Frequently Asked Questions

Medicare can be confusing. Listed below are a few frequently asked questions and answers to help you navigate the Medicare program and learn about your coverage options.

What is Medicare?

Medicare is a federal health insurance program for:

• People 65 and older.
• Those younger than 65 with certain disabilities or End-Stage Renal Disease.

U.S. citizens and permanent legal residents of at least 5 continuous years are eligible for Medicare.

There are 4 parts of Medicare: Part A, Part B, Part C and Part D.

What is Medicare Advantage?

Medicare Advantage plans (also called Medicare Part C) are private health insurance plans. They provide the same coverage as Medicare Part A and Part B. And they may include additional coverage for prescription drugs, vision, preventive dental and wellness programs.

Am I eligible for Medicare Advantage?

To qualify for a Medicare Advantage plan, you must meet two requirements. First, you must have both Medicare Part A and Medicare Part B. Second, you must live in the service area for a particular Medicare Advantage plan that is accepting new users. To find out if you're eligible, call a licensed agent at 1-800-891-6309, TTY: 711, 24/7. They can review your eligibility and see if you're eligible for an Aetna Medicare Advantage plan.

What Aetna^® plans are available?

Aetna offers several types of Medicare Advantage plans:

• Aetna Medicare^SM Plan (HMO)
• Aetna Medicare Open Access Plan (HMO)
• Aetna Medicare Prime Plan (HMO)
• Aetna Medicare^SM Plan (PPO)
• Aetna Medicare Prime Plan (PPO)

You may have other plan options available.

When can I enroll?

Are you enrolling in a Medicare Advantage plan for the first time? If so, you may be able to join a plan during your Initial Enrollment Period around your 65th birthday. Or you can enroll during the Medicare Annual Enrollment Period, which runs from October 15 to December 7 each year. You may also qualify for a Special Enrollment Period that lets you join a Medicare Advantage plan outside of the main enrollment periods.

How much does a plan cost?

Your plan premiums and plan out-of-pocket costs will vary depending on:

• The Aetna Medicare Advantage plan you choose.
• The medical care you receive.

You may have $0 monthly premium plan options in your area.