Taking care of your health starts with having the right support. Whether it’s finding a trusted primary care provider or simply understanding your plan benefits, you have resources designed to make things easier. Here are some of the tools, programs and services available to help you stay informed and in control of your own health care. 

1. Primary care provider (PCP)

Having a strong relationship with your primary care provider (PCP) is a great foundation for managing your health. Your provider is familiar with your health history and needs. This allows them to listen to your concerns, refer you to specialists when necessary and develop a personalized care plan for you.  

Don’t have a provider? Click here and enter your ZIP code to find one in your area. 

It's important to find someone you’re comfortable with and who supports your health goals. Here are some things to remember when you’re searching for a provider:  

• Ask about their experience with older patients and their understanding of age-related health issues, including medication interactions.  
• Look for an office that's close to home or easy to access for appointments, and consider virtual visits or house calls if needed. Flexible scheduling and ease of contacting your provider are also important.    
• A good provider should be willing to explain complicated medical information in simple terms, making sure you or your caregivers understand.

2. 24-Hour Nurse Line

For nonemergency health care questions, you can call our 24-Hour Nurse Line and speak to a registered nurse. A nurse can help with deciding the right place for care, understanding your symptoms and managing chronic conditions.   

Access the 24-Hour Nurse Line at  1-855-493-7019 (TTY: 711), 24 hours a day, 7 days a week.  Keep in mind: Nurses can’t diagnose, prescribe medication or give medical advice. You can also find this number on your member ID card. 

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.

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3. Member Services

Have questions about your plan or benefits? Member Services can help answer. Call the Member Services number on your member ID card. Or log in to your secure member website at AetnaMedicare.com/LG and choose "Help" to get phone number, email and chat options.

4. Telehealth

Instead of heading to a provider’s office, you may be able to talk to them on your phone, tablet or computer. This makes it easier to get care from home if you’re not feeling well enough to travel. Some of the best times to use telehealth include seasonal allergies, mental health visits and medication refills. Call your provider’s office today to see if they offer telehealth visits.   

Have a question but don’t feel like making a phone call? Just want to learn more about your plan? You also have resources at your fingertips that can be accessed anytime. 

We want your feedback

We value your opinions. And this member newsletter survey is a great way to share feedback about your plan and topics you care about. Take the survey here. Or scan this QR code with your smartphone or tablet camera.

5. Plan websites

Did you know you have online tools that can help you navigate your plan? These include your secure member website and your plan web page.   

Secure member website  

• View details via plan documents. This includes your specific health plan information, treatment plans and more.
• Check claim status and history. This means you can stay updated on whether your medical claim has been approved, denied or is still in review.
• Access and print member ID card. In case you misplace your member ID card. Your provider’s office will ask to see it to confirm your plan coverage.
• Find covered prescription drugs and network pharmacies.
• Find in-network providers and dentists.
• Find forms for claims, reimbursements and more.
• Submit reimbursement requests online. This request may be for specialist copays or non-covered prescriptions. 

Similar to your secure member website, your plan web page is a convenient access point for the benefit and cost info tailored to your plan. There are easy-to-access resources (you don’t have to log in) such as:   

• View details via a short video or plan documents.
• Find covered prescription drugs and network pharmacies.
• Find in-network providers and dentists.
• Find forms for claims, reimbursements and more.     

Visit your plan web page at Aetna.com/Medicare. You can also use the plan web page link on your member ID card, that looks like this AetnaMedicare.com/H1608-016. Or scan the QR code on you member ID card to get quick access to your plan information. Visit your secure member website at AetnaMedicare.com/LG. Not registered yet? Visit AetnaMedicare.com/RG and check out the handy list above that shows features of each site.

6. Aetna mobile app

The Aetna Health^SM app offers guidance to help you understand your health plan and connect with quality care. Wherever you go, whenever you need it.   

Use the app for:   

• ID cards: Pull up your ID card whenever you need it.
• Benefit details: Get coverage specifics for your plan.
• Deductibles: Track spending and progress to meet your deductible.
• Claims: Check and pay claims for your whole family.
• Providers: Find network providers near you by location or specialty.
• Cost estimates: Compare costs for health care visits and procedures.
• Health reminders: Get personalized tips to improve your health.     

It’s available on the App Store and Google Play. To switch your experience to Spanish, simply update the settings on your phone or click on the word "Spanish" in the upper right-hand side of the screen.

7. Evidence of Coverage (EOC) 

This is a breakdown of everything your plan covers and other important plan details. It’s a great resource that you can access at any time. Visit AetnaMedicare.com to find the document.   

You can use the search function on your computer to scan your Evidence of Coverage for key terms. 

8. Find pharmacy and provider tools  

If you’re looking for an in-network pharmacy, we can help.   

Start by visiting AetnaMedicare.com/FindPharmacy or AetnaMedicare.com/FindProvider. Simply enter your ZIP code to locate an in-network pharmacy, provider, dentist, therapist and more.

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.

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