Enroll in a 2017 Aetna or Coventry Medicare plan
Coventry is now part of the Aetna Family. Your choices may include both Aetna and Coventry plans.
If you have Medicare coverage through your former employer, union or group, please contact your former employer about your Medicare options.
Generally, you can apply for a Medicare plan, regardless of your health, if you meet the following Medicare eligibility guidelines:
- You must have both Medicare Part A and Part B to enroll in a Medicare Advantage plan. You must have Medicare Part A and/or Part B to enroll in a Medicare prescription drug plan. You must continue to pay your Medicare Part B premium and
- You live in the plan service area.
To join an Aetna or Coventry Medicare plan:
- You must enroll during the Annual Election Period (AEP) - October 15 through December 7; OR
- You must be within your Initial Election Period (IEP) (starting three months before, the month of, and lasting for three months after you first qualify for Medicare); OR
- You qualify for a Special Election Period (SEP), such as when you move to a new service area or into an institution, or your Medicaid eligibility changes.
Generally, you can only choose a new Medicare plan or change your current Medicare coverage during the Annual Election Period (AEP) - October 15 through December 7. Your AEP plan choice becomes effective on January 1 of the next calendar year.
You need to meet certain special exceptions to make a plan change during the year. For example, you can choose a new plan if you move out of your plan’s service area or become newly eligible for Medicare. When you enroll during AEP your plan choice becomes effective on January 1 of the next calendar year.
You may enroll in only one Part D plan at a time. If you are enrolled in a Medicare Advantage plan, you may not enroll in a prescription drug plan unless you are a member of a Private Fee-for-Service Plan (PFFS) that does not provide Medicare prescription drug coverage, a Medical Savings Account MA Plan (MSA), or an 1876 Cost Plan.
Out-of-network/non-contracted providers are under no obligation to treat Aetna members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. 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.
You must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers neither Medicare nor we will be responsible for the costs.
Medicare beneficiaries may also enroll in an Aetna Medicare Plan through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.