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Exchange Retirees to be Offered New, Exclusive Medical Plan

Exchange retirees (post 65) with post-retirement health-insurance coverage with the Exchange will be offered a new medical plan during open enrollment, which takes place from Nov. 1 through Nov. 30. The new plan, Medicare Advantage with Prescription Drug (MAPD), will be effective Jan. 1. Medicare-eligible dependents are also eligible.

Under the new plan, participants can file claims directly with Aetna instead of with Medicare and then Aetna. The new plan has one deductible of $250, a co-pay of $5 for a primary-care physician visit, and a $10 co-pay for a specialist visit, plus other benefits.

“This is a Medicare program,” said Kelli Rhody, Director of Benefits. “If participants already have a Medicare doctor, they should be in good shape. That’s because more than 960,000 network doctors and specialists and over 4,100 network hospitals accept the Aetna Medicare Advantage plan.”

The cost for MAPD is lower than the current plans offered to retirees 65 and older. For example, the cost of single coverage in the MAPD plan is 60% lower than the current plan, based on  MAPD vs. a 2022 retiree plan: MAPD is $65.57 compared with $164.69 for the Traditional Choice Plan for retirees age 65 and older.

Medicare-eligible retirees have received information in the mail, and more details are to come. For those with questions, Aetna will hold conference calls beginning this week to address participants’ questions and concerns. The call in number is 844-712-3250 and use participation  code# 94500945. The schedule is below.

       CONUS (Includes Hawaii, Alaska and Puerto Rico) Retirees
Attendees Day Month Date Time – Eastern Time (ET)
CONUS Retirees Thu Oct 28th 9:00 AM ET
CONUS Retirees Thu Oct 28th 4:00 PM ET
CONUS Retirees Mon Nov 1st 9:00 AM ET
CONUS Retirees Tue Nov 2nd 3:00 PM ET
CONUS Retirees Wed Nov 3rd 9:00 AM ET
CONUS Retirees Wed Nov 3rd 11:00 AM ET
CONUS Retirees Wed Nov 3rd 5:00 PM ET
CONUS Retirees Mon Nov 8th 1:00 PM ET
CONUS Retirees Mon Nov 8th 4:00 PM ET
CONUS Retirees Tue Nov 9th 2:00 PM ET
CONUS Retirees Mon Nov 15th 10:00 AM ET
CONUS Retirees Mon Nov 15th 3:00 PM ET
CONUS Retirees Tue Nov 16th 9:00 AM ET

 

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29 Comments

    • Robert Philpot on October 27, 2021 at 12:04 pm

      Hi, Johnny.

      I’m a bit confused by your comment. Open enrollment dates for 2021 are Nov. 1-30. Changes take effect Jan. 1, 2022. These are the dates in today’s story.

      The 2018 period was also Nov. 1-30 for changes taking place in 2019. The same period applies this year even though it has varied in other years.

      Vr,
      Robert Philpot,
      The Exchange Post

      • JOHNNY WILLIS on October 27, 2021 at 12:24 pm

        Thank you for your clarification.

      • Richard Svoboda on October 27, 2021 at 12:46 pm

        Robert! I am confused on this new plan. I retired in 2009 with fully medical paid for life by AAFES. U don’t address that in this article. Am I now going to have to pay this $65.57, is this monthly?? or annually. Understand my current Aetna plan will not longer be available, but have yet to receive and official word from AAFES on this new program. Is this $65.57 going to be paid for by aafes as part of my retirement package. I am already 78 and from what I can see so far is that this will put an unnecessary financial burden on me. Please advise! Thanks. Richard Svoboda, Dallas, Tx

        • Robert Philpot on October 27, 2021 at 12:54 pm

          Hi, Richard.

          I suggest that you attend one of the teleconferences listed in the article. They are the best place to ask your question.You can also contact HRSC with questions at [email protected] or 1-214-312-6190.

          Vr,
          Robert Philpot
          The Exchange Post

  1. Tony Scanapico on October 27, 2021 at 12:51 pm

    Does this change do away with the annual need to fill out the health questionnaire, getting body mass checked, and having an annual physical, all to get a reduction in copay amounts?

    • Robert Philpot on October 27, 2021 at 1:03 pm

      Hi, Tony. This is from the benefits department:

      “The Health Incentive Credit (HIC) isn’t included in the MAPD. The HIC provides an opportunity to participants enrolled in the plan we offer our associates as a means to reduce their deductible. It isn’t mandatory.”

      Vr,
      Robert Philpot
      The Exchange Post

  2. Gary Arentz on October 27, 2021 at 1:57 pm

    Robert
    Please give a YES or NO answer.
    I retired in 1996 with FREE medical through Aetna, which has almost all the coverage listed in the NEW plan being “offered”, which has monthly premiums. If I do not want the new plan does that mean I no longer have medical coverage through aafes retirement plan as of 1 January 2022.

    I plan to attend a telecommunication conference also.

    • Robert Philpot on October 27, 2021 at 3:23 pm

      Hi, Gary. From the benefits department:

      “Yes, if you opt out of the MAPD you will no longer have health benefits with the Exchange.”

      You should be able to address this concern during the telecommunication conference.

      Vr,
      Robert Philpot
      The Exchange Post

      • Gary Arentz on October 28, 2021 at 4:42 pm

        Robert
        I should have asked, under the “new” plan will aafes retiree have to pay premiums out of pocket or is it still free to us. This is a big question I and other retirees are concerned with.
        I listen to the telecommunications today and the lady only said something about one NAF was “grandfathered” but didn’t say which. I am assuming she ment aafes, since the new plan is almost an exact copy of our current plan, with some improvements.

        • Robert Philpot on October 29, 2021 at 4:14 pm

          Hi, Gary. Apologies for the delayed response. Recommend you call the Benefits department, 1-800-519-3381, to see if they can resolve your question.

  3. Frances Sanders on October 27, 2021 at 2:46 pm

    I retired in 2007. When I became Medicare eligible I enrolled in Traditional Medicare and Aetna was my secondary. Does this mean I need to enroll in the Aetna Advantage Plan or will I automatically be switched over to the new plan?

    • Robert Philpot on October 27, 2021 at 4:03 pm

      Hi. Frances. All retirees 65 and older will automatically be enrolled.

      Vr,
      Robert Philpot
      The Exchange Post

  4. Eileen Curtin on October 28, 2021 at 1:07 am

    Is this only for Stateside Retirees? I plan to retire in a couple years – but will be staying in Germany. Is there any consideration for OCONUS?

    • Robert Philpot on October 29, 2021 at 4:21 pm

      Hi, Eileen. Sorry for the delayed response. It is not currently available for OCONUS. I don’t know about the future. Please call Apologies for the Benefits department, 1-800-519-3381, to see if they can resolve your question.

      Vr,
      Robert Philpot
      The Exchange Post

  5. Dan Warner on October 28, 2021 at 8:03 am

    I’ll retire in March 2022 with 13 years is this available to me

    • Robert Philpot on October 29, 2021 at 4:19 pm

      Hi, Dan. Sorry for the delayed response. Please call the Benefits department, 1-800-519-3381. They should be able to give you an answer.

      Vr,
      Robert Philpot,
      The Exchange Post

  6. Heidi Russel on October 28, 2021 at 10:00 am

    Through my husband (deceased) I have full medical benefits for life without any charge to me. Has this changed and i will now be charged? This question was asked before, but no answer was given. A yes or no would be helpful. Thanks.

    • Robert Philpot on October 29, 2021 at 4:16 pm

      Hi, Heidi. Please call the Benefits department, 1-800-519-3381. They are vest equipped to answer your question.

      Vr,
      Robert Philpot
      The Exchange Post

  7. Tanya Greaves on October 28, 2021 at 12:00 pm

    I’m going to get on a conference call. However, just want to know if hearing aids is included in the plan?

    • Robert Philpot on October 29, 2021 at 4:15 pm

      Hi, Tonya. Sorry for the delay. If you have not yet resolved your question, please call the Benefits department, 1-800-519-3381, for assistance.

      Vr,
      Robert Philpot
      The Exchange Post

  8. MIchael Sartore on October 28, 2021 at 7:15 pm

    I will retire ( probably ) in 2022 or 2023 age 66 or 67. I live in and will continue to live in Okinawa, Japan. Will i be able to take advantage of this?

    • Robert Philpot on October 29, 2021 at 4:12 pm

      Hi, Michael. Sorry for the delayed response. Please call the Benefits department, 1-800-519-3381, which can answer your question.

      Vr,
      Robert Philpot
      The Exchange Post

  9. Tom Goodloe on October 29, 2021 at 12:46 am

    Why are you not posting or answering my comments???

    • Robert Philpot on October 29, 2021 at 4:10 pm

      Hi, Mr. Goodloe. Sorry for the delay. I forwarded your comments to the Benefits department, which asks that you call them directly at 1-800-519-3381.

      Vr,
      Robert Philpot
      The Exchange Post

  10. Theresa on November 10, 2021 at 2:44 pm

    I am grandfathered for insurance. Do I have to select the Aetna Advantage Plan or can I keep my current PPO plan?

    • Robert Philpot on November 10, 2021 at 3:00 pm

      Hi, Theresa. Please call the Benefits department, 1-800-519-3381. They are the best people to answer your question.

      Robert Philpot
      The Exchange Post

      • Dale Meeks on January 31, 2022 at 7:34 am

        I am surprised at the lack of answers by aafes on many questions here. I too am a retiree with paid up medical insurance for life (my wife as well). a simple yes or no would solve many of these questions. There should be no need to call HR for the answer.

        1. Is the new plan part of the aetna PPO plan we already have ?

        2. Do we pay any extra for the new aetna Medicare plan?

        • Robert Philpot on January 31, 2022 at 8:53 am

          Hi, Mr. Meeks,

          Here is the Benefits department’s response:

          “The new plan is similar to the Aetna PPO in that it has copays and deductible. The new plan is a PPO plan but it’s a Medicare Advantage PPO plan specifically designed for AAFES retirees. Retirees who are grandfathered pay the Medicare premiums just like you did before this new plan. You don’t pay any other premiums.”

          Vr,
          Robert Philpot
          The Exchange Post

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