Aetna® Medicare
telehealth benefits
Your Aetna Medicare plan includes the convenience of telehealth coverage for virtual care. Virtually access participating in-network primary care providers (PCPs), physician specialty care, urgent care clinics, mental health support and more.
Get nonurgent virtual care by phone, computer or tablet
Do you have a time-sensitive medical need, or can’t make it to your doctor’s office?
With telehealth — or telemedicine — you can get the benefit of virtual care by phone, video or mobile app, anywhere you are.
Connect with in-network Aetna Medicare providers near you
What telehealth services does Medicare cover?:
- Routine care
- Sick visits
- Urgent care (walk-in clinics)
- Prescription refills
- Behavioral mental health services (individual and group sessions)
If you need emergency care, call 911 or go to the nearest emergency room immediately.
How to use your Medicare telehealth benefits
Check with your Medicare health care provider to see if they offer telehealth services. If they do, you’ll usually pay the same cost share or copay (if applicable) as you would for an in-person visit. You can find those costs in your Evidence of Coverage.
Remember, not all provider services are available through telehealth and certain virtual care services may require a referral or prior authorization (pre-approval). You can view and download a list of potentially covered telehealth services.
Telehealth visits with out-of-network providers are usually not covered. Some Medicare Advantage (Part C) plans, such as preferred provider organization (PPO) plans or Part C plans with an extended service area (ESA), may allow limited out-of-network coverage.
Check your Aetna Medicare plan documents to understand your benefits
Telehealth visits with out-of-network providers are not covered unless you’re enrolled in a Medicare Advantage ESA or PPO plan.
Please refer to your Medicare provider directory to find an in-network provider.
See your Medicare Evidence of Coverage for a complete description of Medicare plan benefits, exclusions, limitations and conditions of coverage. Medicare plan features and availability may vary by service area.
Looking to get medical care?
There are places you can go for help. But how do you know where or when to go?
It really depends on how serious your symptoms are. For example, if you have a rash or sprained ankle, a walk-in clinic or urgent care may be the best option. But if you are having trouble breathing or have sudden chest pain, you should immediately go to the emergency room (ER).
We can help you understand where to go for medical care.