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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 Nancy
Meet Nancy
Nancy uses the Aetna Medicare Advantage plan to help her live her best life — hear her retirement story and discover how you can do the same.
Hi, my name is Nancy Baton.
I am a retired New Jersey high school principal and middle school principal. And I am truly enjoying my retirement.
I live with my husband here in Westfield, New Jersey, and I've been married to Bill. It'll be 38 years this summer.
We have two children grown children and I have five grandsons. My friends are very important to me. I have one group of friends with whom I play Majong once a week on Fridays and another group that we play a variety of card games. Just enjoying each other's company is what's so important to me.
When it came time for me to enroll in Medicare, I wanted the one with the least amount of hassles and I had been told what a great health plan Aetna has. That's why I chose Aetna, and I'm very happy I did.
When I decided to go with the Aetna Medicare Advantage plan, I chose it because of the wide range of coverage and the low copays. I found that I was not limited in my choice of doctors.
We use CVS pharmacy. It's very convenient. I even have a drive-up window. And what we like is that when our prescriptions are ready, they text us every year.
Aetna offers the opportunity for a healthy home visit. Once a year, they send a nurse right here in my home and the nurse examines me. And actually this year she found something, so she did a test on me and my doctor called me and said, you need to see a vascular surgeon and I'm under his care.
Now I never would've caught something that could be potentially very dangerous had that nurse not come to my home. I love to walk. I recently had a spinal fusion, so I've been unable to walk, but I walked between two and five miles with a friend almost every day.
I'm recuperating now from the surgery, and I had a great deal of support from Aetna because they supported what the doctor recommended. And I am now in physical therapy twice a week. And I'm really looking forward to getting rid of my back brace and just starting to walk again.
Having the support of Aetna and not having to worry about bills or paperwork, or is this covered, I didn't have any of that. All I do now is concentrate on my recovery. If you're not healthy, you're not going anywhere. So Aetna has helped me stay on track.
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.