Aetna Direct℠ is unlike any other federal health plan you’ve seen.
It’s not Medicare, but it works seamlessly with Medicare. With Aetna Direct you can get unmatched value for your money – low plan premiums, low out-of-pocket costs, and a large national network of doctors.
Aetna Direct is a whole new level of value with:
- Low monthly plan premiums – below the federal average
- A fund to help you pay Medicare Part B premiums ($900/self and $1,800/self plus one or self and family)
- Waived deductibles and copayments for medical services – if Medicare Part A and Part B are primary and your provider accepts Medicare assignment
New for 2017:
- The medical fund has increased to $900/self and $1,800/self plus one or self and family
- Increase to the hearing aid benefit – you pay nothing up to $3,000 every 3 years.
Have questions? Just call Aetna customer service at 855-277-4356.
Visit our Enroll Now page to learn how to enroll.
Have questions about Medicare?
Visit our guide for retirees (PDF)
|Aetna Direct - Monthly||Code||Non-Postal|
|Self & Family:||N62||$302.77|
|Aetna Direct - Biweekly||Code||Non-Postal||Postal 1||Postal 2|
|Self & Family:||N62||$139.74||$121.58||$115.99|
|Need more information?
Click here for the Health plan summary pdf
Find your doctor now in Aetna’s large nationwide network. If your physician accepts Medicare assignment, then you pay nothing for covered charges.
Your 2017 benefits
|Benefit||With Medicare A & B primary*|
|Part B Premium Reimbursement||You have the option to use your fund to reimburse yourself for your Medicare Part B premium.|
|Out of Pocket Maximum||
|PCP||You pay nothing*|
|Specialist||You pay nothing*|
|Coinsurance||You pay nothing*|
|Inpatient Hospital||You pay nothing*|
|Outpatient Hospital||You pay nothing*|
|Urgent Care||You pay nothing*|
|Emergency Care||You pay nothing*|
|Lab/X-ray/Diagnostic Services||You pay nothing*|
|Rx Retail Pharmacy||
|Mail Order Drug (up to 90 day supply)||
If Medicare Part A & B are not your primary coverage (for example, you are an active employee or retired without Medicare A&B), you will be responsible for the deductible and coinsurance. Please see the plan brochure (PDF) for coverage details.
*If you are covered by Medicare Part B and it is primary, your out-of-pocket costs for services that both Medicare Part B and we cover depend on whether your physician accepts Medicare assignment for the claim.
If your physician accepts Medicare assignment, then you pay nothing for covered charges.
If your physician does not accept Medicare assignment, then you pay the difference between the "limiting charge" or the physician's charge (whichever is less) and our payment combined with Medicare's payment.
Health insurance plans are offered, underwritten and/or administered by Aetna Life Insurance Company (Aetna).
Postal and Non-Postal rates