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|