In 2017 Aetna offers both PPO and HMO Medicare Advantage plans in the different California Counties.
- Aetna paid their very first Medicare claim in 1966.
- We’ve been in business for over 160 years.
- Aetna covers more than 43 million members throughout the United States.
Aetna Medicare Plans in the following Counties:
- Los Angeles (PPO & HMO)
- Orange (PPO & HMO)
- San Bernardino (PPO)
- San Diego (PPO & HMO)
- Riverside (PPO & HMO)
Medicare Advantage plans: • Are sometimes called Part C plans • Include everything that Original Medicare covers and may add other benefits like prescription drug coverage, fitness and more • Are offered by private companies approved by Medicare, like Aetna • Aren’t Medigap plans (Medicare Supplement plans).
The Annual Enrollment Period for 2017 starts October 15 and ends December 7 for a January 1 effective date.
Some of the terms you need to be aware of:
- Deductible ‐ The amount you must pay for health care or prescriptions before Original Medicare, your Medicare Advantage Plan, your prescription drug plan or your other insurance begins to pay.
- Copayment ‐ The amount you may have to pay as your share of the cost for a medical service or supply. This includes doctor visits, hospital outpatient visits or prescription drugs on the formulary. A copayment is a set amount, not a percentage. For example, you might pay $10 or $20 for a doctor’s visit or prescription drug.
- Coinsurance ‐ The amount you have to pay as your share of the cost for services or prescription drugs after you pay any deductible. Coinsurance is a percentage (like, 20%).
Some Aetna contracted pharmacies offer preferred cost sharing. We want you to pay the lowest price possible for your drugs. When you choose to get your drugs at one of these retail pharmacies, you’ll typically pay a lower amount. And with over 20,000 retail pharmacies with preferred cost‐sharing, finding one is easy. We also have many local independent pharmacies as well.
Albertsons, A‐S Medication Solutions LLC, Bi‐Lo, Brookshire Grocery, Cardinal MCC, Coborns, Costco, Giant Eagle, HEB, Hy‐Vee, Kroger, Meijers, Publix, Quick Check, Save‐mart, Shopko, Super Valu Pharmacies, Thrifty White, Walgreens, Walmart, Wegmans.
Aetna offers you special programs to help you keep up your good health:
- Informed Nurse Line (24‐hour access to a registered nurse for health information)
- Nurse case manager
- Nurse health coaches
- An in‐home health assessment at no extra cost to you
- Fitness benefits
I’m here to help …
Just call me or the Member Services number on your plan ID card. I can help you with: Your claims • Your benefits • Using your plan • Changing plans and help with Medicare Part D comparisons.
Enroll … Print the Application, then fax the completed form to 916-258-0296 for processing. If you cannot print from your computer, I will be happy to mail the enrollment kit to you.