Blog by www.cvshealth.com

Aetna®, a CVS Health® company (NYSE: CVS), announced its 2022 Medicare offerings, featuring expanded benefits focused on a holistic approach to health and new Medicare Advantage plan options, including Dual Eligible Special Needs Plans and Aetna Medicare Eagle® plans designed especially for Veterans in additional states.

A pioneer in the Medicare industry, Aetna has served Medicare beneficiaries since 1966, when it paid the nation’s first Medicare claim. Aetna now serves nearly 9.8 million Medicare members nationwide, as of June 30, 2021.

“The pandemic continues to disrupt so many aspects of our lives, including our health and well-being,” said Christopher Ciano, president of Aetna Medicare. “While we’re still focused on protecting our members from COVID-19, we also want to help improve their overall physical and mental health. That’s why we expanded our Aetna Medicare Solutions portfolio of products to include more benefits designed to make care more affordable, accessible and convenient. As part of the CVS Health family, Aetna helps provide access to the coverage and care you need from trusted health care professionals, when and where you need it, for maximum peace of mind.”

Medicare Advantage plans

More than 2.9 million Medicare beneficiaries are currently enrolled in an Aetna Medicare Advantage (MA) plan, which can include extra benefits, such as prescription drug coverage, vision, dental, hearing and fitness.

To make plans more affordable, Aetna expanded its $0 premium plan options. Aetna estimates 84 percent of the Medicare-eligible beneficiaries in the U.S. will now have access to a $0 monthly premium Aetna Medicare Advantage plan.

For 2022, Aetna is offering Medicare Advantage Prescription Drug (MAPD) plans in 46 states plus Washington, D.C. Aetna added 83 new counties across the country, providing an additional 1 million more Medicare beneficiaries access to an Aetna plan. In total, Aetna will offer MAPD plans in 1,875 counties in 2022, accessible by 53.2 million Medicare beneficiaries.

For those who qualify for both Medicare and Medicaid benefits, Aetna expanded its Dual Eligible Special Needs Plan (D-SNP) offerings across 27 states, including new markets in Arkansas, Colorado, Delaware and Indiana. Most plans offer prescription drugs at no out-of-pocket cost and additional benefits for members that qualify for Low-Income Subsidy (LIS). Coverage varies by plan and may include healthy foods or utilities benefits cards, as well as companionship or fall prevention benefits.

Aetna also expanded its Aetna Medicare Eagle MA plans to 41 states and 1,151 counties reaching more than 5.8 million Veterans over age 65. These plans are designed with Veterans in mind to complement their VA health care coverage and ensure access to important benefits for this population. All 2022 Aetna Medicare Eagle plans will feature a $0 monthly plan premium, $0 primary care copay (including walk-in clinics), dental, vision, hearing, over-the-counter allowance, SilverSneakers® fitness program and $0 lab copay.

Medicare prescription drug plans

The Aetna standalone prescription drug plans (PDP) serve 5.7 million members. In 2022, Aetna Medicare will offer the same three individual standalone PDPs as in 2021. SilverScript SmartRx (PDP), featuring an average monthly premium of $7.08, will again be the lowest premium plan available from Aetna. SilverScript Choice (PDP) will be under the Centers for Medicare & Medicaid Services (CMS) benchmark pricing in 49 states and D.C., while SilverScript Plus (PDP) has the most robust prescription drug coverage. All three plans are available in all 50 states and D.C and feature lower Tier 1 and Tier 2 copays at preferred retail pharmacies.