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Manage your prescription
Manage your prescription
Our prescription drug list (formulary) shows:
- The drugs we cover
- The tier a drug is on
- Any limits or requirements before we cover the drug
- Mail order availability
Refer to your plan documents to find out which formulary your prescription drug plan uses. You'll need to know the formulary name and the number of tiers. You have two options to find this information:
- Already an Aetna® member? Look in your Schedule of Cost Sharing.
- Haven’t enrolled yet? Review the Plan Benefit Summary.
Choose a 2025 formulary (drug list) name to see documents
Choose a 2024 formulary (drug list) name to see documents
Important information
There’s a lot more information on changes to our drug list (formulary), prior authorization, step therapy, quantity limits, exceptions and transition rules.
Learn about drug list changes, special rules and more
Review Evidence of Coverage (EOC) and Annual Notice of Change (ANOC)
Review Evidence of Coverage (EOC) and Annual Notice of Change (ANOC)
Your EOC includes plan details and your rights and responsibilities.
If applicable, View, download, or request a copy of your 2025 plan’s Schedule of Cost Sharing
For some plans, you can request a copy of your Schedule of Cost Sharing along with your EOC. Just click on the link above.
Find Medicare Star Ratings for your plan
Find Medicare Star Ratings for your plan
Each year, Medicare rates health and prescription drug plans on a Five–Star Quality Rating System.
The Star Ratings measure Medicare Advantage plans based on five areas:
- Staying healthy
- Managing chronic (long-term) conditions
- Member experience with the health plan
- Member complaints
- Health plan customer service
Select state and plan to see your 2023 Star Ratings
Select state and plan to see your 2022 Star Ratings
Virtual care
Virtual care
If you need after hours or weekend care, your plan also provides access to the following virtual care:
- Teladoc®: Allows you to speak to a licensed doctor by web, phone or mobile app 24/7 — usually within 15 minutes.
- MinuteClinic Virtual Care™: Allows you to speak with a licensed provider, 7 days a week.
If you’re enrolled in an Aetna Medicare Advantage ESA or PPO plan through your former employer, trust or union, you can also access telehealth visits with out-of-network providers. They have to be Medicare eligible and willing to bill and receive payment from Aetna Medicare. If you’re in a PPO plan, it may cost you less if you use in-network providers.
Meet Gerry
Meet Gerry
Gerry uses the Aetna Medicare Advantage plan to help him live his best life — hear his retirement story and discover how you can do the same.
Gerald O’Hare
Aetna Medicare Advantage member
“My name is Gerry O’Hare and I live in West Deptford, New Jersey. I grew up in this area I know this area very well. I’m a Vietnam veteran. I went to college on the GI bill and I became a teacher. I taught elementary grades and in the middle school grades, in different school districts in the state of New Jersey.
When I retired, they gave me a choice of what health care company I would use, and they gave me a chart. And it was a really interesting chart, because on one side, it had the names of the companies, and as you look towards the right it was the different areas of healthcare that that company covered. Well, Aetna had all the sections covered and I’ve been happy with Aetna ever since.
I have a hearing loss from the war, and I wear hearing aids. If I’m on the telephone I may miss half of what’s being told to me. When the nurse called me, she told me that Aetna has this Healthy Home Visit Program and that they would like to come to my house, and talk to me, check my medication. I’d much rather have someone come to my house - this way I can hear everything, I can express myself.
We talked about losing weight which is always a problem for me because I like to eat and I’m diabetic. So, she says well you’re what they call insulin resistant and I really didn’t know about the different types of foods that I should eat or should not eat. They taught me how to read the labels it was a real learning experience for me. And I did lose 50 pounds - clothes are a little big now and I’m very pleased with the Healthy Home visits.
I was recommended to walk by the Aetna nurse, but because I had diabetes, I have to take care of my feet. So, I go to a podiatrist, they told me in the office well if you have diabetes then your insurance company will help you get shoes. Because if I go barefoot around the house, I could step on something and not realize it and get an infection. So, I applied for these boots that I like, and Aetna did help me with that.
Part of staying healthy is having a good social life and meeting different people. I find that that type of activity keeps me sharp, it keeps me alert. I have four children and I have three grandchildren. I want to spend as much time with my grandchildren as I can. I want them to remember me as a healthy person. Aetna has helped me with that, and I’m really happy about that.”
Once you’re enrolled, here’s what’s next
Once you’re enrolled, here’s what’s next
When you enroll in an Aetna Medicare plan, here's what you can expect. We'll mail you:
A letter saying you’re a member of our plan
Your Aetna member ID card
A new member Welcome Guide with helpful tools, cost-saving resources and important tips
Read your plan documents to learn more about your plan and how it works. The Evidence of Coverage [and the formulary (list of covered drugs)] will tell you exactly what's covered and your out-of-pocket costs.