P.O. Box 963 Blue Bell, PA 19422-9921 Thank you for your interest in Aetna Medicare Rx® plans. We hope you will become a member, and look forward to serving you. When you join an Aetna Medicare Rx plan, you can choose the plan that’s right for you. Some plan benefit highlights: • All Medicare-approved Part D prescription drugs are covered* • $0 deductible for generic tier prescription drugs in all plans • $0 deductible for brand tier prescription drugs in most plans • $0 preferred generic prescription drug copay in most plans • Enhanced benefits cover generic prescription benzodiazepines and barbiturates in some plans • More than 59,000 network pharmacies nationwide, including national chains plus extra values and services, like discounts on vision products and services, alternative health care program services, and more. To get started, please review the enclosed Aetna Medicare Rx information, which will help you choose the plan that’s right for you: Benefits at a Glance. Side-by-side comparison of key plan features along with monthly plan premiums and cost sharing amounts. Prescription Drug Formulary (Preferred Drug List). A sample listing of covered prescription drugs. Our plans cover all Medicare-approved Part D prescription drugs. You can get complete information about covered medications by calling Aetna Medicare or visiting our website at www.aetnamedicare.com. Summary of Benefits. A more complete description of plan benefits, terms and conditions. If you enroll in Aetna Medicare coverage by December 31, 2008, your coverage will begin on January 1, 2009. If you are eligible for a special enrollment period you may be able to enroll at a time other than the annual enrollment period. Aetna Medicare customer service can help determine if you are eligible for a special election period. Everyone who is eligible for Medicare Part A or enrolled in Part B and lives in our service area can join an Aetna Medicare Rx plan. See inside for how to enroll and what to expect once you’re a member. (*Pharmacy clinical programs such as precertification, step therapy, and quantity limits may apply to your prescription drug coverage.) If you have questions or need help with enrolling, call an Aetna Medicare representative at 1-800-213-4599 (TTY/TDD 1-800-628-3323), Monday through Friday, 8 a.m. to 6 p.m. Or visit our website at www.aetnamedicare.com S5810_7D_80604 (09/2008) Page 1 18.32.425.1 F (10/08) How to Enroll in an Aetna Medicare Rx Plan Step 1 – Consider Your Choices First, compare your plan options. Review the enclosed enrollment materials, and if you have any questions, we can help so you can choose the plan that’s right for you: • Call for personal assistance. We’ll help you compare plan choices. Call us for answers to your questions at 1-800-832-2640 (TTY/TDD 1-800-628-3323), 8 a.m. to 6 p.m., Monday through Friday. You may also call Medicare for more information about Medicare benefits and services, including general information regarding the health or prescription drug benefit, at 1-800-MEDICARE (1800-633-4227) (TTY/TDD users should call 1-877-486-2048), 24 hours a day/7 days a week. • Attend a meeting or schedule a personal visit with an Aetna sales representative. We hold local meetings in many locations, or we can come to your home if you prefer. Visit our website at www.aetnamedicare.com for schedules and locations. Or call us for information. Step 2 –Enroll for Aetna Medicare Rx Coverage Select the plan that meets your needs – and choose one of four easy ways to enroll. Enroll by mail Complete the enrollment form and return it in the enclosed postage-paid envelope. Enroll online You can enroll online at www.aetnamedicare.com. Medicare beneficiaries may also enroll in an Aetna Medicare plan through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at www.medicare.gov. Enroll by phone An Aetna Medicare representative can take your enrollment information over the phone. Just call tollfree 1-800-213-4599 (TTY/TDD 1-800-628-3323), Monday through Friday, 8 a.m. to 6 p.m. You may also enroll by calling Medicare at 1-800-MEDICARE (1-800-633-4227) (TTY/TDD users should call 1-877-486-2048), 24 hours a day/7 days a week. Enroll at a meeting or personal in-home visit If you attend an informational meeting or schedule a personal visit, you can find out about the plans and enroll at the same time. Visit our website at www.aetnamedicare.com for schedules and locations, or call us for information. If you have questions or need help with enrolling, call an Aetna Medicare representative at 1-800-213-4599 (TTY/TDD 1-800-628-3323), Monday through Friday, 8 a.m. to 6 p.m. Or visit our website at www.aetnamedicare.com S5810_7D_80604 (09/2008) Page 2 18.32.425.1 F (10/08) Once You’re a Member After you enroll: You’ll receive an Aetna Medicare Rx member ID card. It’s the only card you’ll present when you have a prescription filled to get all the advantages of being an Aetna member. To have prescriptions filled, you can: • Go to any network pharmacy – Such as Costco, CVS, HEB, Rite Aid, Target, Walgreens and many more. (Call us or go to www.aetnamedicare.com to find pharmacies in our network.) • Use our prescription drug mail order service – Save money on maintenance prescription medications like those for high blood pressure and diabetes. • Get help with hard-to-find medications – Aetna also operates its own Specialty Pharmacy for ordering drugs that local retail pharmacies often do not stock because of their expense and/or special handling requirements. When you fill your prescriptions, there is virtually no paperwork or claim forms. We work to make using the benefits simple. Remember … You must continue to pay any applicable Medicare Parts A or B premium if not otherwise paid for under Medicaid or by another third party. This is in addition to the plan premium, if any, for your Aetna coverage. Take advantage of the extra savings you can receive as a member – like discounts on eyeglasses, vitamins and other products and services. We are available to assist you when you have questions or just want to know more about your coverage. Call the toll-free number listed on your member ID card to contact us. If you have questions or need help with enrolling, call an Aetna Medicare representative at 1-800-213-4599 (TTY/TDD 1-800-628-3323), Monday through Friday, 8 a.m. to 6 p.m. Or visit our website at www.aetnamedicare.com S5810_7D_80604 (09/2008) Page 3 18.32.425.1 F (10/08) Benefits coverage is provided by Aetna Life Insurance Company, a Medicare Prescription Drug Plan sponsor with a Medicare contract. Benefits, limitations, service areas, and premiums are subject to change on January 1 of each year. See plan documents for a complete description of benefits, exclusions, limitations, and conditions of coverage. Plan features are subject to change. Aetna receives rebates from drug manufacturers that may be taken into account in determining Aetna’s Preferred Drug List. Rebates do not reduce the amount a member pays the pharmacy for covered prescriptions. Pharmacy clinical programs such as precertification, step therapy, and quantity limits may apply to your prescription drug coverage. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not provide care or guarantee access to health services. Discount programs provide access to discounted prices and are not insured benefits. Enrollees must use network pharmacies to receive plan benefits except under emergency circumstances. Covered Part D prescription drugs are available at out-of-network pharmacies in special circumstances, including illness while traveling within the United States but outside the plan’s service area where there is no network pharmacy. An additional cost may be incurred for drugs received at an out-of-network pharmacy. You must be entitled to Medicare Part A and/or enrolled in Part B. You must reside in the Aetna Medicare Prescription Drug Plan service area. While this material is believed to be accurate as of the print date, it is subject to change. Translation of this material into another language may be available. For assistance, please call Member Services at 1-800-213-4599 (TDD: 1-800-628-3323). Puede estar disponible la traducción de este material en otro idioma. Para ayuda, por favor llame a Servicios al Miembro al 1-800-213-4599 (TDD: 1-800-628-3323). © 2008 Aetna Inc. If you have questions or need help with enrolling, call an Aetna Medicare representative at 1-800-213-4599 (TTY/TDD 1-800-628-3323), Monday through Friday, 8 a.m. to 6 p.m. Or visit our website at www.aetnamedicare.com S5810_7D_80604 (09/2008) Page 4 18.32.425.1 F (10/08)