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How Can I Find Out if My Prescription Drugs are Covered by my Aetna Plan?

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Aetna Medicare health insurance plans come in several different flavors. If you’re on Medicare, there may be Aetna Medicare plans with prescription drug coverage in your area. But will the plan cover your prescription drugs?

Aetna® Medicare health insurance: Medicare Advantage prescription drug plans (MAPD)

MAPDs help cover medications, as the name implies. This type of Medicare coverage is optional, but if you take prescription drugs, you may need it. These plans provide your Medicare Part A and Part B benefits, and include Part D (prescription drug coverage) benefits as well. Many Aetna Medicare Advantage plans offer other benefits, too, slike routine dental services and fitness programs.

Aetna Medicare health insurance: will my Aetna Medicare Advantage prescription drug (MAPD) plan cover my medications?

With MAPD plans, there’s a list of covered prescription drugs called a formulary. Formularies may be different among plans – even among Aetna plans. Likewise, every Medicare prescription drug plan has its own formulary.

Are you planning to sign up for an Aetna Medicare insurance plan? You may want to check the Aetna MAPD prescription drug list for the plan to make sure it covers your medications.

How do you check the Aetna MAPD prescription drug list?

Here are two ways you can check to see if an Aetna Medicare Advantage plan covers your medications.

  • Type in your ZIP code in the box on this page. Look for an Aetna insurance plan on the list, if that’s your preferred health insurance company. Click “Add Rx Drugs” and enter your medications.
  • Call your plan and ask if it covers your medications.

Can my Aetna MAPD prescription drug list ever change?

Medicare prescription drug plans have to cover certain categories of prescription drugs, and your plan may include many common medications in its formulary. Still, the Aetna covered prescription drug list can change – as can any Medicare prescription drug plan’s formulary.

Every fall, each Medicare prescription drug plan sends an Annual Notice of Change to every plan member. Take a look at this notice, because this is where you’ll find any coverage changes listed out – including changes to the formulary. In fact, plans can change formularies anytime, but they notify you when this happens.

Remember, it’s easy to compare Medicare prescription drug plans anytime, from your smartphone or your laptop. Just enter your ZIP code into the plan finder tool on this page to begin.

Aetna Medicare is a HMO, PPO plan with a Medicare contract. Our 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.


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