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Anyone use Aetna for Medicare Part D?
Posted by: rgG
Date: October 14, 2021 05:03PM
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Re: Anyone use Aetna for Medicare Part D?
Posted by: Buzz
Date: October 14, 2021 05:43PM
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Re: Anyone use Aetna for Medicare Part D?
Posted by: S. Pupp
Date: October 14, 2021 06:00PM
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Buzz
Medicare/SSA has an online tool for ferreting out Rx plans.... load in all your meds with their frequency and quantity, and the widget will spit out the top plans for your situation... which includes pricing from affiliated pharmacies. That’s gonna be your best bet. Maybe check out combo plans if that makes sense in your area.... they’re mostly HMO’s, but if they dot all your I’s and cross all your T’s t may be an option. If you want/need a PPO that probably won’t work, so you’re back to the aforementioned widget. Good luck.
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Re: Anyone use Aetna for Medicare Part D?
Posted by: rgG
Date: October 14, 2021 06:36PM
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S. Pupp
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Buzz
Medicare/SSA has an online tool for ferreting out Rx plans.... load in all your meds with their frequency and quantity, and the widget will spit out the top plans for your situation... which includes pricing from affiliated pharmacies. That’s gonna be your best bet. Maybe check out combo plans if that makes sense in your area.... they’re mostly HMO’s, but if they dot all your I’s and cross all your T’s t may be an option. If you want/need a PPO that probably won’t work, so you’re back to the aforementioned widget. Good luck.
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Looking for a part D plan, I used the online tool and wound up going with an Aetna Medicare Advantage plan instead. It's cheaper than Medicare with part D, and has worked out OK.
Re: Anyone use Aetna for Medicare Part D?
Posted by: Grateful11
Date: October 14, 2021 06:54PM
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Re: Anyone use Aetna for Medicare Part D?
Posted by: TL
Date: October 14, 2021 07:05PM
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Re: Anyone use Aetna for Medicare Part D?
Posted by: rgG
Date: October 14, 2021 07:30PM
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TL
CVS Caremark (owner of Aetna and manager of the Rx business) has spent the last few years in a pretty strong pursuit of new members to its med D business. The basic PDP offering especially has seen significantly low costs in comparison to the industry writ large. They are doing it in large part with very aggressive formulary management. In other words, they are achieving lower premiums by reducing drugs covered and moving anything they can to higher copay tiers. All plan sponsors do this to some degree, but from what I’ve seen the cvs individual PDP takes this strategy to a greater level.
As long as your drugs are covered, and you understand the cost structure particularly in the event your needs may change mid year, I would expect the average experience with CVS to be fine. CMS (Medicare) regulates claim processing to a significant extent, so apart from copay and formulary how claims pay (or not) really isn’t that different among plan sponsors when you poke under the hood. If you are the type to need a lot of assistance through customer service you will find differences among the major plans, but the average person will not experience major differences.
As an employee of a competitor, if the prices and coverage work best for your situation, I would not hesitate to opt for an Aetna/cvs plan. They’ve come a long way since CMS imposed plan sanctions last decade, and while it pains me to say so (again, competitor) they are a perfectly fine option to use.
Re: Anyone use Aetna for Medicare Part D?
Posted by: Buzz
Date: October 14, 2021 07:31PM
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Quote
rgG
Quote
S. Pupp
Quote
Buzz
Medicare/SSA has an online tool for ferreting out Rx plans.... load in all your meds with their frequency and quantity, and the widget will spit out the top plans for your situation... which includes pricing from affiliated pharmacies. That’s gonna be your best bet. Maybe check out combo plans if that makes sense in your area.... they’re mostly HMO’s, but if they dot all your I’s and cross all your T’s t may be an option. If you want/need a PPO that probably won’t work, so you’re back to the aforementioned widget. Good luck.
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Looking for a part D plan, I used the online tool and wound up going with an Aetna Medicare Advantage plan instead. It's cheaper than Medicare with part D, and has worked out OK.
I have been using the widget to research, and the Aetna cheapie plan is best for me, I was just wondering how the company was for handling claims and such.
I don’t want an advantage plan, so I will have to get a stands alone D plan.
Re: Anyone use Aetna for Medicare Part D?
Posted by: flareslow
Date: October 14, 2021 07:38PM
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Re: Anyone use Aetna for Medicare Part D?
Posted by: rgG
Date: October 14, 2021 07:39PM
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Quote
Buzz
Quote
rgG
Quote
S. Pupp
Quote
Buzz
Medicare/SSA has an online tool for ferreting out Rx plans.... load in all your meds with their frequency and quantity, and the widget will spit out the top plans for your situation... which includes pricing from affiliated pharmacies. That’s gonna be your best bet. Maybe check out combo plans if that makes sense in your area.... they’re mostly HMO’s, but if they dot all your I’s and cross all your T’s t may be an option. If you want/need a PPO that probably won’t work, so you’re back to the aforementioned widget. Good luck.
==
Looking for a part D plan, I used the online tool and wound up going with an Aetna Medicare Advantage plan instead. It's cheaper than Medicare with part D, and has worked out OK.
I have been using the widget to research, and the Aetna cheapie plan is best for me, I was just wondering how the company was for handling claims and such.
I don’t want an advantage plan, so I will have to get a stands alone D plan.
We ended up w/ different plans for Part D... other human has Humana, and I ended up w/ Cigna. We have a bunch of health issues, so we have an older Blue Shield deluxe, good everywhere, PPO supplement that isn't offered anymore. There's a site(s) that rates Medicare plans, and widget also has a star rating filter. Most, if not all, of the big, recognizable names handle claims promptly. Aetna should be fine.
Beware that not all meds are on all formularies, so that's why you gotta check the widget out thoroughly.... if/when you hit a super-high priced med, price the widget w/ and w/o it. I get one med from Canada that's $180 every 3 months, because no one's formulary coverage comes close. I also take a med that we use a local pharmacy coupon for, and that's $140 every 3 months. Spousal unit has one expensive med that we use a local coupon for that's about $70, as needed. Everything else is really cheap w/ the drug plans, which are $24/mo. for me, and $17/mo. for her.
If your meds are not at all out of the ordinary, the widget is easy as heck, just filter for 3 stars and above. Happy hunting.
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Re: Anyone use Aetna for Medicare Part D?
Posted by: rgG
Date: October 14, 2021 07:42PM
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flareslow
I have Aetna for Part D. I've had no issues with them. It works well at CVS, most of my meds are free.
I do get dinged for Celebrex (generic version) for $28 per month.
Re: Anyone use Aetna for Medicare Part D?
Posted by: GGD
Date: October 14, 2021 09:45PM
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Re: Anyone use Aetna for Medicare Part D?
Posted by: Buzz
Date: October 15, 2021 01:53AM
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GGD
Just make sure you understand their different classes of pharmacies. "Preferred" "In-Network" and "Out-of-Network". For their cheapest plan in my area, CVS, Costco, and many grocery chains are "Preferred", and Walgreens is "Out-of-network". I was a bit surprised that a large nationwide pharmacy chain was completely out-of-network on their plan, but given that they're run by CVS it's understandable. Their more expensive plans did include Walgreens.
Re: Anyone use Aetna for Medicare Part D?
Posted by: mspace
Date: October 15, 2021 08:48AM
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Re: Anyone use Aetna for Medicare Part D?
Posted by: AllGold
Date: October 15, 2021 04:13PM
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