Aetna Prescription Insurance: User Reviews

Aetna offers a range of prescription insurance plans to cater to different needs. Their plans are designed to help keep prescription drug costs low and provide support to make it easier to manage medicine needs. They offer tools and resources to help individuals find covered medicine and understand their costs. Aetna's prescription plans cover thousands of drugs, and they provide an online medicine search tool to check if a specific medicine is covered under an individual's plan. Additionally, they offer an automatic refill program at no extra cost, and individuals can receive their regular and specialty medicine by mail. Aetna also provides a 24/7 pharmacy helpline and pharmacist counselling for chronic conditions. Their plans include safety protocols for prescription drugs, including opioids and pain medication, along with utilization management for specialty drugs.

The convenience of home delivery

Home delivery is a convenient option for those who take medication to treat long-term conditions, such as high blood pressure, high cholesterol, or diabetes. With the CVS Caremark® Mail Service Pharmacy, you can get up to a 90-day supply of medicine delivered right to your doorstep, and the best part? It's completely free!

Here's how it works:

• Sign up for a prescription plan: Review your plan materials to see what medications are covered and the associated costs, then sign up during the open enrollment period.
• Explore your member website: Your member website is a one-stop shop where you can find a pharmacy, compare costs, order medication, and learn about your plan.
• Save money with your plan: Utilize network pharmacies, compare costs, and ask your doctor about lower-price options, such as generic drugs.

The home delivery option offers unparalleled convenience, ensuring you receive your medication without having to leave the comfort of your home. It also helps you stay on track with your medication regimen, as you won't have to worry about refilling your prescriptions constantly. This service is especially beneficial for those who take medication for long-term conditions, ensuring you have enough medication on hand and helping you avoid costly emergency room visits and hospital stays.

In addition to the convenience of home delivery, Aetna® also offers an automatic refill program. This program allows you to choose which prescriptions you want to be filled automatically and have them shipped to you at the right time. You won't have to worry about reminding yourself to refill your prescriptions, and Aetna will even contact your doctor to renew your prescription before it expires. The automatic refill program is offered at no additional cost, and you will only be charged a copay or coinsurance when your order ships.

With the combination of home delivery and the automatic refill program, managing your prescriptions has never been easier. These services ensure that you receive your medications on time, every time, without any hassle. So, what are you waiting for? Sign up for an Aetna® prescription plan today and experience the convenience of home delivery for yourself!

Retail pharmacy for occasional prescriptions

Aetna's prescription plan offers a variety of tools and support to help you manage your medicine needs and stay healthy. You can use the online formulary to find less costly alternatives to your medicine. The plan also offers a 24/7 pharmacy helpline and a member website where you can compare costs and find a pharmacy.

In addition to retail pharmacies, Aetna also offers home delivery and specialty pharmacy options for long-term prescriptions and special medications that require secure packaging and handling.

Specialty pharmacy for long-term special medicines

Specialty drugs are often required for long-term health conditions such as multiple sclerosis, rheumatoid arthritis, and cancer. These drugs are not usually available at a local retail pharmacy and need special storage and careful handling and quick delivery. Aetna's network specialty pharmacy fills prescriptions for these drugs, which can be injected, infused, or taken by mouth.

Aetna's specialty pharmacy offers:

• Free, secure delivery within 48 hours of confirming an order to a location of your choice, such as your home or doctor's office.
• Package tracking for prompt delivery.
• Training on how to self-inject your medicine.
• Flexible payment options.
• Free injection supplies, including needles, syringes, alcohol swabs, adhesive bandages, and containers for needle waste.

To fill a new prescription, your doctor can:

• E-Prescribe (NCPDP ID 1466033)
• Fax your prescription to 1-800-323-2445
• Call 1-800-237-2767

Some drugs are covered under your medical plan rather than your pharmacy plan, and you may need to pay a copayment or coinsurance. Certain drugs also require precertification, meaning they will not be covered unless your doctor requests approval from Aetna.

Aetna Advanced Control Plan

The Aetna Advanced Control Plan is a self-insured formulary that offers maximum control for the most savings. The plan covers select generic prescription drugs and a few preferred brands per class, including specialty medications.

The plan includes the following:

• Advanced Control Specialty Formulary and utilization management
• Hyperinflation and new-to-market controls
• Requires precertification, step therapy and quantity limits

The plan is designed to help keep members healthy and lower prescription drug costs. It offers safety protocols for prescription drugs, including opioids and pain medicine, as well as utilization management for specialty drugs.

The Aetna Advanced Control Plan is a self-insured option, meaning it is available only to self-insured customers. It provides more clinical controls and less freedom to gain maximum savings.

The plan includes a drug guide that is regularly updated. Members can log in to their accounts to find cost and coverage information personalized for them. They can also search for generic and brand-name drugs to check if they are covered.

In addition to the standard coverage, members may be able to get a medical exception for a drug that isn't covered if they have a health condition that may seriously jeopardize their life, health, or ability to regain maximum function, or if they are undergoing a current course of treatment using a non-covered drug.

Medicare prescription drug coverage

There are two ways to get Medicare drug coverage:

• Medicare drug plans: These plans add drug coverage to Original Medicare, some Medicare Cost Plans, some Private Fee-for-Service plans, and Medical Savings Account plans. You must have Medicare Part A (Hospital Insurance) and/or Medicare Part B (Medical Insurance) to join a separate Medicare drug plan.
• Medicare Advantage Plan (Part C) or other Medicare health plan with drug coverage: You get all of your Part A, Part B, and drug coverage through these plans. You must have Part A and Part B to join a Medicare Advantage Plan, and not all of these plans offer drug coverage.

Medicare drug plans typically place drugs into different levels, called "tiers," on their formularies. Drugs in each tier have a different cost. For example, a drug in a lower tier will generally be less expensive than a drug in a higher tier. Most Medicare drug plans have their own list of covered drugs, called a formulary, which includes both brand-name prescription drugs and generic drug coverage.

When choosing a Medicare drug plan, it is important to consider your specific needs and compare the different plans available to find the one that best suits your requirements. You can visit Medicare.gov/plan-compare to get specific Medicare drug plan and Medicare Advantage Plan costs. Additionally, you can call the plans you're interested in to get more details and make an informed decision.

Frequently asked questions