሳሰቢያ: አማርኛ የሚናሩ ከሆነ፣ የነጻ የቋንቋ እርዳታ አገልግሎቶች ማግኘት ይችላሉ፡፡ ድረ ገጻችንን በ www.aetnamedicare.com ይጎብኙ ወይም በአባልነት መታወቂያዎት ላይ ያለውን ስልክ ቁጥር ይደውሉ፡፡
Հայերեն (ARMENIAN):
ՈՒՇԱԴՐՈՒԹՅՈՒՆ: Եթե դուք խոսում հայերեն, անվճար լեզվական օգնության ծառայությունները հասանելի են: Այցելեք մեր կայքը www.aetnamedicare.com կամ զանգահարեք հեռախոսահամարը Ձեր անդամ նույնականացման քարտը:
বাংলা (BENGALI):
মনোযোগ: যদি আপনি বাংলা ভাষায় কথা বলেন, তাহলে বিনামূল্যে ভাষা সহায়তা পরিষেবা উপলব্ধ আছে। আমাদের ওয়েবসাইট www.aetnamedicare.com ভিজিট করুন অথবা আপনার সদস্য পরিচয় পত্রে দেওয়া ফোন নম্বরে কল করুন।
ភាសាខ្មែរ (MON-KHMER, CAMBODIAN):
ប្រយ័ត្ន៖ ប្រសិនបើកអ្នកនិយាយ ភាសាខ្មែរ, សេវាជំនួយផ្នែកភាសាដោយមិនគិតឈ្នួលគឺអាចមានសំរាប់បំរើអ្នក។ សូមចូលមើលគេហទំព័ររបស់យើងនៅ www.aetnamedicare.com ឬទូរស័ព្ទមកលេខដែលមាននៅលើកាតសម្គាល់សមាជិករបស់អ្នក។
HRVATSKI (CROATIAN):
PAŽNJA: Ako govorite hrvatski, na raspolaganju su Vam besplatne jezičke usluge. Posjetite našu internetsku stranicu na www.aetnamedicare.com ili nazovite telefonski broj koji se nalazi na Vašoj osobnoj iskaznici člana.
Thoŋ Muɔnyjäŋ (Dinka):
MAAT ŊÏËC KU PÏŊ APƐI: Na yïn jam Thoŋ muɔnyjäŋ, kuɔny loiloi ë looi abec ye Dinka atɔ̈thïïn. Neem wɛpthäit da akïn www.aetnamedicare.com tëdä yuöp ye namba tɔ̈u ë kaan eyï ŋïc ke yï raandɛn.
NEDERLANDS (DUTCH):
LET OP: Als u Nederlands spreekt, is er gratis taalhulp beschikbaar. Bezoek onze website op www.aetnamedicare.com of bel met het telefoonnummer op uw lidmaatschapskaart.
ΕΛΛΗΝΙΚΑ (GREEK):
ΠΡΟΣΟΧΗ: Εάν μιλάτε ελληνικά, παρέχονται δωρεάν υπηρεσίες γλωσσικής βοήθειας. Επισκεφθείτε τον ιστότοπο www.aetnamedicare.com ή καλέστε το τηλέφωνο που αναγράφεται στην ταυτότητα μέλους σας.
ગુજરાતી (GUJARATI):
ધ્યાન આપશોઃ જો તમે ગુજરાતી બોલતા હો, તો ભાષા સહાયતા સેવાઓ મફતમાં ઉપલબ્ધ છે. અમારી વેબસાઇટ www.aetnamedicare.com જુઓ અથવા તમારા સભ્ય ઓળખ કાર્ડ પર આપેલા ફોન નંબર પર કૉલ કરો.
Hmoob (Hmong):
LUS CEEV: Yog koj hais lus Hmoob, muaj kev pab txhais lus pub dawb rau koj. Mus hauv peb tus website www.aetnamedicare.com lossis hu rau tus xov tooj nyob ntawm koj daim npav tswv cuab.
ພາສາລາວ (LAO):
ໝາຍເຫດ: ຖ້າທ່ານເວົ້າ <ພາສາລາວ> ແມ່ນມີບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາບໍ່ເສຍຄ່າໃຫ້. ເຂົ້າເບິ່ງເວັບໄຊທ໌ຂອງພວກເຮົາໄດ້ທີ່ www.aetnamedicare.com ຫຼື ໂທຫາເບີໂທລະສັບຢູ່ໃນບັດສະມາຊິກຂອງທ່ານ.
DINE’ (NAVAJO):
SHO’ DA’IINOOLTS’AA: Dine' k'eji ish yaaniilti? aajiike' ata'hane bil haaz'ah. Beesh lich’ii’bee alchi’i’ hane’i ee’koji’ www.aetnamedicare.com bichi’ a’dii liil, ee’doodaa’i’ bi’chi’hodiilni’ dii’ni’naaltsoos bee aa’ho’dziin a’ghii bi’kaa daas’dzo.
PENNSYLVANIA DEITCH (PENNSYLVANIA DUTCH):
BASS UFF: Wann du Pennsylvania Deitch schwetzcht kannscht du hilf griege in dei eegni schprooch innings as es dich enich eppes koschte zellt. Pshooch unsa website an www.aetnamedicare.com odda ruf die nummer uff dei ID Kaarte.
فارس (PERSIAN):
توجه: اگر به زبان فارسی صحبت میکنید٬ خدمات کمکهای زبانی به صورت رایگان به شما ارائه میشود. از وبسایت ما به نشانی www.aetnamedicare.com دیدن فرمایید و یا با شماره تلفن قید شده بر روی کارت شناسایی عضویت خود تماس بگیرید.
ਪੰਜਾਬੀ (PUNJABI):
ਧਿਆਨ ਦਿਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਦੇ ਹੋ, ਤਾਂ ਮੁਫ਼ਤ ਭਾਸ਼ਾ ਸਬੰਧੀ ਸਹਾਇਤਾ ਸੇਵਾਵਾਂ ਉਪਲਬਧ ਹਨ। ਸਾਡੀ ਵੈੱਬਸਾਈਟ www.aetnamedicare.com 'ਤੇ ਜਾਓ ਜਾਂ ਆਪਣੇ ਮੈਂਬਰ ਪਛਾਣ ਕਾਰਡ 'ਤੇ ਦਿੱਤੇ ਨੰਬਰ 'ਤੇ ਕਾਲ ਕਰੋ।
ATENŢIE: Dacă vorbești română, serviciile de asistență lingvistice sunt disponibile gratuit. Vizitează site-ul nostru la www.aetnamedicare.com sau sună la numărul de telefon de pe cardul de identificare de membru.
ܐܵܬܘܿܪܵܝܵܐ (SYRIAC):
ܢܘܼܗܵܪܵܐ؛ ܐܸܢ ܐܲܚܬܘܼܢ ܟܹܐ ܗܲܡܙܸܡܝܼܬܘܼܢ ܠܸܫܵܢܵܐ ܐܵܬܘܿܪܵܝܵܐ ، ܡܵܨܝܼܬܘܼܢ ܖܩܲܒܠܝܼܬܘܼܢ ܚܸܠܡܲܬܹܐ ܖܗܲܝܲܪܬܵܐ ܒܠܸܫܵܢܵܐ
www.aetnamedicare.com ܡܲܔܵܢܵܐܝܼܬ. ܡܵܨܝܼܬܘܼܢ ܖܚܵܙܝܼܬܘܼܠܲܢ ܒܫܘܿܦܵܐ ܐܲܠܹܟܬܪܘܿܢܵܝܵܐ
ܝܲܢ ܩܪܘܿܢ ܥܲܠ ܡܸܢܝܵܢܵܐܢ ܖܬܝܠܝܦܘܿܢ ܖܝܼܠܹܗ ܟܬܝܼܒܼܵܐ ܥܲܠ ܦܸܬܩܵܐ ܖܗܝܼܵܝܘܼܬܵܐ ܖܗܲܖܵܡܘܼܬܵܐ ܖܝܼܘܼܟܼ.
ภาษาไทย (THAI):
ข้อควรพิจารณา: หากคุณพูดภาษาไทย คุณสามารถใช้บริการช่วยเหลือด้านภาษาได้ฟรี โปรดเยี่ยมชมเว็บไซต์ของเราที่ www.aetnamedicare.com หรือติดต่อหมายเลขโทรศัพท์ที่ระบุไว้ในบัตรสมาชิกของคุณ
УКРАЇНСЬКА (UKRAINIAN):
УВАГА: якщо ви розмовляєте українською мовою, для вас доступні безкоштовні послуги перекладача. Відвідайте наш веб-сайт www.aetnamedicare.com, або зателефонуйте на номер, вказаний у вашому членському посвідченні.
ارد (URDU):
توجہ فرمائیں: اگر آپ ارد زبان بولتے ہیں، تو مفت لسانی معاونت کی سروسز دستیاب ہیں۔ www.aetnamedicare.com پر ہماری ویب سائٹ ملاحظہ کریں یا اپنے رکن شناختی کارڈ پر موجود فون نمبر پر کال کریں۔
עברית (YIDDISH):
שימו לב: אם אתם מדברים עברית, זמינים שירותי סיוע בשפה שלכם ללא תשלום. בקרו באתר האינטרנט שלנו www.aetnamedicare.com או התקשרו למספר הטלפון שמופיע על כרטיס החברות שלכם.
Last Updated 10/06/2018
Y0001_4037_13909_M
Accepted 10/2018