How to Enroll in Our Medicare Plans

Select a type of plan to begin

Medicare Advantage (HMO) (PPO) & Prescription Drug Plans

Choose an option to enroll:

Online: You’ll be able to choose from our Medicare plans in your area

Enroll for 2018 now

By phone: Call us at (TTY: 711), ${aepHours}
By mail: Call the phone number above. Ask us to send you a paper enrollment kit.

We also offer these enrollment forms in Chinese:

2018 Aetna Medicare Select Plan (HMO) Enrollment Form (Chinese) 投保申請表

2018 Aetna Medicare Premier Plan (PPO) Enrollment Form (Chinese) 投保申請表

2017 Aetna Medicare (HMO) (PPO) Plan Enrollment Form (Chinese) 投保申請表

Medicare beneficiaries may also enroll in an Aetna Medicare Plan through the CMS Medicare Online Enrollment Center at http://www.medicare.gov.

Helping another person enroll

Generally, only the person who's eligible for Medicare (the beneficiary) can enroll in a plan. You can enroll or disenroll another person if you have the authority under state or other applicable law to act on behalf of the member relative to enrollment.

For Medicare Advantage Plans: You must continue to pay your Medicare Part B premium. The Part B premium is covered for full-dual members (those who have both Medicare and Medicaid, and meet the state’s requirements for full Medicaid benefits).

Medicare Advantage Special Needs Plans (SNP)

Choose an option to enroll:

By phone: Call us at (TTY: 711), ${aepHours}

By mail: Print, complete and mail the enrollment form

2018 Aetna Medicare Select Plan (HMO SNP) Enrollment Form

2018 Aetna Medicare Select Plan (HMO SNP) Enrollment Form (Spanish)

2017 Aetna Medicare Special Needs Plan Enrollment Form

Medicare Supplement Insurance Plans

Call us to enroll

To enroll in a Medicare Supplement Plan, please call us at 1-800-358-8749 (TTY: 711), Monday to Friday, 8 AM to 8 PM ET.

Let us help you

Email us or call an Aetna representative at (Insert primary group phone here) (TTY: 711), ${nonAepHours}

Have us call you

Schedule an in-home visit

Disclaimers

Aetna Medicare is a HMO, PPO plan with a Medicare contract. Enrollment in our plans depends on contract renewal.

Y0001_4006_10829 Approved 10/27/2017
Page last updated: Fri Feb 09 00:08:34 UTC 2018

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How to Enroll in Our Medicare Plans

Select a type of plan to begin

Medicare Advantage (HMO) (PPO) & Prescription Drug Plans

Choose an option to enroll:

Helping another person enroll

Medicare Advantage Special Needs Plans (SNP)

Choose an option to enroll:

Medicare Supplement Insurance Plans

Call us to enroll

Let us help you

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