5 reasons to use your secure member website 

5 reasons to use your secure member website 

Managing and understanding your health care coverage is easier with your Aetna® secure member website. Read on to learn about the features of this helpful member resource.

an elder gets a medical check-up

From finding a provider to tracking your progress toward your deductible, here are some ways your Aetna® secure member website makes it easier to get access to the right care. 

Whether you’re new to Aetna® Medicare Advantage or a long-time member, we want to make sure you’re taking full advantage of your secure member website. Keep reading to discover how your secure member website can help you manage your health and save money on health care. 

Step one: Create a new user account (if you haven’t already). All done? Keep reading to discover how the resources available on your secure member website can make it easier to feel your best and help save money on your health care. 

A senior couple working together on a laptop
Need help filing a claim?

Log in to your secure member website to file a claim, check on a claim status, file an appeal and more.

1. You can check your coverage 

 For a quick overview of your coverage, watch your personalized video. You can find this on the first page of your secure member website once you log in. 

For a more detailed look at your benefits, check out your plan documents on your secure member website. You can find downloadable PDFs of your:  

  • Summary of Benefits  
     
  • Evidence of Coverage  
     
  • Formulary (drug list)  

Use these documents to find out more about your benefits, including:   

  • Preventive and urgent care services 
     
  • Dental, vision and hearing  
     
  • Prescription drug coverage 
     
  • SilverSneakers® fitness membership, and more   

2. You can find in-network providers   

Making sure all your providers are in network may help you save money.   

Once you’re logged into your secure member website, look for links to “Find a doctor” and “Find a dentist.” From here, you can search a current provider’s name to see if they are in network. Or find a new doctor or dentist by entering your ZIP code to search for in-network providers in your area. 

You can also search for in-network walk-in clinics, urgent care centers and hospitals near you.   

Check your coverage

Log in to your secure member website at AetnaMedicare.com/Login to check your personal coverage and benefit costs.

3. You can manage your prescriptions 

To find covered prescription drugs, you’ll need to check your formulary. This is the complete list of medications that are covered by your plan. You can see your formulary, or drug list, and download a copy on your secure member website.

Need to find a pharmacy nearby? Select “Find a pharmacy,” under “Helpful resources." Then enter your ZIP code to search for in-network pharmacies. 

4. You can find key forms for reimbursement and more  

Let’s say you paid out of pocket for a doctor visit that was covered by your plan and need to be reimbursed. Or maybe you want a loved one to have access to your recent test results. You can find forms that can help you get reimbursed and manage your care on your secure member website.  

Simply select “Find a form” and then choose from the list. You’ll find forms to:  

  • Get paid back for covered prescription medicine 
     
  • Get reimbursed for covered services 
     
  • Release information to a caregiver or another doctor  
     
  • And more   

You can choose to download and print a form, fill it out and mail it in. Or for certain reimbursements, choose “Complete online form” to submit a request online. 

Question of the month  

Q: What if I'd like to change my primary care provider? 

It’s important to have a good relationship with your primary care provider (PCP). They get check-ups. Understanding your medical history helps your PCP give you personalized care when you are feeling under the weather. And they can make referrals and work with other providers if you need specific care or tests. 

If you don’t have a primary care provider or you want to find a new one, you can update at any time. Just know that not all doctors may be accepting new patients. And it can sometimes take a while to get a new-patient appointment. 

Remember you can search for local in-network providers on your secure member website. When you find one you like, call their office to see if they're taking new patients. 

Need to find an in-network provider?  

Visit AetnaMedicare.com/FindProvider or call Member Services at 1-833-570-6670 (TTY: 711) between 8 AM and 8 PM, 7 days a week.

For language services, please call the number on your member ID card and request an operator. For other language services: Español | 中⽂ | Tiếng Việt | 한국어 | Tagalog | Pусский | ةيبرعلا| | Kreyòl | Français | Polski | Português | Italiano | Deutsch | ⽇本語 | فارسی | Other languages…  

See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.  Participating health care providers are independent contractors and are neither agents nor employees of Aetna. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change. The formulary and/or pharmacy network may change at any time. You will receive notice when necessary. 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 7 to 10 days. You can call the number on the back of your member ID card if you do not receive your mail-order drugs within this timeframe. Members may have the option to sign-up for automated mail-order delivery. 

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