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Aetna’s Brand Value
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
Information to Keep
You Current
Starting Your Path to Success:
For Agent Use Only. Not to
be shared with Medicare
beneficiaries. Aetna Inc.
Proprietary and Confidential.
2012 Aetna Individual Medicare Broker Training Presentation
Producer Support
Program
18.25.004.1
M_OT_PR_10651
Aetna’s Brand Value
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
Disclosure
GENT USE ONLY – Aetna Medicare 2012 Individual
A
Product Offering. The intent of this document is to
provide education to agents on 2012 product and service
area information.
P roviding this information to Medicare beneficiaries prior
to October 1, 2011, is a violation of your Aetna General
Agent Agreement and/or Aetna Producer Agreement as
well as CMS Marketing Guidance and Regulations.
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
1
Information to Keep
You Current
Aetna’s Brand Value
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
What we will cover today:
A etna’s Brand Value
Fast & Responsive Service
Sales Support to Grow Your Business
Product Choices & Benefits
Information to Keep You Current
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
2
Information to Keep
You Current
Aetna’s Brand Value
Fast & Responsive Service
For Agent Use Only. Not to be shared
with Medicare beneficiaries. Aetna Inc.
Proprietary and Confidential.
Producer Support
Program
Sales Support to Grow
Your Business
Product Choices
& Benefits
Information to Keep
You Current
Aetna’s Brand Value
A e t n a’ s
B r a n d Va l u e
M edicare
Demographics
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
Information to Keep
You Current
The Right Demographics Enhance
Your Medicare Opportunity
Leader in
Health Insurance
T he 65+ age group is projected to grow by 14.4M individuals,
a 35% increase, over the next decade (2010 – 2020).
op Financial
T
Ratings
T he senior population will double from 40M to 80M, and represent
one out of every five U.S. citizens (20%) over the next 30 years.
History,
Reputation,
Innovation
T he Aetna Way
Population Aged 65 and Over: 2000 to 2050
(in millions)
80.0
86.7
71.5
54.6
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
35.0
2000
40.2
2010
2020
2030
Note: The reference population for these data is the resident population.
Sources: 2000, U.S. Census Bureau, 2001, Table PCT12; 2010 to 2050, U.S. Census Bureau, 2004.
Producer Support
Program
4
2040
2050
Aetna’s Brand Value
A e t n a’ s
B r a n d Va l u e
Medicare
Demographics
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
Information to Keep
You Current
Aetna: A Recognized Leader In
Health Insurance
L eader in
Health Insurance
More than 850 thousand
Medicare members*
op Financial
T
Ratings
History,
Reputation,
Innovation
T he Aetna Way
18 . 2 million
medical member s
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
13.7 million
dental member s
8 .7 million
pharmac y member s
5
*As of June 30, 2011.
Aetna’s Brand Value
A e t n a’ s
B r a n d Va l u e
Medicare
Demographics
Leader in
Health Insurance
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
Aetna Has Top Financial Ratings*
*P ertains to Aetna Life Insurance Company financial strength;
updated April 29, 2011.
Top Financial
Ratings
History,
Reputation,
Innovation
T he Aetna Way
A
A1
A . M . B est
Moody ’s
A+
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Sta n da rd &
P oo r ’s
Producer Support
Program
6
AAF itc h
Information to Keep
You Current
Aetna’s Brand Value
A e t n a’ s
B r a n d Va l u e
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
History, Reputation, Innovation
Medicare
Demographics
Leader in
Health Insurance
op Financial
T
Ratings
H istory,
Reputation,
Innovation
T he Aetna Way
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Aetna has more than 155 years of insurance expertise.
FACT: Aetna paid the industry’s first Medicare claim in 1966.
7
Information to Keep
You Current
Aetna’s Brand Value
A e t n a’ s
B r a n d Va l u e
Medicare
Demographics
Leader in
Health Insurance
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
Information to Keep
You Current
The Aetna Way
Ou r s u c c e s s fu l t e am w o r k s t r at e g y b l e n d s
all of the following:
op Financial
T
Ratings
Integrity
History,
Reputation,
Innovation
Service
T he Aetna Way
Excellence
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
8
Aetna’s Brand Value
A e t n a’ s
B r a n d Va l u e
Medicare
Demographics
Fast & Responsive Service
Product Choices
& Benefits
What Aetna’s Brand Value
Means for You:
Leader in
Health Insurance
We give YOU…
confidence.
op Financial
T
Ratings
History,
Reputation,
Innovation
We give YOUR CLIENTS…
real peace of mind.
T he Aetna Way
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Sales Support to Grow
Your Business
9
Information to Keep
You Current
Aetna’s Brand Value
Fast & Responsive Service
For Agent Use Only. Not to be shared
with Medicare beneficiaries. Aetna Inc.
Proprietary and Confidential.
Producer Support
Program
Sales Support to Grow
Your Business
Product Choices
& Benefits
Information to Keep
You Current
Aetna’s Brand Value
Fa s t &
R e s p o n s iv e
S e r vi c e
Broker Support
Unit
Producer World ®
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
We emphasize personal
service for brokers with...
a dedicated response unit for Medicare producers
with one number for all administrative questions
1-888-247-1050, and
elpful representatives located within the four
h
Aetna regions.
Our Broker Support Unit representatives
can answer your questions regarding:
C ommissions
License, appointment, certification
Enrollment status
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Product and sales resources
11
Information to Keep
You Current
Aetna’s Brand Value
Fa s t &
R e s p o n s iv e
S e r vi c e
Broker Support
Unit
Producer World ®
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
We put ALL the information
you need at your fingertips.
®
Count on Producer World –
a website dedicated to
supporting your business:
eal-time online application status and tracking
R
to help you close sales more easily
Product details to help you sell
4/7 online order form for customized
2
enrollment kits and sales materials
Support to help you manage your business
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Commission information to keep you up to date
nline support for licensing, appointment,
O
and certification status
12
Information to Keep
You Current
Aetna’s Brand Value
Fa s t &
R e s p o n s iv e
S e r vi c e
Broker Support
Unit
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
What Aetna’s Broker Service
Means for You:
Easier than ever to do business with Aetna
Producer World ®
Streamlined access to important sales information
Support to manage your business better
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
13
Information to Keep
You Current
Aetna’s Brand Value
Fast & Responsive Service
For Agent Use Only. Not to be shared
with Medicare beneficiaries. Aetna Inc.
Proprietary and Confidential.
Producer Support
Program
Sales Support to Grow
Your Business
Product Choices
& Benefits
Information to Keep
You Current
Aetna’s Brand Value
Sa l e s Supp o r t
to g row yo u r
bu s i n e s s
Customized
Enrollment Kits &
Marketing Materials
Consumer Education
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
Available Programs and
Materials to Help Build
Your Business:
Customized enrollment kits with personalized
broker contact information
Medicare Print-on-Demand Marketing
Materials Portal
- Expansive library of CMS-approved marketing
material, most of which may be co-branded
with your contact information
- Timely ordering and delivery of marketing materials
- Co-op dollars available for qualified brokers
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
15
Information to Keep
You Current
Aetna’s Brand Value
Sa l e s Supp o r t
to g row yo u r
bu s i n e s s
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
Information to Keep
You Current
We also provide you with:
Customized
Enrollment Kits &
Marketing Materials
Consumer education to keep you
OUT FRONT of the market
Consumer
Education
- 2012 MA-PD Sales Presentation
- 2012 PDP Sales Presentation
- S eminar support including invitations
and reminders
DocFind® physician directory
for mobile devices
-N
ext time prospects ask if their doctors
are in network, you’ll have the answer
in the palm of your hand.
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Cross-sell opportunities to earn more
- Individual under-65 plans that can include
dental — valuable options for spouses who
have not yet turned 65
- S mall group plans
Producer Support
Program
16
Aetna’s Brand Value
Sa l e s Supp o r t
to g row yo u r
bu s i n e s s
Customized
Enrollment Kits &
Marketing Materials
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
What Our Sales Support
Means for You:
We will help you reach more
qualified prospects.
Consumer Education
We will help you build your brand in
your community.
We will help you have more opportunities
to close more business.
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
17
Information to Keep
You Current
Aetna’s Brand Value
Fast & Responsive Service
For Agent Use Only. Not to be shared
with Medicare beneficiaries. Aetna Inc.
Proprietary and Confidential.
Producer Support
Program
Sales Support to Grow
Your Business
Product Choices
& Benefits
Information to Keep
You Current
Aetna’s Brand Value
Product
Choices &
B e n e fit s
Medicare Overview
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
Information to Keep
You Current
Medicare Overview
ma n a g e d b y t h e f e d e r a l g o v e r n m e n t
Member Programs
& Discounts
Part A
Helps cover inpatient hospital, skilled nursing, home health and hospice care; does not
cover prescription drugs
National Medicare
Product Offering
Part B
Helps pay for doctor bills, as well as outpatient surgery and medical services, such as labs
and x-rays; does not cover Part D prescription drugs
National PDP
Product Offering
o ff e r e d b y p r ivat e i n s u r a n c e c o mpa n i e s w it h a n app r o v e d m e d i c a r e c o n t r a c t
Part C
Provides coverage for Parts A, B and often includes Part D — all in one plan, with extra
features and services; also known as the Medicare Advantage program
Part D
Purchased in addition to Medicare Parts A and/or B, provides coverage for Medicare Part D
prescription drugs only; also known as the Medicare prescription drug benefit
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Mid-America Region
Northeast Region
Southeast Region
West Region
o ff e r e d b y p r ivat e i n s u r a n c e c o mpa n i e s ; r e g u l at e d b y s tat e s
Medicare
Supplement Plans
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
19
Purchased in addition to Medicare Parts A and B, helps pay for medical benefits not
covered by Parts A and B; does not cover Part D prescription drugs; also known as Medigap
Aetna’s Brand Value
Product
Choices &
B e n e fit s
Medicare Overview
Member Programs
& Discounts
National Medicare
Product Offering
National PDP
Product Offering
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Mid-America Region
Northeast Region
Southeast Region
West Region
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
2012 Individual Medicare
Election Periods
nnual Election Period (AEP): October 15 A
December 7, 2011 (Enrollments are effective January
1, 2012, subject to approval by CMS.)
Initial Election Period (IEP): 3 months before,
month of, and 3 months after 65th birth month
edicare Advantage Disenrollment Period
M
(MADP): January 1, 2012 - February 14, 2012
pecial Election Period (SEP): Permitted in certain
S
situations, such as losing employer coverage or
moving to a new service area
-Star Plan Special Election Period: Beginning
5
January 1, 2012, Medicare has established a SEP to
allow Medicare beneficiaries eligible for Medicare
Advantage (MA) plans to enroll in 5-star MA plans
at any point during the year
20
Information to Keep
You Current
Aetna’s Brand Value
Product
Choices &
B e n e fit s
Medicare Overview
Member Programs
& Discounts
National Medicare
Product Offering
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
Information to Keep
You Current
Aetna Individual Medicare
Advantage Products
2 0 1 2 C M S R e g u l at o r y Gui d a n c e : M e d i c a r e A d va n ta g e
R e q ui r e m e n t s f o r p l a n c h a r a c t e r i s ti c s
Plan type characteristics have not changed for 2012
National PDP
Product Offering
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Plan Type
P r ima r y Ca r e
P HYS I C I A N
Referrals
N e t w o r k O n ly
Mid-America Region
HMO Traditional
Required
Required - Electronic
Yes
Northeast Region
HMO Open Access
Not Required
Not Required
Yes
PPO
Not Required
Not Required
No
Southeast Region
West Region
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
21
Aetna’s Brand Value
Product
Choices &
B e n e fit s
Medicare Overview
Member Programs
& Discounts
National Medicare
Product Offering
National PDP
Product Offering
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
Information to Keep
You Current
Aetna Individual Medicare
Advantage Products:
Medicare Advantage
2 0 1 2 C M S R e g u l at o r y Gui d a n c e : M e d i c a r e A d va n ta g e
R e q ui r e m e n t f o r o ut - o f - p o c k e t ma x imum s
Out-of-Pocket (OOP) maximums required on all Aetna plans
Our HMO plans have an in-network OOP maximum ranging from $3,000 to $6,700
Mid-America Region
Our
PPO plans have an in-Network OOP Maximum ranging from $3,400 to $6,700
and a Combined Catastrophic OOP Maximum ranging from $5,000
to $10,000
Northeast Region
Southeast Region
West Region
OP maximum applies to the all covered Part A and Part B services for all
O
Aetna Medicare products
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
OP maximum does not include Part D or supplemental services, such as:
O
- Dental rider/dental optional supplemental benefit
- Eyewear reimbursements
- Hearing aid reimbursements
22
Aetna’s Brand Value
Product
Choices &
B e n e fit s
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
Information to Keep
You Current
We Offer A Variety of Plan Options
Medicare Overview
Member Programs
& Discounts
National Medicare
Product Offering
National PDP
Product Offering
P l a n o pti o n s b y
r e g i o n a n d s tat e :
2 Standalone Part D Medicare
Prescription Drug Plans (PDP)
in all 50 states plus D.C. –
including a new co-branded
offering with CVS/pharmacy
in select service areas
Medicare Advantage (MA)
and Medicare AdvantagePrescription Drug Plans
(MA-PD) in 19 states plus D.C.
50
PDP in
Northeast Region
Southeast Region
West Region
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
23
As of July 2011
STATES
MA-PD in
19
STATES
Mid-America Region
Aetna’s Brand Value
Product
Choices &
B e n e fit s
Medicare Overview
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
Information to Keep
You Current
We Have an Extensive National
Medicare Health Care Network.
Member Programs
& Discounts
National Medicare
Product Offering
215,600+
primary care doctors and specialists
National PDP
Product Offering
1,780+
hospitals (important to members who
travel or have dual residences)
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Mid-America Region
Northeast Region
85,650+
Southeast Region
other health care professionals
West Region
Over 65,000 pharmacies
nationally, including more than
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
7,200 CVS/pharmacy locations
24
Network as of July, 2011
Aetna’s Brand Value
Product
Choices &
B e n e fit s
Medicare Overview
Member Programs
& Discounts
National Medicare
Product Offering
National PDP
Product Offering
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Mid-America Region
Northeast Region
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
We Offer Programs Specially
Targeted to Medicare Members.
Dedicated customer service team
edicated disease and case management –
D
MA and MA-PD plans only
ancer screening and reminders –
C
MA and MA-PD plans only
4/7 access to registered nurses for
2
information related to health topics –
MA and MA-PD plans only
Southeast Region
West Region
nline Personal Health Record tool keeps
O
health information in one place –
MA and MA-PD plans only
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
25
Information to Keep
You Current
Aetna’s Brand Value
Product
Choices &
B e n e fit s
Medicare Overview
Member Programs
& Discounts
National Medicare
Product Offering
Fast & Responsive Service
Sales Support to Grow
Your Business
Easy-to-Use Tools Help Members
Make Informed Decisions!
Aetna Navigator ®, our secure member
website gives members access to:
Price-a-Drug tool
National PDP
Product Offering
C ost of Care tool
P l a n o pti o n s b y
r e g i o n a n d s tat e :
ealth Information Guide providing
H
members the facts before a medical visit
Mid-America Region
Northeast Region
Southeast Region
West Region
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Product Choices
& Benefits
Aetna SmartSourceSM search engine
Personalized information and multiple
resources in a single search
Aetna InteliHealth® website
Insights from Harvard Medical School,
Columbia University College of Dental
Medicine, and other sources
26
Information to Keep
You Current
Aetna’s Brand Value
Product
Choices &
B e n e fit s
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
Added Money-Saving Benefits for Members
Medicare Overview
Member Programs
& Discounts
E
National Medicare
Product Offering
Annual vision exams
(MA and MA-PD plans only)
National PDP
Product Offering
Annual hearing exams
(MA and MA-PD plans only)
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Mid-America Region
Northeast Region
Southeast Region
Aetna Rx Home Delivery®
(MA-PD and PDP plans only)
West Region
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Information to Keep
You Current
27
Aetna’s Brand Value
Product
Choices &
B e n e fit s
Medicare Overview
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
Information to Keep
You Current
And…Extra-Value Discounts Help
Medicare Members Save Even More.*
Member Programs
& Discounts
New for 2012: MEM-X – Preferred rates on vocal memory aids,
reminding you at a precise date and time of whatever it is you’d like to
do, from making a phone call to taking a medication
National Medicare
Product Offering
National PDP
Product Offering
New for 2012: Aging with Grace, LLC (AWG) – Savings on yearly
membership to join a national eldercare assistance program that
provides the solution to eldercare stress by educating, coordinating
and facilitating senior care options one member at a time
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Mid-America Region
Northeast Region
Aetna VisionSM discount program – Discounts on
routine eye exams and select items and services, including
LASIK eye surgery
Southeast Region
West Region
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Aetna Hearing SM discount program** – Savings on hearing aids,
comprehensive hearing tests, and hearing-aid services from licensed
professionals, in certain areas
* Discount programs provide access to discounted prices and are NOT insurance benefits. The member is responsible for the full cost of
the discounted services. Availability varies by plan. Aetna may receive a percentage of the fee members pay to the discount vendors.
** Members need to use one of the contracted providers HCS or HearPO to access the hearing aid discount. Aetna Hearing discount
program is not available for standalone PDP members.
Producer Support
Program
28
Aetna’s Brand Value
Product
Choices &
B e n e fit s
Medicare Overview
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
Information to Keep
You Current
And…Extra-Value Discounts Help
Medicare Members Save Even More.*
Member Programs
& Discounts
Aetna Weight ManagementSM discount program – Discounts on
eDiets ® plans and products, Jenny Craig® weight-loss programs and
Nutrisystem ® weight-loss meal plans
National Medicare
Product Offering
National PDP
Product Offering
Aetna Fitness SM discount program Preferred rates** on gym
memberships and discounts on at-home weight-loss programs,
home fitness options and one-on-one health coaching services
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Mid-America Region
Northeast Region
Aetna Natural Products and ServicesSM discount program –
Reduced rates on acupuncture, chiropractic care, massage therapy
and dietetic counseling through the ChooseHealthy ® program.***
Southeast Region
West Region
- Through the ChooseHealthy program, members also can get discounts
on over-the-counter vitamins, herbal and nutritional supplements and
natural products
- Through Vital Health Network, members can receive a discount on
online consultations and alternative remedies provided by medical
doctors for a variety of conditions
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
* Discount programs provide access to discounted prices and are NOT insurance benefits. The member is responsible for the full cost of the
discounted services. Availability varies by plan. Aetna may receive a percentage of the fee members pay to the discount vendors.
** Participation is for new gym members only. Membership to a gym to which members are now, or were recently members, may not be available.
*** The ChooseHealthy program is made available through American Specialty Health Networks, Inc. (ASH Networks) and Healthyroads, Inc.,
subsidiaries of American Specialty Health Incorporated (ASH). ChooseHealthy is a federally registered trademark of ASH and used with
permission herein.
Producer Support
Program
29
Aetna’s Brand Value
Product
Choices &
B e n e fit s
Medicare Overview
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
Information to Keep
You Current
And…Extra-Value Discounts Help
Medicare Members Save Even More.*
Member Programs
& Discounts
The Aetna BookSM discount program – Discounts on books
and other items purchased from the American Cancer Society
Bookstore, the MayoClinic.com Bookstore and, for yoga-related
titles, Pranamaya.
National Medicare
Product Offering
National PDP
Product Offering
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Additional Discount Programs
- Discounts on a ZAGAT.com Premium Membership to access
restaurant Ratings and Reviews, Zagat products and more
- Discounts on sonic toothbrushes and water-jet flossers from Waterpik®
- Savings on cavity-fighting products from Epic Industries
Mid-America Region
Northeast Region
Southeast Region
West Region
* Discount programs provide access to discounted prices and are NOT insurance benefits. The member is responsible for the full
cost of the discounted services. Availability varies by plan. Aetna may receive a percentage of the fee members pay to the
discount vendors.
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
30
Aetna’s Brand Value
Product
Choices &
B e n e fit s
Medicare Overview
Member Programs
& Discounts
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
“Welcome” Information
Helps Promote Loyalty.
Dedicated Aetna Medicare member website
National Medicare
Product Offering
Healthful member magazine published twice a year
National PDP
Product Offering
Annual calendar to promote healthy eating
P l a n o pti o n s b y
r e g i o n a n d s tat e :
learn to
take our quiz, p. 11
us!
Boan
r-ouT
Te ard
c
ur
for yo
ctor’s
next do
visit
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
31
REFERENCE
exclusively for aetna medicare members
play
again
collector
or hoarder?
West Region
for your
healthful
healthier, tastier picks
Southeast Region
for your
ENJOyMENT
tM
build a better
breakfast
Northeast Region
for your
HEalTH
spring 2011
a best-selling author’s
experiment in happiness
Mid-America Region
Producer Support
Program
Information to Keep
You Current
Aetna’s Brand Value
Product
Choices &
B e n e fit s
Fast & Responsive Service
Product Choices
& Benefits
Even More for Members…
Added features, discounts,
and tools that members want
Medicare Overview
Member Programs
& Discounts
National Medicare
Product Offering
Extensive networks, so members know
access to health care is available
National PDP
Product Offering
Programs and materials to
promote loyalty
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Mid-America Region
Northeast Region
Southeast Region
West Region
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Sales Support to Grow
Your Business
32
Information to Keep
You Current
Aetna’s Brand Value
Product
Choices &
B e n e fit s
Fast & Responsive Service
Product Choices
& Benefits
Sales Support to Grow
Your Business
Information to Keep
You Current
2012 Individual Medicare Product Offering
Medicare Overview
Member Programs
& Discounts
MID -AMERIC A
Northeast
National Medicare
Product Offering
ME
AK
National PDP
Product Offering
MT
VT
ND
NH
MN
WA
SD
WY
OR
P l a n o pti o n s b y
r e g i o n a n d s tat e :
ID
MI
IA
NE
IL
Mid-America Region
HI
Northeast Region
NV
KS
UT
IN
MO
NJ
SNJ
DE
OH
KY
MD
WV
VA
OK
Southeast Region
West Region
WEST
AZ
NM
NC
TN
TX
SC
AR
MS
AL
GA
LA
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
FL
S o u theast
HMO / PPO / PDP
Producer Support
Program
33
HMO / PDP
P D P O n ly
RI
CT
PA
CO
CA
MA
NY
WI
DC
Aetna’s Brand Value
Product
Choices &
B e n e fit s
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
Information to Keep
You Current
Summary of Eligibles by Market (MA-PD)
Medicare Overview
Member Programs
& Discounts
National Medicare
Product Offering
Stat e
Market
Stat e T o ta l
Stat e
Market
AZ
Arizona
939,968
NY
Bronx and Kings
480,964
CA
National PDP
Product Offering
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Mid-America Region
Northeast Region
West Region
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Central Valley
110,481
Hudson Valley
197,860
Inland Empire
495,806
613,794
Los Angeles
1,661,268
New York,
Queens
and Richmond
San Diego
401,197
Upstate
164,993
Ventura
111,542
Cincinnati
126,388
2,780,294
CO
Colorado
638,181
CT
Connecticut
459,921
DC
Washington,
D.C.
79,286
DE
Delaware
FL
Jacksonville
152,255
South
887,814
Southwest
361,432
Tampa
469,896
Southeast Region
Stat e T o ta l
152,155
OH
Cleveland
317,562
Columbus
161,173
Toledo
71,450
OK
Oklahoma
PA
Central
302,562
Lehigh Valley
154,814
Northeastern
113,739
1,871,397
Philadelphia
228,510
Southeastern
401,788
Atlanta
351,375
IL
Chicago
708,648
TN
Tennessee
MD
Baltimore
675,085
TX
Dallas/Fort Worth
564,814
Houston
445,902
San Antonio
239,414
Maine
NJ
Northern
908,101
Southern
333,857
NV
Nevada
117,133
1,201,413
80,218
1,250,130
1,241,958
240,559
G r a n d T o ta l
34
676,573
105,038
GA
ME
1,457,611
Source: Aetna LEC Medicare Opportunity Report, June 2011.
VA
Northern
205,941
15,232,884
Aetna’s Brand Value
Product
Choices &
B e n e fit s
Medicare Overview
Fast & Responsive Service
Product Choices
& Benefits
Sales Support to Grow
Your Business
2012 Individual Medicare Prescription
Drug Plan Product Offering
Member Programs
& Discounts
MID -AMERIC A
Northeast
AK
National Medicare
Product Offering
WA
National PDP
Product Offering
VT
MT
MN
NV
MI
Mid-America Region
NE
IL
CA
Northeast Region
CO
PA
IA
UT
KS
AZ
MD
MO
KY
WV
VA
OK
NM
NC
TN
WEST
SC
AR
MS
TX
AL
GA
LA
FL
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
A et n a C V S / pharmac y P rescriptio n D r u g P l a n ( P D P )
a n d A et n a M edicare R x P remier P l a n ( P D P )
A et n a M edicare R x E sse n tia l s P l a n ( P D P )
a n d A et n a M edicare R x P remier P l a n ( P D P )
Producer Support
Program
35
NJ
DE
OH
IN
HI
Southeast Region
NH
MA
NY
WI
SD
WY
P l a n o pti o n s b y
r e g i o n a n d s tat e :
ME
ND
OR
ID
West Region
Information to Keep
You Current
S o u theast
DC
RI
CT
Aetna’s Brand Value
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
Product
Choices &
B e n e fit s
New for 2012
Medicare Overview
J O I N I NG F ORCES F OR M ED I C A RE PA R T D
Member Programs
& Discounts
National Medicare
Product Offering
National PDP
Product Offering
etna and pharmacy industry leader CVS/pharmacy have joined
A
together to offer a Medicare Part D plan in select service areas
that features low plan premiums, savings on prescription drugs,
and the convenience of shopping at a neighborhood pharmacy.
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Mid-America Region
Northeast Region
M ORE O P T I ONS F OR M ED I C A RE PA R T D
Southeast Region
West Region
etna will also offer an enhanced standalone Part D product
A
covering most generic prescription drugs during the gap.
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Information to Keep
You Current
36
Aetna’s Brand Value
Product
Choices &
B e n e fit s
Medicare Overview
Member Programs
& Discounts
National Medicare
Product Offering
National PDP
Product Offering
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Mid-America Region
Northeast Region
Fast & Responsive Service
Sales Support to Grow
Your Business
Product Choices
& Benefits
Information to Keep
You Current
Thanks to the Joint Effort
Between Aetna and Cvs/Pharmacy,
Your Clients Will Enjoy…
VA L U E
M onthly plan premium of only $26
S avings of $6 in cost-sharing on preferred generics and $10 in cost-sharing on
non-preferred generics and preferred brand drugs at CVS/pharmacy locations
First dollar coverage on most generics (i.e. a, $0 deductible on Tiers 1-2)
embers enrolled in the Aetna CVS/pharmacy Prescription Drug Plan (PDP) will
M
receive a CVS ExtraCare Health Card upon enrollment at no cost to the member,
for extra savings on CVS brand health-related products.
Southeast Region
West Region
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
CON V EN I ENCE
embers may fill their prescriptions at any of the 65,000 pharmacies in Aetna’s
M
Medicare network, including more than 7,200 CVS/pharmacy locations nationwide
7 5% of the U.S. population lives within three miles of a CVS/pharmacy
M any CVS/pharmacy locations offer 24-hour or extended-hour services and/or
drive-through pharmacies
Aetna + CVS/Pharmacy = a powerful combination for your clients!
Producer Support
Program
37
Aetna’s Brand Value
Product
Choices &
B e n e fit s
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Mid-America Region
Northeast Region
Fast & Responsive Service
Product Choices
& Benefits
Information to Keep
You Current
2 012
Mid-America Region
Individual Medicare Product Details
Southeast Region
West Region
* Rx Benefit: one month supply at
in-network retail pharmacies
** Medicare standard Gap Coverage:
After your total yearly drug costs
reach $2,930, you pay 86% for all
generic drugs and 100% for all
brand drugs, until your yearly
out-of-pocket drug costs reach
$4,700. A 50% discount on
negotiated price (excluding
dispensing fee) will be available
for those brand name drugs from
manufacturers that have signed a
coverage gap discount program
agreement with CMS.
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Sales Support to Grow
Your Business
38
Aetna’s Brand Value
Fast & Responsive Service
Mid-America Region
Northeast Region
Southeast Region
Product Choices
& Benefits
Information to Keep
You Current
Illinois
Product
Choices &
B e n e fit s
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Sales Support to Grow
Your Business
HMO & PPO
H I GHL I GH T S
Chicago Market
Cook
ental plan available
D
statewide for HMO plans
PDP
HMO and PPO options
Statewide
available
One of the largest hospital
West Region
networks in Cook County
of any MA carrier
Competitive PCP and
* Rx Benefit: one month supply at
in-network retail pharmacies
** Medicare standard Gap Coverage:
After your total yearly drug costs
reach $2,930, you pay 86% for all
generic drugs and 100% for all
brand drugs, until your yearly
out-of-pocket drug costs reach
$4,700. A 50% discount on
negotiated price (excluding
dispensing fee) will be available
for those brand name drugs from
manufacturers that have signed a
coverage gap discount program
agreement with CMS.
Specialist copays
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
39
Aetna’s Brand Value
Fast & Responsive Service
Southeast Region
West Region
* Rx Benefit: one month supply at
in-network retail pharmacies
** Medicare standard Gap Coverage:
After your total yearly drug costs
reach $2,930, you pay 86% for all
generic drugs and 100% for all
brand drugs, until your yearly
out-of-pocket drug costs reach
$4,700. A 50% discount on
negotiated price (excluding
dispensing fee) will be available
for those brand name drugs from
manufacturers that have signed a
coverage gap discount program
agreement with CMS.
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Information to Keep
You Current
Chicago Market | Cook
Aetna Medicare
S T A ND A RD P l a n ( P P O )
Aetna Medicare
Va l u e P l a n ( H M O)
Mid-America Region
Northeast Region
Product Choices
& Benefits
Illinois
Product
Choices &
B e n e fit s
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Sales Support to Grow
Your Business
CMS ID
H1419-001
H5521-016
Plan Type
HMO
PPO
Premium
$0
$79
Deductible
$0
$0 INN/$1,000 OON
OOP Max
$3,400
$6,700 INN/$10,000 Combined
Primary Care
$10
$10
Specialist
$40
$40
Inpatient
$225/day 1-8
$200/day 1-8
Skilled Nursing
$0/d 1-7, $75/day 8-15, $100/d 16-100
$0/d 1-10, $50/d 11-20, $100/d 21-100
Home Health
$15
$0
Outpatient
$0-$225
$0-$200
Ambulance
$200
$175
Emergency
$65
$65
Urgent Care
$40
$40
DME
$20
20%
Dialysis
$30
20%
Eyewear Allowance
$50 Every 2 Years
Not Covered
Out of Network
N/A
30%
Dental Rider
$16
N/A
Rx Benefit*
$7/$33/$45/$95/33%
$7/$30/$45/$95/33%
C o mm o n F e atu r e s A c r o s s A l l P l a n s
Lab
$0-$40
Rx Deductible
$0
X-Ray Routine/Complex
$0-$50/$250
Preventive Care
$0
Rx ICL
$2,930
Hearing Aid Allowance
$300 Every 3 Years
Aetna Rx Gap Coverage
(in addition to Medicare
standard gap coverage**)
No Additional Gap Coverage
Health & Wellness
Fitness/Nursing Hotline
Preferred Retail Pharmacy
N/A
40
Aetna’s Brand Value
Fast & Responsive Service
Southeast Region
West Region
* Rx Benefit: one month supply at
in-network retail pharmacies
** Medicare standard Gap Coverage:
After your total yearly drug costs
reach $2,930, you pay 86% for all
generic drugs and 100% for all
brand drugs, until your yearly
out-of-pocket drug costs reach
$4,700. A 50% discount on
negotiated price (excluding
dispensing fee) will be available
for those brand name drugs from
manufacturers that have signed a
coverage gap discount program
agreement with CMS.
A e t n a C V S / p h a r ma c y
P r e s c r ipti o n D r u g P l a n ( P D P )
Aetna Medicare
R x P r e mi e r ( P D P )
CMS ID
S5810-051
S5810-187
Plan Type
PDP
PDP
Premium
$26
$80.50
Rx Deductible
$0 (Tiers 1-2), $320 (Tiers 3-5)
$0
Rx Benefit*
At CVS Pharmacies: $3/$10/$35/40%/25%
At All Other Network Pharmacies: $9/$20/$45/40%/25%
$4/$25/$35/$80/33%
Rx ICL
$2,930
$2,930
Aetna Rx Gap Coverage
(in addition to Medicare
standard gap coverage**)
No Additional Gap Coverage
Tier 1 and Tier 2 Covered in the Gap
Non Part D Coverage
Not Covered
T1 [Benzos and Barbs]
Preferred Retail Pharmacy
CVS
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Information to Keep
You Current
Statewide
Mid-America Region
Northeast Region
Product Choices
& Benefits
Illinois
Product
Choices &
B e n e fit s
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Sales Support to Grow
Your Business
41
Aetna’s Brand Value
Fast & Responsive Service
Southeast Region
West Region
* Rx Benefit: one month supply at
in-network retail pharmacies
** Medicare standard Gap Coverage:
After your total yearly drug costs
reach $2,930, you pay 86% for all
generic drugs and 100% for all
brand drugs, until your yearly
out-of-pocket drug costs reach
$4,700. A 50% discount on
negotiated price (excluding
dispensing fee) will be available
for those brand name drugs from
manufacturers that have signed a
coverage gap discount program
agreement with CMS.
A e t n a C V S / p h a r ma c y
P r e s c r ipti o n D r u g P l a n ( P D P )
Aetna Medicare
R x P r e mi e r ( P D P )
CMS ID
S5810-049
S5810-185
Plan Type
PDP
PDP
Premium
$26
$84.90
Rx Deductible
$0 (Tiers 1-2), $320 (Tiers 3-5)
$0
Rx Benefit*
At CVS Pharmacies: $3/$10/$29/41%/25%
At All Other Network Pharmacies: $9/$20/$39/41%/25%
$4/$25/$35/$80/33%
Rx ICL
$2,930
$2,930
Aetna Rx Gap Coverage
(In addition to Medicare
standard gap coverage**)
No Additional Gap Coverage
Tier 1 and Tier 2 Covered in the Gap
Non Part D Coverage
Not Covered
T1 [Benzos and Barbs]
Preferred Retail Pharmacy
CVS
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Information to Keep
You Current
Statewide
Mid-America Region
Northeast Region
Product Choices
& Benefits
Indiana
Product
Choices &
B e n e fit s
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Sales Support to Grow
Your Business
42
Aetna’s Brand Value
Fast & Responsive Service
Southeast Region
West Region
* Rx Benefit: one month supply at
in-network retail pharmacies
** Medicare standard Gap Coverage:
After your total yearly drug costs
reach $2,930, you pay 86% for all
generic drugs and 100% for all
brand drugs, until your yearly
out-of-pocket drug costs reach
$4,700. A 50% discount on
negotiated price (excluding
dispensing fee) will be available
for those brand name drugs from
manufacturers that have signed a
coverage gap discount program
agreement with CMS.
A e t n a C V S / p h a r ma c y
P r e s c r ipti o n D r u g P l a n ( P D P )
Aetna Medicare
R x P r e mi e r ( P D P )
CMS ID
S5810-059
S5810-195
Plan Type
PDP
PDP
Premium
$26
$75.50
Rx Deductible
$0 (Tiers 1-2), $320 (Tiers 3-5)
$0
Rx Benefit*
At CVS Pharmacies: $3/$10/$31/40%/25%
At All Other Network Pharmacies: $9/$20/$41/40%/25%
$4/$25/$35/$80/33%
Rx ICL
$2,930
$2,930
Aetna Rx Gap Coverage
(In addition to Medicare
standard gap coverage**)
No Additional Gap Coverage
Tier 1 and Tier 2 Covered in the Gap
Non Part D Coverage
Not Covered
T1 [Benzos and Barbs]
Preferred Retail Pharmacy
CVS
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Information to Keep
You Current
Statewide
Mid-America Region
Northeast Region
Product Choices
& Benefits
Iowa
Product
Choices &
B e n e fit s
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Sales Support to Grow
Your Business
43
Aetna’s Brand Value
Fast & Responsive Service
Southeast Region
West Region
* Rx Benefit: one month supply at
in-network retail pharmacies
** Medicare standard Gap Coverage:
After your total yearly drug costs
reach $2,930, you pay 86% for all
generic drugs and 100% for all
brand drugs, until your yearly
out-of-pocket drug costs reach
$4,700. A 50% discount on
negotiated price (excluding
dispensing fee) will be available
for those brand name drugs from
manufacturers that have signed a
coverage gap discount program
agreement with CMS.
A e t n a C V S / p h a r ma c y
P r e s c r ipti o n D r u g P l a n ( P D P )
Aetna Medicare
R x P r e mi e r ( P D P )
CMS ID
S5810-058
S5810-194
Plan Type
PDP
PDP
Premium
$26
$79.40
Rx Deductible
$0 (Tiers 1-2), $320 (Tiers 3-5)
$0
Rx Benefit*
At CVS Pharmacies: $3/$10/$31/40%/25%
At All Other Network Pharmacies: $9/$20/$41/40%/25%
$4/$25/$35/$80/33%
Rx ICL
$2,930
$2,930
Aetna Rx Gap Coverage
(In addition to Medicare
standard gap coverage**)
No Additional Gap Coverage
Tier 1 and Tier 2 Covered in the Gap
Non Part D Coverage
Not Covered
T1 [Benzos and Barbs]
Preferred Retail Pharmacy
CVS
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Information to Keep
You Current
Statewide
Mid-America Region
Northeast Region
Product Choices
& Benefits
Kansas
Product
Choices &
B e n e fit s
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Sales Support to Grow
Your Business
44
Aetna’s Brand Value
Fast & Responsive Service
Southeast Region
West Region
* Rx Benefit: one month supply at
in-network retail pharmacies
** Medicare standard Gap Coverage:
After your total yearly drug costs
reach $2,930, you pay 86% for all
generic drugs and 100% for all
brand drugs, until your yearly
out-of-pocket drug costs reach
$4,700. A 50% discount on
negotiated price (excluding
dispensing fee) will be available
for those brand name drugs from
manufacturers that have signed a
coverage gap discount program
agreement with CMS.
A e t n a C V S / p h a r ma c y
P r e s c r ipti o n D r u g P l a n ( P D P )
Aetna Medicare
R x P r e mi e r ( P D P )
CMS ID
S5810-049
S5810-185
Plan Type
PDP
PDP
Premium
$26
$84.90
Rx Deductible
$0 (Tiers 1-2), $320 (Tiers 3-5)
$0
Rx Benefit*
At CVS Pharmacies: $3/$10/$29/41%/25%
At All Other Network Pharmacies: $9/$20/$39/41%/25%
$4/$25/$35/$80/33%
Rx ICL
$2,930
$2,930
Aetna Rx Gap Coverage
(In addition to Medicare
standard gap coverage**)
No Additional Gap Coverage
Tier 1 and Tier 2 Covered in the Gap
Non Part D Coverage
Not Covered
T1 [Benzos and Barbs]
Preferred Retail Pharmacy
CVS
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Information to Keep
You Current
Statewide
Mid-America Region
Northeast Region
Product Choices
& Benefits
Kentucky
Product
Choices &
B e n e fit s
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Sales Support to Grow
Your Business
45
Aetna’s Brand Value
Fast & Responsive Service
Southeast Region
West Region
* Rx Benefit: one month supply at
in-network retail pharmacies
** Medicare standard Gap Coverage:
After your total yearly drug costs
reach $2,930, you pay 86% for all
generic drugs and 100% for all
brand drugs, until your yearly
out-of-pocket drug costs reach
$4,700. A 50% discount on
negotiated price (excluding
dispensing fee) will be available
for those brand name drugs from
manufacturers that have signed a
coverage gap discount program
agreement with CMS.
A e t n a C V S / p h a r ma c y
P r e s c r ipti o n D r u g P l a n ( P D P )
Aetna Medicare
R x P r e mi e r ( P D P )
CMS ID
S5810-047
S5810-183
Plan Type
PDP
PDP
Premium
$26
$68.50
Rx Deductible
$0 (Tiers 1-2), $320 (Tiers 3-5)
$0
Rx Benefit*
At CVS Pharmacies: $3/$10/$33/37%/25%
At All Other Network Pharmacies: $9/$20/$43/37%/25%
$4/$25/$35/$80/33%
Rx ICL
$2,930
$2,930
Aetna Rx Gap Coverage
(In addition to Medicare
standard gap coverage**)
No Additional Gap Coverage
Tier 1 and Tier 2 Covered in the Gap
Non Part D Coverage
Not Covered
T1 [Benzos and Barbs]
Preferred Retail Pharmacy
CVS
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Information to Keep
You Current
Statewide
Mid-America Region
Northeast Region
Product Choices
& Benefits
Michigan
Product
Choices &
B e n e fit s
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Sales Support to Grow
Your Business
46
Aetna’s Brand Value
Fast & Responsive Service
Southeast Region
West Region
* Rx Benefit: one month supply at
in-network retail pharmacies
** Medicare standard Gap Coverage:
After your total yearly drug costs
reach $2,930, you pay 86% for all
generic drugs and 100% for all
brand drugs, until your yearly
out-of-pocket drug costs reach
$4,700. A 50% discount on
negotiated price (excluding
dispensing fee) will be available
for those brand name drugs from
manufacturers that have signed a
coverage gap discount program
agreement with CMS.
A e t n a C V S / p h a r ma c y
P r e s c r ipti o n D r u g P l a n ( P D P )
Aetna Medicare
R x P r e mi e r ( P D P )
CMS ID
S5810-059
S5810-195
Plan Type
PDP
PDP
Premium
$26
$75.50
Rx Deductible
$0 (Tiers 1-2), $320 (Tiers 3-5)
$0
Rx Benefit*
At CVS Pharmacies: $3/$10/$31/40%/25%
At All Other Network Pharmacies: $9/$20/$41/40%/25%
$4/$25/$35/$80/33%
Rx ICL
$2,930
$2,930
Aetna Rx Gap Coverage
(In addition to Medicare
standard gap coverage**)
No Additional Gap Coverage
Tier 1 and Tier 2 Covered in the Gap
Non Part D Coverage
Not Covered
T1 [Benzos and Barbs]
Preferred Retail Pharmacy
CVS
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Information to Keep
You Current
Statewide
Mid-America Region
Northeast Region
Product Choices
& Benefits
Minnesota
Product
Choices &
B e n e fit s
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Sales Support to Grow
Your Business
47
Aetna’s Brand Value
Fast & Responsive Service
Southeast Region
West Region
* Rx Benefit: one month supply at
in-network retail pharmacies
** Medicare standard Gap Coverage:
After your total yearly drug costs
reach $2,930, you pay 86% for all
generic drugs and 100% for all
brand drugs, until your yearly
out-of-pocket drug costs reach
$4,700. A 50% discount on
negotiated price (excluding
dispensing fee) will be available
for those brand name drugs from
manufacturers that have signed a
coverage gap discount program
agreement with CMS.
A e t n a C V S / p h a r ma c y
P r e s c r ipti o n D r u g P l a n ( P D P )
Aetna Medicare
R x P r e mi e r ( P D P )
CMS ID
S5810-052
S5810-188
Plan Type
PDP
PDP
Premium
$26
$78
Rx Deductible
$0 (Tiers 1-2), $320 (Tiers 3-5)
$0
Rx Benefit*
At CVS Pharmacies: $3/$10/$37/40%/25%
At All Other Network Pharmacies: $9/$20/$47/40%/25%
$4/$25/$35/$80/33%
Rx ICL
$2,930
$2,930
Aetna Rx Gap Coverage
(In addition to Medicare
standard gap coverage**)
No Additional Gap Coverage
Tier 1 and Tier 2 Covered in the Gap
Non Part D Coverage
Not Covered
T1 [Benzos and Barbs]
Preferred Retail Pharmacy
CVS
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Information to Keep
You Current
Statewide
Mid-America Region
Northeast Region
Product Choices
& Benefits
Missouri
Product
Choices &
B e n e fit s
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Sales Support to Grow
Your Business
48
Aetna’s Brand Value
Fast & Responsive Service
Southeast Region
West Region
* Rx Benefit: one month supply at
in-network retail pharmacies
** Medicare standard Gap Coverage:
After your total yearly drug costs
reach $2,930, you pay 86% for all
generic drugs and 100% for all
brand drugs, until your yearly
out-of-pocket drug costs reach
$4,700. A 50% discount on
negotiated price (excluding
dispensing fee) will be available
for those brand name drugs from
manufacturers that have signed a
coverage gap discount program
agreement with CMS.
A e t n a C V S / p h a r ma c y
P r e s c r ipti o n D r u g P l a n ( P D P )
Aetna Medicare
R x P r e mi e r ( P D P )
CMS ID
S5810-059
S5810-195
Plan Type
PDP
PDP
Premium
$26
$75.50
Rx Deductible
$0 (Tiers 1-2), $320 (Tiers 3-5)
$0
Rx Benefit*
At CVS Pharmacies: $3/$10/$31/40%/25%
At All Other Network Pharmacies: $9/$20/$41/40%/25%
$4/$25/$35/$80/33%
Rx ICL
$2,930
$2,930
Aetna Rx Gap Coverage
(In addition to Medicare
standard gap coverage**)
No Additional Gap Coverage
Tier 1 and Tier 2 Covered in the Gap
Non Part D Coverage
Not Covered
T1 [Benzos and Barbs]
Preferred Retail Pharmacy
CVS
For Agent Use Only.
Not to be shared with
Medicare beneficiaries.
Aetna Inc. Proprietary
and Confidential.
Producer Support
Program
Information to Keep
You Current
Statewide
Mid-America Region
Northeast Region
Product Choices
& Benefits
Montana
Product
Choices &
B e n e fit s
P l a n o pti o n s b y
r e g i o n a n d s tat e :
Sales Support to Grow
Your Business
49
2012_individual.pdf (PDF, 3.91 MB)
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