Aetna MedicareSM Plan (HMO) (PPO)

Health insurance plans are offered by Aetna Health Inc., Aetna Health of California Inc.
and/or Aetna Life Insurance Company. Coverage is provided through a Medicare
Advantage organization or a Medicare Prescription Drug Plan Sponsor with a Medicare
contract. Benefits, limitations, service areas and premiums are subject to change on
January 1 of each year.
You must be entitled to Medicare Part A and continue to pay your Part B premium
and Part A, if applicable. For the Aetna Medicare HMO plan: You must use network
providers except for emergent care or out-of-area urgent care/renal dialysis. For the
Aetna Medicare PPO plan: Higher costs may apply for out-of-network services.
Precertification, or prior approval of coverage, is requested for certain services.
Providers must be licensed and eligible to receive payment under the federal Medicare
program.
Translation of this material into another language may be available. For assistance,
please call Member Services at: 1-800-282-5366, (TTY/TDD: 1-888-760-4748).
Puede estar disponible la traducción de este material en otro idioma. Para ayuda, por
favor llame a Servicios al Miembro al: 1-800-282-5366, (TTY/TDD: 1-888-760-4748).
This material is for informational purposes only. Not all health services are covered.
See plan documents for a complete description of benefits, exclusions, limitations and
conditions of coverage. Plan features and availability may vary by location and are
subject to change.
The NCQA Accreditation Seal is a recognized symbol of quality. The seal, located on
the front cover of your provider directory, signifies that your plan has earned this
accreditation for service and clinical quality that meets or exceeds the NCQA's rigorous
requirements for consumer protection and quality improvement.
Providers who have been duly recognized by the NCQA Recognition Programs are
annotated in the provider listings section of this directory. Providers, in all settings,
achieve recognition by submitting data that demonstrates they are providing quality
care. The program constantly assesses key measures that were carefully defined and
tested for their relationship to improved care, therefore, NCQA provider recognition is
subject to change.
Providers are independent contractors and are not agents of Aetna.
Provider participation may change without notice. Aetna does not provide care or
guarantee access to health services. For up-to-date information, please visit our
DocFind ® directory at www.aetnamedicare.com or, if applicable, visit the NCQA's
new top level recognition listing at http://web.ncqa.org/tabid/58/Default.aspx.
27.01.087-E (9/09) MDH/MDP
©2009 Aetna Inc.