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Aetna Medicare Disclaimers

Aetna Medicare is a HMO, PPO plan with a Medicare contract. Our D-SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal.

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.

Every year, Medicare evaluates plans based on a 5-star rating system.

For accommodations of persons with special needs at meetings, call 1-833-251-9949 ${tty}.

The Aetna Medicare pharmacy network includes limited lower cost, preferred pharmacies in: Rural Nebraska, Rural North Dakota, Suburban West Virginia, Urban Kansas, Urban Missouri. 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 whether there are any lower-cost preferred pharmacies in your area, members please call the number on your ID card, non-members please call 1-855-338-7027 ${tty} or consult the online pharmacy directory.

For CY 2026 Network P1 (Aetna MAPD)

  • Rural Nebraska
  • Rural North Dakota
  • Suburban West Virginia

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 7 to 10 days. Please call the phone number listed 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.

CVS Caremark Mail Service Pharmacy is not available in Arkansas.

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.

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.

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.

The formulary and/or pharmacy network, may change at any time. You will receive notice when necessary.

SilverScript is a Prescription Drug Plan with a Medicare contract marketed through Aetna Medicare. Enrollment in SilverScript depends on contract renewal.

Aetna®, CVS Pharmacy® and MinuteClinic®, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are part of the CVS Health® family of companies.

To send a complaint to Aetna, call the Plan or the number on your member ID card. To send a complaint to Medicare, call 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week). If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance.

Members within the state of California are automatically enrolled with Manifest MedEx, which allows their doctor to view medical records to provide the best care. Members can opt out of being enrolled in this service through Manifest MedEx’s website at http://manifestmedex.org/opt-out/ or by calling Manifest MedEx at 1-800-490-7617.

Aetna is the brand name for insurance products issued by the subsidiary insurance companies controlled by Aetna, Inc. The Medicare Supplement Insurance Plans are insured by Continental Life Insurance Company of Brentwood, Tennessee, an Aetna Company (Aetna), American Continental Insurance Company (Aetna), Aetna Health and Life Insurance Company (Aetna), Aetna Life Insurance Company (Aetna), or Aetna Health Insurance Company (Aetna).

Not connected with or endorsed by the U.S. Government or the Federal Medicare Program.


This is a solicitation of insurance. Contact may be made by a Licensed Insurance Agent or Insurance Company. The Medicare Supplement Insurance Plans are guaranteed renewable as long as the required premium is paid by the end of each grace period. The policies have exclusions, limitations, terms under which the policy may be continued in force or discontinued. Plans do not pay benefits for any service and supply of a type not covered by Medicare, including but not limited to dental care or treatment, eyeglasses and hearing aids. See Plan documents for a complete description of benefits, exclusions, limitations and conditions of coverage. AN OUTLINE OF COVERAGE IS AVAILABLE UPON REQUEST. In some states, Medicare Supplement Insurance Plans are available to under age 65 individuals that are eligible for Medicare due to disability or ESRD (end stage renal disease). Plans not available in all States.

Important notice: In Colorado: All Medicare Supplement standardized plans are offered to qualified individuals under 65.


Policy forms issued in OR include CLIMSP10A OR, CLIMSP10B OR, CLIMSP10F OR, CLIMSP10HF OR, CLIMSP10G OR, and CLIMSP10N OR. In ID, include AHLMSP17A ID, AHLMSP17B ID, AHLMSP17F ID, AHLMSP17HF ID, AHLMSP17G ID, and AHLMSP17N ID. In OK, include AHIMSP18A OK, AHIMSP18B OK, AHIMSP18F OK, AHIMSP18HF OK, AHIMSP18G OK, and AHIMSP18N OK. In TN, include CLIMSP19A TN, CLIMSP19B TN, CLIMSP19F TN, CLIMSP19G TN, CLIMSP19HG TN, and CLIMSP19N TN. In FL, include CLIMSP19A FL, CLIMSP19B FL, CLIMSP19F FL, CLIMSP19G FL, and CLIMSP19N FL. In OH, include CLIMSP19A OH, CLIMSP19B OH, CLIMSP19F OH, CLIMSP19G OH, CLIMSP19HG OH, and CLIMSP19N OH. In MO, AHLMSP18A MO, AHLMSP18B MO, AHLMSP18F MO, AHLMSP18G MO, AHLMSP18HF MO, and AHLMSP18N MO. In MD, AHIMSP19A MD, AHIMSP19B MD, AHIMSP19F MD, AHIMSP19G MD, AHIMSP19HG MD, and AHIMSP19N MD. IN NH, AHLMSP18A NH, AHLMSP18B NH, AHLMSP18F NH, AHLMSP18HF NH, AHLMSP18G NH, AHLMSP18N NH. In VA, CLIMSP19A VA, CLIMSP19B VA, CLIMSP19F VA, CLIMSP19G VA, CLIMSP19HG VA, and CLIMSP19N VA.

Wyoming offers an additional guaranteed issue period to eligible Medicare Supplement policyholders, beginning annually on the insured's birthday, ending sixty-three days after the insured's birthday.

Plan F is available only to those first eligible before January 1, 2020.

Medicare Supplement rates based on issue age are valid only for enrollments with coverage starting before March 1, 2022.

 

HOW TO FILE A GRIEVANCE

 

If you believe that Aetna Medicare Preferred Plan (HMO D-SNP) has failed to provide these services or unlawfully discriminated in another way on the basis of sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity, or sexual orientation, you can file a grievance with Aetna Medicare Grievances. You can file a grievance by phone, in writing, in person, or electronically:

 

  • By phone: Contact Aetna Medicare Grievances between 8 AM to 8 PM, 7 days a week, by calling 1-866-409-1221. Or, if you cannot hear or speak well, please call TTY/TDD 711.
  • In writing: Fill out a complaint form or write a letter and send it to:

    Aetna Medicare Grievances
    PO Box 14834 Lexington, KY 40512


  • In person: Visit your doctor’s office or AETNA BETTER HEALTH OF CALIFORNIA INC and say you want to file a grievance.
  • Electronically: Visit AETNA BETTER HEALTH OF CALIFORNIA INC website at AetnaMedicare.com

 

 

OFFICE OF CIVIL RIGHTS – CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES

 

You can also file a civil rights complaint with the California Department of Health Care Services, Office of Civil Rights by phone, in writing, or electronically:

 

  • By phone: Call 916-440-7370. If you cannot speak or hear well, please call 711 (Telecommunications Relay Service).
  • In writing: Fill out a complaint form or send a letter to:

    Deputy Director, Office of Civil Rights
    Department of Health Care Services
    Office of Civil Rights
    P.O. Box 997413, MS 0009
    Sacramento, CA 95899-7413

    Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
  • Electronically: Send an email to CivilRights@dhcs.ca.gov.

 

 

OFFICE OF CIVIL RIGHTS – U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

If you believe you have been discriminated against on the basis of race, color, national origin, age, disability or sex, you can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights by phone, in writing, or electronically:

 

 

English

ATTENTION: Language assistance services and other aids, free of charge, are available to you. Call 1-833-220-0349 for TTY/TDD services, call ${tty}.

 

Spanish

ATENCIÓN: Dispone de servicios de asistencia lingüística y otras ayudas, gratis. Llame al 1-833-220-0349 for TTY/TDD services, call ${tty}.

 

Chinese

请注意:您可以免费获得语言协助服务和其他辅助服务。请致电 1-833-220-0349 for TTY/TDD services, call ${tty}。

 

Arabic

 

ملاحظة: خدمات المساعدة اللغوية والمساعدات الأخرى المجانية متاحة لك. اتصل بالرقم 1-833-220-0349 for TTY/TDD services, call ${tty}.

 

Korean

주의: 언어 지원 서비스 및 기타 지원을 무료로 이용하실 수 있습니다.

1-833-220-0349 for TTY/TDD services, call ${tty} 번으로 연락해 주십시오.

 

Russian

ВНИМАНИЕ! Вам доступны бесплатные услуги переводчика и другие виды помощи. Звоните по номеру 1-833-220-0349 for TTY/TDD services, call ${tty}.

Italian

ATTENZIONE: Sono disponibili servizi di assistenza linguistica e altri ausili gratuiti. Chiamare il 1-833-220-0349 for TTY/TDD services, call ${tty}.

 

French

ATTENTION: Des services d’assistance linguistique et d’autres ressources d’aide vous sont offerts gratuitement. Composez le 1-833-220-0349 for TTY/TDD services, call ${tty}.

 

French Creole

ATANSYON: Gen sèvis pou bay asistans nan lang ak lòt èd ki disponib gratis pou ou. Rele 1-833-220-0349 for TTY/TDD services, call ${tty}.

 

Yiddish

אכטונג: שפראך הילף סערוויסעס און אנדערע הילף, זענען אוועילעבל פאר אייך אומזיסט. רופט

1-833-220-0349 for TTY/TDD services, call ${tty}.

 

Polish

UWAGA: Dostępne są bezpłatne usługi językowe oraz inne formy pomocy. Zadzwoń: 1-833-220-0349 for TTY/TDD services, call ${tty}.

 

Tagalog

ATENSYON: Available ang mga serbisyong tulong sa wika at iba pang tulong nang libre. Tumawag sa 1-833-220-0349 for TTY/TDD services, call ${tty}.

 

Bengali

মনোযোগ নামূল্যে ভাষা সহায়তা পরিষেবা এবং অন্যান্য সাহায্য আপনার জন্য উপলব্ধ। 1-833-220-0349 for TTY/TDD services, call ${tty}-এ ফোন করুন।.

 

Albanian

VINI RE: Për ju disponohen shërbime asistence gjuhësore dhe ndihma të tjera falas. Telefononi 1-833-220-0349 for TTY/TDD services, call ${tty}.

 

Greek

ΠΡΟΣΟΧΗ: Υπηρεσίες γλωσσικής βοήθειας και άλλα βοηθήματα είναι στη διάθεσή σας, δωρεάν. Καλέστε στο 1-833-220-0349 for TTY/TDD services, call ${tty}.

 

Urdu

 

توجہ فرمائیں: زبان میں معاونت کی خدمات اور دیگر معاونتیں آپ کے لیے بلا معاوضہ دستیاب ہیں۔ کال کری 1-833-220-0349 for TTY/TDD services, call ${tty} کال کری۔

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