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Is your provider in the Aetna Medicare network?
Considering a new Aetna Medicare plan?
Changing providers and out-of-network help
How to change primary care providers (PCPs)?
You can select or change your PCP online through the secure member website. Or you can call us at the number on your member ID card. You may need to choose your PCP from your plan’s network.
What if a provider is not in network?
If your provider is not in network, your costs may be different. Some plans only cover care from in-network providers. Others plans may give you more flexibility. You can check your plan type and see what’s covered, what isn’t, and when exceptions apply.
To learn more, visit our FAQ page and look for the question “What if my provider is not in the Aetna Medicare network?” under the "Managing my care with Aetna Medicare" section.
Provider directory helpNeed an Aetna Medicare provider directory?
Looking for Aetna Medicare providers? Use our provider directory to search for doctors, hospitals, and vision and dental providers that accept Aetna Medicare.
Do you want a printed copy? You can request one. Most printed versions include both English and Spanish text.
Do you need help in another language? You can call Member Services.
Available online provider directories (PDF):
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SANT FLORID Aetna Medicare Dual Select (HMO-DSNP)_H1609-046; Aetna Medicare Full Dual Select (HMO-DSNP)_H1609-089
SANT FLORID Aetna Medicare Dual Select (HMO-DSNP)_H1609-055; Aetna Medicare Full Dual Select (HMO-DSNP)_H1609-077NÒ FLORID Aetna Medicare Dual Select (HMO-DSNP)_H1609-045
NÒ FLORID Aetna Medicare Full Dual Select (HMO-DSNP)_H1609-074
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- NEW YORK市QUEENS區Aetna Medicare Enhanced (HMO)_H3312-081
- NEW YORK市 STATEN ISLAND Aetna Medicare Enhanced (HMO)_H3312-082
- NEW YORK市BROOKLYN區 Aetna Medicare Elite (PPO) _H5521-120; Aetna Medicare Elite Extra (PPO)_H5521-698; Aetna Medicare Enhanced (PPO)_H5521-661; Aetna Medicare Enhanced Extra (PPO)_H5521-664 Elite Enhanced Extra (PPO)_H5521-661
- NEW YORK市QUEENS區Aetna Medicare Elite (PPO) _H5521-120; Aetna Medicare Elite Extra (PPO)_H5521-698; Aetna Medicare Enhanced (PPO)_H5521-661; Aetna Medicare Enhanced Extra (PPO)_H5521-664 Elite Enhanced Extra (PPO)_H5521-661
- NEW YORK市 STATEN ISLAND Aetna Medicare Elite (PPO)_H5521-536
Stay on top of your health with yearly check-ins
Your annual visit is the time to catch small issues before they become big ones.
- Now that you have an Aetna® Medicare Advantage plan, it’s important you understand how to access the care and services you need.
- Here are a few important things that will help you get started.
- In your first 12 months of having Medicare Part B, you’re eligible for a one-time “Welcome to Medicare” visit with a doctor. There’s no charge to you for this visit. This visit will help establish your baseline health and can help catch health problems early. It includes a review of your medical and social history, a brief checkup and medication review. It ensures you’re up to date with necessary screenings, shots and other preventive services.
- Another program available at no cost to you is an annual Healthy Home Visit (HHV). This program allows a licensed Nurse Practitioner or board-certified physician to visit you in your own home. These visits can include discussions about your health, a non-invasive physical exam, medication review and discussions about health resources. These visits are also available virtually. This program doesn’t replace your relationship with your personal doctor. Instead, it helps us work with your primary care physician to manage your care. And it enables us to direct you to the health programs and services you need.
- In the years that follow your Welcome to Medicare visit, you’re eligible for an Annual Wellness Visit. This visit is free of charge if you’ve had Medicare Part B for longer than 12 months and you haven’t had a “Welcome to Medicare” or annual wellness visit within the past 12 months. This wellness visit involves some of the same preventive screenings as the “Welcome to Medicare” visit. It also includes testing for cognitive impairment, education about additional preventive services and developing a personalized prevention plan.
- Take advantage of these wellness visits. They’re a good time to catch emerging health issues early. And, if necessary, these visits can give you and your doctor the opportunity to set up long-term treatment plans.
- If you still have Medicare questions, please give us a call or visit AetnaMedicare.com to learn more.
Find the right place for the care you need
Different symptoms call for different kinds of care. If it’s a minor illness or injury, start with your doctor or urgent care.
Do you have sudden chest pain or trouble breathing? Go to the emergency room (ER) or call 911.
Questions?We’ve got answers
Need help with Aetna Medicare enrollment?
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Member Services
Aetna members have access to contact information and resources specific to their plans.