Aetna Medicare Advantage
A plan designed for Federal Retirees that focuses on the whole you – body, mind and spirit.
Reach your health potential
You’re still out there chasing what matters. At Aetna, we believe in the need to take care of the whole you — body, mind and spirit. That’s why we take a total approach to health and wellness, so you can age actively.
What it is:
The Aetna Medicare Advantage PPO with an extended service area (ESA) is a plan offered to eligible members of the Federal Employees Health Benefits (FEHB) program. It’s a nationwide plan that takes a total approach to your health by covering your doctors, hospitalization and prescription drugs in one simple plan.
How it works:
You’ll continue to pay your Part B premium with the Aetna Medicare Advantage plan. It provides the same coverage as Original Medicare but with additional benefits you wouldn’t get, such as $0 deductible and excellent prescription benefits. Plus, we will reduce your Medicare Part B premium by $75 per month (up to $900/year). You’ll also get access to programs that may help you reach your health potential, such as SilverSneakers® fitness membership and more.
And you can continue to use your doctors — or any provider that is licensed to receive Medicare payment and is willing to accept the Aetna plan.
Visit Enroll Now page
Have questions? Just call Aetna Retiree Solutions at 1-866-241-0262. Visit our Enroll Now page to learn how to enroll.
Get a complete Medicare Advantage plan without having to suspend your FEHB coverage. We’ve made it easier by offering them together.
2021 RatesThese rates do not apply to all Enrollees. If you are in a special enrollment category, please refer to the FEHB Program website or contact the agency or Tribal Employer which maintains your health benefits enrollment.
|Aetna Medicare Advantage – Monthly*||Code||Non-Postal|
|Self & Family:||Z25||$331.25|
*Premium will be applied to the Aetna Medicare Advantage or Aetna Advantage plan based on actual enrollment
Switch your plan, not your doctor.
Though you have a new plan option, chances are you may be able to continue seeing your doctors. This is because this plan is the Aetna Medicare Plan (PPO) with an extended service area (ESA). This is a type of Medicare Advantage plan. With this type of plan you pay the same cost for any doctor or hospital, according to the costs listed on the plan benefits summary. The provider must be eligible to receive Medicare payment and accept the Aetna plan.Find your provider
- Step 1: After clicking on Find your provider, choose ‘2020 Medicare plans you through your employer’
- Step 2: Enter your home zip code OR city, state then select from the drop-down
- Step 3: Choose ‘select plan to find providers’
- Step 4: Choose ‘Medicare Advantage with Prescription Drug plan’
- Step 5: Under PPO section – ‘Select Aetna Medicare Plan (PPO) with Extended Service Area (ESA)’*
- Step 6: Then choose ‘medical’ and click ‘continue to find care’ at the bottom right of your screen to find providers
*As a member of the Aetna Medicare Plan (PPO) with an Extended Service Area (ESA), you can receive services from any provider that is eligible to receive Medicare payment and is willing to treat you. Your cost share will be the same as in-network care. Out-of-network providers are under no obligation to treat Aetna members, except in emergency situations.
2021 Benefits summary when you select Aetna Medicare Advantage
|Key benefits||What you pay|
|Credit for Medicare Part B reimbursement||You get $900 per year|
|Primary care physician||0%|
|Retail pharmacy (30-day supply of a covered drug)||
Preferred generic: $2
Preferred brand: $40
Non-preferred brand: $75
Specialty: 25% ($350 max.)
|Mail order pharmacy or CVS retail pharmacy (90-day supply of a covered drug||
Preferred generic: $4
Preferred brand: $80
Non-preferred brand: $150
Healthy home visit
An Aetna health professional will provide you with advice in the comfort of your own home. They can also work with your doctor to help coordinate your care.
A health advocate if you need one
You may not need help today, but if you ever do, an Aetna Nurse Advocate can be a key partner in your health journey. They’ll collaborate with your doctors and help you get the most from your health plan benefits.
Help for your health conditionsThey’ll work with your doctor to:
- Create a personal treatment plan for conditions such as diabetes or heart disease
- Connect you to resources you may need
A partner in careThey can handle the challenges of navigating complex medical issues for you such as:
- Managing logistics of transitioning home from the hospital
- Coordinating health and community resources with your doctors
- Helping you and your family with any ongoing concerns
We’re committed to providing you with the resources, tools and support that help ensure you achieve your best health. All of our health advocacy and wellness programs are available to you — at no extra cost.
An overall wellness program that helps you improve your health and live the life you want. The program gives you access to exercise equipment, classes and fun social activities at thousands of locations nationwide.
We partner with Teladoc, who has over 700 U.S. board-certified, state-licensed health care professionals†. This virtual option provides you the added convenience of reaching health care providers online, by phone or mobile app.
Hearing aid reimbursement
Hearing aid reimbursement for retirees, to help you engage and communicate with the world around you. Reimbursement is $2,500/ every 36 months.
Resources For Living®
Aetna signature program helps you find the resources you need in your daily life. With just one call, a life consultant can help you find local resources to make life easier and support your physical and mental well-being.
Non-emergency transportation program
A program to help you make it to and from doctors or hospital appointments without always having to rely on family or friends.
Meal benefit program
After a hospital stay, Aetna offers a meal benefit through our relationship with GA Foods. The program offers 14 home delivered meals — convenience for when making a meal is a difficult option.
†Teladoc® is not available to all members. Teladoc and Teladoc physicians are independent contractors and are not agents of Aetna. Visit Teladoc.com/Aetna for a complete description of the limitations of Teladoc services. Teladoc, Teladoc Health and the Teladoc Health logo are registered trademarks of Teladoc Health, Inc
Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional.
Aetna Medicare Advantage* requires 2 easy steps for retirees with Medicare Parts A & B:
Enroll as you normally would through the OPM Retirement website https://retireefehb.opm.gov/
Or you can call 1-888-767-6738 (TTY: 1-800-878-5707).
Enroll using enrollment code Z24, Z26 or Z25.
Provide Aetna with your Medicare information. Once you are enrolled through the OPM site, your basic information will be transferred to Aetna. (Please allow 7–10 business days.)In addition, we will need the following to complete your enrollment in Aetna Medicare Advantage:
- Your original Medicare effective date for Parts A & B
- Your Medicare Beneficiary ID
You may go to www.aetnaretireehealth.com/FEHBP or call us at 1-866-241-0262 and give us this information. If you are over age 65, we’ll send you a reminder postcard.
For more information
Call our Retiree Solutions service center at 1-866-241-0262 or Connect live with our team at aetnafedslive.com
*By choosing this plan, retired enrollees age 65 and over agree that you have or will have Medicare Parts A and B by your effective date. You agree that you will be enrolled in our Aetna Medicare Advantage plan. We may need more information to enroll you in this plan prior to your effective date. If this is not completed, your benefits will be significantly impacted (i.e., $2,000 deductible not waived and you will pay 30% coinsurance on most services).
Need more information?
Download plan benefits guide (PDF)
Click here to download the Medicare Advantage plan benefits guide
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 Medicare Advantage plan benefits guide (PDF) for coverage details.
Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna).
This is a brief description of the features of this Aetna health benefits plan. Before making a decision, please read the Plan's applicable Federal brochure(s). All benefits are subject to the definitions, limitations, and exclusions set forth in the Federal brochure.
Aetna Medicare is an HMO, PPO plan with a Medicare contract. Enrollment in our plans depends on contract renewal. 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, provider and/or pharmacy network may change at any time. You will receive notice when necessary. 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 7-10 days. You can call 1-888-792- 3862, (TTY users should call 711) 24 hours a day, seven days a week, 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. 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. Participating physicians, hospitals and other 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.
This message is for informational purposes only, is not medical advice and is not intended to be a substitute for proper medical care provided by a physician. The information provided above is not a guarantee of coverage. Coverage is based on all the terms and conditions of your plan as well as eligibility at the time services are received. Information is believed to be accurate as of the production date; however, it is subject to change. For more information about Aetna plans, refer to AetnaFeds.com.
All Aetna plans include discounts on eyewear, LASIK eye surgery, gym memberships, massage therapy, acupuncture, weight-loss programs and more.
Postal and Non-Postal rates
- Non-Postal rates apply to most non-Postal employees.
- Postal rates apply to United States Postal Service employees
- Postal Category 1 rates apply to career bargaining unit employees represented by the APWU, IT/AS, NALC and NPMHU.
- Postal Category 2 rates apply to career bargaining unit employees represented by the NALC, NPMHU and PPO.
- Non-Postal rates apply to all career non-bargaining unit Postal Service employees and career employees represented by the NRLCA agreement.