Aetna formulary 2023 medicare

Original Medicare (Part A and Part B) offer a lot of coverage including healthcare services and some supplies, but they don’t cover everything. Medicare Supplement Insurance, also ...

2023 List of Covered Drugs/Formulary Aetna Better HealthSM Premier Plan Aetna Better Health Premier Plan (Medicare-Medicaid Plan) is a health plan that contracts with Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. For more recent information or other questions, contact us at Aetna Medicare Advantage plans that offer prescription drug coverage (MAPD) Some medically administered Part B drugs may have extra requirements or limits on coverage. Call us. Talk to a licensed agent at 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Medicare Part D FAQs. Find the answers to common questions about prescription drug coverage. View FAQs. Find a Medicare Part D plan in Michigan to help cover your prescription drug costs.Check our formulary. Our Medicare prescription formulary (drug list) shows the drugs we cover, which tier a drug is on, limits or requirements and mail-order availability. Generally, the lower the tier, the less you pay. Your Summary of Benefits tells you the drug costs for tiers. 2023 List of Covered Drugs/Formulary Aetna Better HealthSM Premier Plan MMAI Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. For more recent information or other questions, contact us at Pharmacy Criteria. Search our Pharmacy Clinical Policy Bulletins for the following commercial formulary plans: Advanced Control Plans-Aetna, Aetna Health Exchange Plans, and Standard Opt Out Plans-Aetna. Pharmacy Clinical Policy Bulletins for all other formulary plans are available by calling the number on the back of the member’s ID card. Year. The Biden administration is requiring private insurers to cover the cost of at-home covid tests, but uninsured people and Medicare recipients are left out. The White House announce...

Aetna Medicare Premier Plan (HMO) Your costs for in‑network care 24‑Hour Nurse Line Speak with a registered nurse 24 hours a day, 7 days a week to discuss medical issues or wellness topics. Chiropractic care* Medicare‑covered services: $20 Routine chiropractic care isn't covered. Medicare coverage is limited to fixing a …Jan 1, 2023 · Expedited medical exceptions. In certain circumstances*, you or your prescriber can request a medical exception for a non-covered drug. To submit a request, call our Precertification Department at 1-855-582-2025 (TTY: 711), or fax a request to 1-855-330-1716. Aetna Medicare Advantage (MA) 2023 Part B Preferred Drug List with 9.1.23 Additional Updates. Medicare Part B preferred drug list — Aetna Medicare Advantage (MA) only plans . Some medically administered Part B drugs may have extra requirements or limits on coverage. These may include step therapy.Check our formulary. Our Medicare prescription formulary (drug list) shows the drugs we cover, which tier a drug is on, limits or requirements and mail-order availability. Generally, the lower the tier, the less you pay. Your Summary of Benefits tells you the drug costs for tiers.2023 Evidence of Coverage for Aetna Medicare Gold Advantage Value Prime (HMO) 1 January 1 – December 31, 2023 Evidence of Coverage: ... The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. We will notify affected enrollees about changes at least 30 days in …An Aetna Medicare formulary typically lists drugs grouped by the types of medical conditions they are used to treat. It also lists them in alphabetical order. To find out which drugs are covered by Aetna Medicare plans in your area, you can speak with a licensed insurance agent. You can reach one by calling 1-877-890-1409 TTY Users: 711.Talk to a licensed agent at 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Find the answers to common questions about prescription drug coverage. View FAQs. Find a Medicare Part D plan in Connecticut to help …

Drugs in lower tiers generally cost less than drugs in higher tiers. For example, HealthPartners Medicare Advantage plans have five tiers: Tier 1: Preferred generic drugs – This is the lowest tier. Lower-cost, commonly used generic drugs are in this tier. Tier 2: Generic drugs – High-cost, commonly used generic drugs are in this tier.Aetna Better Health Premier Plan | 2023 . List of Covered Drugs (Formulary) Introduction. This document is called the List of Covered Drugs (also known as the Drug List). It tells …which prescription drugs and over-the-counter drugs and items are covered by Aetna Better Health Premier Plan MMAI. The Drug List also tells you if there are any special rules or restrictions on any drugs covered by Aetna Better Health Premier Plan MMAI. Key terms and their definitions appear in the last chapter of the . Member Handbook. September 2022 29695 2. Emeriti Retirement Health Solutions. Aetna Medicare Rx offered by SilverScript Rx Standard. Benefits and Premiums are effective January 1, 2023 through December 31, 2023 SUMMARY OF BENEFITS PROVIDED BY SILVERSCRIPT INSURANCE COMPANY PHARMACY - PRESCRIPTION DRUG BENEFITS. Monthly Premium Please contact your former ... We are working to update the information on this website to reflect your 2023 benefits. Please check back mid-October for updates. And watch your mail for more plan information coming from Aetna over the next several weeks. In the meantime, our representatives are available to answer your questions. They can reached at 1-855-223-4807 (TTY: 711 ... Aetna is part of the CVS Health family of companies. Excluded drug name(s) Preferred option(s)*. butalbital-acetaminophen capsule, butalbital-acetaminophen tablet 25-325 mg, butalbital-acetaminophen tablet 50-300 mg, BUTALBITAL-ACETAMINOPHEN (NDC* 69499034230 only) diclofenac sodium, ibuprofen, naproxen (except naproxen CR or naproxen suspension)

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We are working to update the information on this website to reflect your 2023 benefits. Please check back mid-October for updates. And watch your mail for more plan information coming from Aetna over the next several weeks. In the meantime, our representatives are available to answer your questions. They can reached at 1-855-223-4807 (TTY: 711 ...2023 Summary of Benefits Aetna Medicare Value Plan (HMO-POS) | H3146-001 | $0 | Y0001_H3146_001_HQ18_SB23_M (Updated) ... Not Covered Medicare Part B drugs* Medicare Part B only covers certain medicines for certain conditions. These medicines are often given to you in your doctor's office. They can include things like …Find the Aetna Medicare forms you need to help you get started with claims reimbursements, Aetna Rx Home Delivery, filing an appeal and more.Get the formulary (drug list) Want a full list of every drug covered by your plan? Download the formulary and find other important prescription drug information. …2023 Standard Opt Out Plan — Aetna Formulary Exclusions Drug List. 893218-03-06 (10/23) Below is a list of medications that won’t be covered without a prior authorization for medical necessity. If you continue using one of these drugs without prior approval, you may be required to pay the full cost.2023 Standard Opt Out Plan — Aetna Formulary Exclusions Drug List. 893218-03-06 (10/23) Below is a list of medications that won’t be covered without a prior authorization …

Beneficiaries can appoint a representative by submitting CMS Form-1696. 2023 Medicare Part D Browse a Plan Formulary (Drug List) - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State.Aetna is part of the CVS Health family of companies. Excluded drug name(s) Preferred option(s)*. butalbital-acetaminophen capsule, butalbital-acetaminophen tablet 25-325 mg, butalbital-acetaminophen tablet 50-300 mg, BUTALBITAL-ACETAMINOPHEN (NDC* 69499034230 only) diclofenac sodium, ibuprofen, naproxen (except naproxen CR or naproxen suspension)The Aetna Medicare preferred drug list is current as of this publication. The information is updated on a monthly basis. Once enrolled, you can call the toll-free Member Services number on your ID card to obtain additional information on any changes to the Aetna Medicare preferred drug list. If a medication is removed from the list, you will be ... 2023 List of Covered Drugs/Formulary Aetna Better HealthSM Premier Plan MMAI Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. For more recent information or other questions, contact us at We would like to show you a description here but the site won’t allow us. An Aetna Medicare formulary typically lists drugs grouped by the types of medical conditions they are used to treat. It also lists them in alphabetical order. To find out which drugs are covered by Aetna Medicare plans in your area, you can speak with a licensed insurance agent. You can reach one by calling 1-877-890-1409 TTY Users: 711. Explore your Medicare coverage options. Get more coverage, once you have Part A and/or Part B. First time joining a Medicare health or drug plan? Find Medicare health & drug plans. Use your account. Save time by logging in. Get a summary of your current coverage; Use your saved drugs & pharmacies to compare plan costs;Keep in mind each plan has a list of prescription drugs that it covers on a list called a formulary. The formulary has information like which tier the drug is on. ... *All dollar amounts reflect 2023 Medicare policies. ... For example, some Aetna Medicare plans offer lower costs on mail-order prescriptions. 1 Centers for Disease Control and ...Apr 1, 2020 ... Aetna Medicare Formulary?” • Drugs removed from the market. If the. Food and Drug Administration (FDA) deems a drug on our formulary to be ...The major differences between Medicare Part A and Medicare Part B are the covered services each part of the program provides. Medicare Part A is hospital insurance; Part B is medic...Aetna Medicare Premier Plan (HMO) Your costs for in‑network care 24‑Hour Nurse Line Speak with a registered nurse 24 hours a day, 7 days a week to discuss medical issues or wellness topics. Chiropractic care* Medicare‑covered services: $20 Routine chiropractic care isn't covered. Medicare coverage is limited to fixing a …The precertification and quantity limits drug coverage review programs are not available in all service areas. However, these programs are available to self-insured plans. Health benefits and health insurance plans contain exclusions and limitations. Find out if your prescription drug is covered by your 2024 Advanced Control Choice Plan.

Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the SilverScript SmartSaver (PDP) benefit details. — Medicare Plan Features —. Monthly Premium: $6.60 (see Plan Premium Details below) Annual ...

Updated 12/01/2023 3. What is the Aetna Medicare Comprehensive Formulary? A formulary is a list of covered drugs selected by our plan in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. We will generally cover the drugs listed on4 out of 5 stars* for plan year 2024. $34.00 Monthly Premium. Aetna Medicare Premier Plus (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-016-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $34.00 Monthly Premium.2024 Formulary (List of Covered Drugs) 3T Classic Formulary . PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. This formulary was updated on 10/25/2023. For more recent information or other questions, please contact Aetna Medicare Rx offered by SilverScript at the number on …Updated 12/01/2023 3. What is the Aetna Medicare Comprehensive Formulary? A formulary is a list of covered drugs selected by our plan in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. We will generally cover the drugs listed onExpedited medical exceptions. In certain circumstances*, you or your prescriber can request a medical exception for a non-covered drug. To submit a request, call our Precertification Department at 1-855-582-2025 (TTY: 711), or fax a request to 1-855-330-1716.In the world of pharmacy management, one crucial aspect is the creation of an effective formulary list. A formulary list is a comprehensive compilation of medications that are appr...Drugs in lower tiers generally cost less than drugs in higher tiers. For example, HealthPartners Medicare Advantage plans have five tiers: Tier 1: Preferred generic drugs – This is the lowest tier. Lower-cost, commonly used generic drugs are in this tier. Tier 2: Generic drugs – High-cost, commonly used generic drugs are in this tier. 2023 List of Covered Drugs/Formulary Aetna Better HealthSM Premier Plan MMAI Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. For more recent information or other questions, contact us at Check our formulary. Our Medicare prescription formulary (drug list) shows the drugs we cover, which tier a drug is on, limits or requirements and mail-order availability. Generally, the lower the tier, the less you pay. Your Summary of Benefits tells you the drug costs for tiers. That’s why almost 75 percent of people who are on Medicare — or more than 47 million people 2 — are enrolled in a plan with prescription drug coverage. Forty-one percent of those over 65 take five or more medications a day. 1. As you figure out the best plan for your needs, here’s what you need to know about prescription drug coverage.

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2023-H3959.032.1 H3959-032 Aetna Medicare Advantra Premier (HMO‑POS) H3959 ‑ 032 Here’s a summary of the services we cover from January 1, 2023 through December 31, 2023. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Just visitWe’ve got answers. Connect with us. Talk to a licensed agent by calling 1-855-335-1407 (TTY: 711). They’re available Monday to Friday, 8 AM to 8 PM. Or, we’ll call you. Learn more about benefits Aetna Medicare may offer for your Medicare hearing aids, dental coverage, and eyewear needs.Page with formulary, formulary updates, PA criteria, step therapy criteria. Skip to main content. ... Aetna Better Health Premier Plan (Medicare-Medicaid Plan) For members. Aetna Better Health Premier Plan (Medicare-Medicaid Plan) ... H2506_ILWEBSITE_2023. CMS Accepted: 3/26/2023. Last Updated: 2/28/2023 ...Talk to a licensed agent at 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Find the answers to common questions about prescription drug coverage. View FAQs. Find a Medicare Part D plan in Texas to help cover your prescription drug costs.Inpatient hospital - psychiatric. In-Network: $295 per day for days 1 through 5 / $0 per day for days 6 through 90. Out-of-Network: 40% per stay. Outpatient group therapy visit with a psychiatrist ...Aetna Medicare Advantage plans take a total, connected approach to your health. Our main goal is to help you live your healthiest life possible, body and mind. ... Page last updated: August 01, 2023 ©[current-year] Aetna Inc. Y0001_GRP_4006_3789. You are now leaving the Aetna Medicare website.We would like to show you a description here but the site won’t allow us.Are you a recipient of Aetna Medicaid? If so, you may be wondering how to find healthcare providers and specialists within the Aetna Medicaid network. Aetna Medicaid is a managed c... ….

Viscosupplements (single injection) Gel-One Monovisc. Durolane Synvisc-One. Viscosupplements (multiple injections) Gelsyn-3 GenVisc Hyalgan Hymovis Orthovisc Supartz FX TriVisc Visco-3. Euflexxa Synvisc. This list indicates the common uses for which the drug is prescribed. Some medicines are prescribed for more than one condition. Available online provider directories (PDF): CALIFORNIA 州 ALAMEDA 縣 Aetna Medicare Select Plan (HMO)_H0523-068. CALIFORNIA 州 SAN FRANCISCO 市 Aetna Medicare Select Plan (HMO)_H0523-070. CALIFORNIA 州 ALAMEDA 縣 SAN FRANCISCO 市 Aetna Medicare Value Plus Plan (HMO-POS)_H0523-076.Find the Aetna Medicare forms you need to help you get started with claims reimbursements, Aetna Rx Home Delivery, filing an appeal and more.Oct 1, 2023 · Asking for coverage of a drug that is not on the formulary (drug list) is sometimes called asking for a formulary exception. In certain cases we make a formulary exception to cover a drug not on our formulary. If we do, you will need to pay the cost-share that applies to drugs in Tier 4 (Non-preferred drug). Every year brings new changes to Medicare, with seniors facing new plan choices, new costs, and new coverage specifications. And most Medicare subscribers don’t learn about these c...Medicare Part D, the prescription drug component of Medicare, is optional insurance. Unlike with Medicare Part A and Part B, which the Social Security Administration manages, priva...2023-H3959.002.1 H3959-002 Aetna Medicare Advantra Gold (HMO) H3959 ‑ 002 Here’s a summary of the services we cover from January 1, 2023 through December 31, 2023. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Just visitAetna sells three different SilverScript plans, and the Aetna Medicare drug formulary may vary slightly from one plan to another. Below are the SilverScript plan formularies for 2024. 2024 SilverScript Choice Part D plan formulary ( Spanish ) 2024 SilverScript Plus plan formulary ( Spanish) 2024 SilverScript SmartSaver plan formulary ( Spanish)A formulary is a list of drugs covered by an Allina Health Aetna Medicare plan. Learn more about Medicare prescription drug formularies and what’s covered and …Call us. Talk to a licensed agent at 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Medicare Part D FAQs. Find the answers to common questions about prescription drug coverage. View FAQs. Find a Medicare Part D plan in Georgia to help cover your prescription drug costs. Aetna formulary 2023 medicare, That’s why almost 75 percent of people who are on Medicare — or more than 47 million people 2 — are enrolled in a plan with prescription drug coverage. Forty-one percent of those over 65 take five or more medications a day. 1. As you figure out the best plan for your needs, here’s what you need to know about prescription drug coverage. , Indices Commodities Currencies Stocks, Expedited medical exceptions. In certain circumstances*, you or your prescriber can request a medical exception for a non-covered drug. To submit a request, call our Precertification Department at 1-855-582-2025 (TTY: 711), or fax a request to 1-855-330-1716., Want a full list of every drug covered by your plan? Download the formulary and find other important prescription drug information. Check the tier a drug is on, any limits or requirements and mail order availability. Generally, the lower the tier, the less you pay. Complete the steps below to get a full list of all covered drugs., In Maryland, by Aetna Health Inc., 151 Farmington Avenue, Hartford, CT 06156. Each insurer has sole financial responsibility for its own products. Pharmacy benefits are administered by an affiliated pharmacy benefit manager, CVS Caremark. Aetna is part of the CVS Health family of companies. Category. , January 1 – December 31, 2023 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Aetna …, Aetna considers the following medically necessary for persons wih diabetes: ... Note: Except for Medicare plans and where coverage is mandated by state law, generally coverage for diabetic supplies would be provided under a pharmacy rider and not as part of medical coverage. Certain diabetic supplies may also be covered under the medical plan ..., Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company, and its affiliates (Aetna). Pharmacy benefits are administered through an affiliated pharmacy benefit manager, CVS Caremark. Aetna® is part of the CVS Health® family of companies., We would like to show you a description here but the site won’t allow us. , Medicare Part D drugs; ... Drugs on the List of Drugs (Formulary) are covered when you use our network pharmacies or mail order program for maintenance drugs. Maintenance drugs are drugs you take for a chronic or long-term condition. Some drugs we cover have limits or other rules. ... H0480_WEBSITE_2024 Pending Accepted …, Aetna Medicare Advantage (MA) 2023 Part B Preferred Drug List with 9.1.23 Additional Updates. Medicare Part B preferred drug list — Aetna Medicare Advantage (MA) …, Apr 8, 2024 · Call us. Talk to a licensed agent at. 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Medicare FAQs. Get answers to common Medicare questions. Aetna offers a few different Medicare Advantage plans, including HMO-POS plans, PPO plans, and Dual Special Needs Plans (DSNP). Learn more about your Medicare Advantage plan options. , Connect to care. Aetna Medicare Advantage plans take a total, connected approach to your health. Our main goal is to help you live your healthiest life possible, body and mind. We’re here for you, if you need help understanding your care, your plan benefits, or if you ever have questions., In Maryland, by Aetna Health Inc., 151 Farmington Avenue, Hartford, CT 06156. Each insurer has sole financial responsibility for its own products. Pharmacy benefits are administered by an affiliated pharmacy benefit manager, CVS Caremark. Aetna is part of the CVS Health family of companies. Category., The precertification and quantity limits drug coverage review programs are not available in all service areas. However, these programs are available to self-insured plans. Health benefits and health insurance plans contain exclusions and limitations. Find out if your prescription drug is covered by your 2024 Aetna Health Exchange Individual Plan., We’ve got answers. Talk to a licensed agent at 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Find the answers to common questions about prescription drug coverage. View FAQs. Find a Medicare Part D plan in Texas to help cover your prescription drug costs., Feb 1, 2023 · Expedited medical exceptions. In certain circumstances*, you or your prescriber can request a medical exception for a non-covered drug. To submit a request, call our Precertification Department at 1-855-582-2025 (TTY: 711), or fax a request to 1-855-330-1716. , This website provides you with tools and resources that can help you get the most value out of your group Medicare Advantage plan. Since retiree plans vary, it’s important to review the information from your former employer or plan sponsor. – Medicare Advantage plans can be medical only (MA) or include prescription drug coverage (MAPD)., Connect to care. Aetna Medicare Advantage plans take a total, connected approach to your health. Our main goal is to help you live your healthiest life possible, body and mind. We’re here for you, if you need help understanding your care, your plan benefits, or if you ever have questions. , Medicare Part D drugs; Some Medicaid covered prescription and over-the-counter drugs and items; In general, we cover drugs if they are medically necessary. Drugs on the List of Drugs (Formulary) are covered when you use our network pharmacies or mail order program for maintenance drugs. Maintenance drugs are drugs you take for a …, Aetna Medicare Advantage with prescription drug coverage (MAPD) 2023 Part B Preferred Drug List with 9.1.23 Additional updates. Proprietary . <July 2023> . Medicare Part B …, Plan features and availability may vary by service area. For mail-order, you can get prescription drugs shipped to your home through the network mail-order delivery program. Typically, mail-order drugs arrive within 10 days. You can call 1-866-235-5660 (TTY: 711), 24 hours a day, 7 days a week if you do not receive your mail-order drugs within ..., Drugs in lower tiers generally cost less than drugs in higher tiers. For example, HealthPartners Medicare Advantage plans have five tiers: Tier 1: Preferred generic drugs – This is the lowest tier. Lower-cost, commonly used generic drugs are in this tier. Tier 2: Generic drugs – High-cost, commonly used generic drugs are in this tier., Call us. Talk to a licensed agent at 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Medicare Part D FAQs. Find the answers to common questions about prescription drug coverage. View FAQs. Find a Medicare Part D plan in Missouri to help cover your prescription drug costs., Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the SilverScript Plus (PDP) benefit details. — Medicare Plan Features —. Monthly Premium:, Aetna Medicare Value Plan (HMO) is a Medicare Advantage (Part C) Plan by Aetna Medicare. Premium: $0.00. Enroll Now. This page features plan details for 2024 Aetna Medicare Value Plan (HMO) H8332 – 005 – 0 available in Austin. IMPORTANT: This page has been updated with plan and premium data for 2024., Compare our plan to Medicare. To learn more about the coverage and costs of Original Medicare, look in your “Medicare & You” handbook. View it online at www.medicare.gov or get a copy by calling 1‐800‐MEDICARE (1‐800‐633‐4227), 24 hours a day, 7 days a week. TTY users should call 1‐877‐486‐2048., Are you a recipient of Aetna Medicaid? If so, you may be wondering how to find healthcare providers and specialists within the Aetna Medicaid network. Aetna Medicaid is a managed c..., Members with Aetna Medicare Advantage (MA) and Aetna Medicare Advantage with Prescription Drug (MAPD) plans can log in or register for an account below. This includes HMO, PPO or HMO-POS plans. ... Page last updated: October 01, 2023 ©[current-year] Aetna Inc. Y0001_34893_2024_M. You are leaving AetnaMedicare.com …, Expedited medical exceptions. In certain circumstances*, you or your prescriber can request a medical exception for a non-covered drug. To submit a request, call our Precertification Department at 1-855-582-2025 (TTY: 711), or fax a request to 1-855-330-1716., This page features plan details for 2023 Aetna Medicare Premier Plus (PPO) H5521 – 377 – 0 available in West FL. ... (PPO) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered. Drug Deductible: $150.00: Initial Coverage Limit: $4,660.00: Catastrophic Coverage Limit: $7,400.00: Drug ..., We would like to show you a description here but the site won’t allow us., Talk to a licensed agent at 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Find the answers to common questions about prescription drug coverage. View FAQs. Find a Medicare Part D plan in New York to help cover your prescription drug costs.