We’re so grateful that you’re an Aetna Medicare Advantage member. We value your trust in us to provide coverage for your health care needs. Here is a handy reference list for how to find your plan information and the number to call with questions about your benefits.
We’re committed to help you better understand and use your plan benefits.Here is a handy reference list for how to find your plan information and the number to call with questions about your benefits.
Member Services
Want to know what your coverage is for eye exams, acupuncture, prescription drugs, lab tests or a colonoscopy? Or need to know the status of a recent claim? Your Aetna Medicare Member Services team can answer questions about your plan, benefits or claims.Just call 1-833-570-6670 (TTY: 711) between 8 AM and 8 PM, 7 days a week.
Need help filing a claim?
Log in to your secure member website to file a claim, check on a claim status, file an appeal and more.
Your plan web page
Your plan web page is a quick and helpful overview of your health care plan and what it covers. You can easily access the page that corresponds with your plan by typing in the URL on your member ID card. You can also use your smartphone or tablet camera to scan the QR code on your ID card. No need to log in!
You can also find PDFs of important documents on your plan web page, including your Evidence of Coverage(EOC) and formulary, or drug list. You’ll see links to forms that can help you get reimbursed and manage your care. For instance, you’ll find documents for releasing information to a caregiver or another health care provider and for mail-order prescriptions.
To see if your provider is in your plan’s network, you have two options. You can click on ”Members” or at the top of your plan web page. Or you can scroll down the page to the “Helpful resources” section and look for ”Find a doctor.” There are also links to “Find a dentist” and “Find a pharmacy.” From here, you can search a current doctor’s name or pharmacy location, or find a new doctor, dentist or pharmacy by entering your ZIP code.
Secure member website
Your secure member website offers many of the same features. But this site also includes personal details about your coverage. You can download and print your member ID card, a record of your payments, a history of your claims, and prior authorization status. You can also search for providers and pharmacies in your area.
To explore all the resources on your secure member website, go to AetnaMedicare.com/Login.
Check your coverage
Log in to your secure member website at AetnaMedicare.com/Login to check your plan benefits and costs.
Look for your Annual Notice of Change (ANOC)
The annual enrollment period (AEP) is the time of year when you can make changes to your Medicare coverage. The great news is that if you’re happy with your plan and your Aetna Medicare Advantage benefits, you don’t need to do anything. Your plan will automatically renew starting January 1.
In the meantime, be on the lookout for your Annual Notice of Change, or ANOC. It will arrive in the mail. This will let you know how your health plan may be changing next year. Have questions? We’re happy to answer them! Call Member Services at 1-833-570-6670 (TTY: 711) from 8 AM to 8 PM, 7 days a week.
Need to find an in-network doctor?
VisitAetnaMedicare.com/FindProvideror call Member Services at1-833-570-6670 (TTY: 711) between 8 AM and 8 PM, 7 days a week.
For language services, please call the number on your member ID card and request an operator. For other language services: Español | 中⽂ | Tiếng Việt | 한국어 | Tagalog | Pусский | ةيبرعلا| | Kreyòl | Français | Polski | Português | Italiano | Deutsch | ⽇本語 | فارسی | Other languages…
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.
Participating health care providers are independent contractors and are neither agents nor employees of Aetna. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change.
The formulary and/or pharmacy network may change at any time. You will receive notice when necessary.
The CVS Health discount is for use by Aetna Medicare Advantage members only. You may be asked to show your Aetna insurance card at checkout. Aetna is part of the CVS Health® family of companies. 20% off Select CVS Health Brands. Excludes sale and promo items, alcohol, tobacco, firearms, prescriptions and co-pays, pseudoephedrine/ephedrine products, pre-paid, gift cards. Not combinable with other orders or supplemental benefits. 20% discount is not valid on other CVS brands such as CVS Pharmacy, Beauty 360®, CVS, Gold Emblem® or Gold Emblem abound®. CVS reserves the right to apply the 20% discounts to qualifying items in any order within the transaction. Not valid on orders placed on CVS.com/Photo or CVS Optical®. Savings are not transferable. No cash back. Tax charged on pre-coupon price where required.
Vendors order Value-Added Items and Services (VAIS) at a discount that are not part of your plan’s benefits. You will pay the full cost of discounted services not covered under your plan.
For mail-order, you can get prescription drugs shipped to your home through the network mail-order delivery program. Typically, mail-order drugs arrive within 14 days. You can call at the number on your member ID card if you do not receive your mail-order drugs within this timeframe. [Members may have the option to sign-up for automated mail-order delivery.
Aetna and CVS Caremark® Mail Service Pharmacy are part of the CVS Health® family of companies.
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