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Aetna's 18 FAQ's
Oct. 31st. 2022 Revision
Note: Please be sure the Union Hall 614-294-4786 and Aetna 800-307-4830 has your current and primary address on file.
1. Who is eligible for the Senior Retiree Aetna Medicare Advantage PPO plan?
Retirees who are over 65 and currently covered under the IBEW Local 683 Health and
Welfare Retiree Coverage are eligible for the Senior Retiree Aetna Medicare Advantage
PPO plan. Disabled Retirees are also eligible for the plan if you were eligible to receive
Social Security Benefits, or you submit other proof of disability satisfactory to the Trustees;
and at the 25 th month of your disability, you enroll in and obtain coverage under Medicare
Parts A and B.
2. How do I enroll in the Senior Retiree Aetna Medicare Advantage PPO plan?
You will automatically be enrolled in the Senior Retiree Aetna Medicare Advantage PPO
plan on January 1, 2023. No additional action is needed on your part for enrollment.
3. What if I don’t want to be enrolled in the new plan?
If you don’t want to be enrolled in the Senior Retiree Aetna Medicare Advantage PPO plan,
you can opt out by calling Aetna at 800-307-4830, Monday–Friday, 8 a.m.–9 p.m. ET, by
October 31, 2022.
Important: Once you opt out of coverage, you will only be able to return to the Senior
Retiree Aetna Medicare Advantage PPO plan if you have maintained continuous coverage
through another qualified plan and enroll in the Senior Retiree coverage within the first 60
days after the last month when coverage ended.
4. What if I don’t want to be enrolled in the new plan and my spouse does want to be
enrolled?
If you don’t want to be enrolled in the Senior Retiree Aetna Medicare Advantage PPO plan,
you can opt out by calling Aetna at 800-307-4830, Monday–Friday, 8 a.m.–9 p.m. ET, by
October 31, 2022. Please note that if a Union member opts out of the Senior Retiree
Aetna Medicare Advantage PPO plan, your spouse will also be dis-enrolled when you opt
out.
5. What if my spouse does not
If your spouse does not want to be enrolled in the Senior Retiree Aetna Medicare Advantage
PPO plan, your spouse can opt out by calling Aetna at 800-307-4830, Monday–Friday, 8
a.m.–9 p.m. ET, by October 31, 2022. Please note that if the spouse of a Union member opts
out of the Senior Retiree Aetna Medicare Advantage PPO plan, the Union member may stay
in the Senior Retiree Medicare Advantage PPO plan.
6. What will I have to pay for the program?
You will continue to pay the same premium rates you are currently paying.
7. Will I get a new member ID card?
Yes, watch your mail for a new Senior Retiree Aetna Medicare Advantage PPO
plan member ID card in mid-December. Your new Aetna ID card will be
mailed to you in an unmarked envelope for your security. If you do not
receive your new ID card by December 22 nd , please contact Customer
Service at 800-307-4830, Monday–Friday, 8 a.m.–9 p.m. ET
8. Should I notify my existing doctor, pharmacist and other medical providers of
the change?
Yes, when you receive your new Aetna Medicare Advantage card please
take it with you to your doctor, pharmacist and other providers. You will no
longer need to have your red, white and blue Medicare card with you for your
physician or pharmacy visits. Please keep your red, white and blue Medicare
card in a safe place
.
9. What are my benefits with the Senior Retiree Aetna Medicare Advantage PPO
plan?
Through the Senior Retiree Aetna Medicare Advantage PPO plan, you have medical, dental,
and vision coverage, as well as prescription drug coverage and hearing benefits. You also
have access to additional programs through Aetna, such as:
• Lifestyle coaching and tobacco cessation
• Resources For Living® employee assistance program (EAP)
• SilverSneakers fitness benefit
• 24/7 Nurse Line, and more!
10. How do I know if my doctors, hospitals or specialists participate in the Senior
Retiree Aetna Medicare Advantage PPO plan?
You’ll be able to use any doctor, hospital or specialist in or out of the Aetna Medicare
Advantage PPO network, without paying more for out-of-network services. This is as
long as the provider has accepted the plan and has not opted out or has been
excluded from Medicare. If you need help finding a provider or seeing if your current
providers are in- or out-of-network, visit aetnaretireeplans.com.
11. Where is the claims office located for the Senior Retiree Aetna Medicare
Advantage PPO plan for IBEW Local 683?
The claims office is located in New Albany, Ohio.
12. What happens to a spouse’s coverage when the union member dies?
The surviving spouse will stay on the plan after the union member’s death until the
surviving remarries.
13. Where can I go to get my prescriptions filled?
Aetna’s national network of pharmacies includes CVS, Meijer, Kroger, Walmart,
Walgreens, Giant Eagle, Publix among others. If you have your prescriptions
filled by mail, you’ll need a new 90-day prescription. Ask your doctor to send an
electronic prescription to CVS Caremark® Mail Service Pharmacy. This is the easiest way
to get started – you can expect to get your medication in 7 to 10 business days.
14. Will my current medications be covered?
Every prescription drug plan has a list of covered medications, called a formulary. To view
the formulary for the Senior Retiree Aetna Medicare Advantage PPO plan, please click on
this link: Aetna Formulary For IBEW 683 Senior Medicare Advantage PPO Plan or scan the QR
Code below with your smartphone. Note: The QR code did not paste to this document
Please know that when reviewing the Aetna formulary, the IBEW 683
Board of Trustees compared it to your current formulary and found
minimal disruption.
15. Do I need to be enrolled in Medicare to be eligible for the Senior Retiree Aetna
Medicare Advantage PPO plan?
You must be enrolled in Medicare Parts A and B, submit proof of enrollment to Aetna,
and continue to pay your Part B premiums to Social Security, in order to be eligible for
the Senior Retiree Aetna Medicare Advantage PPO plan provided through the Fund. If
you stop paying your Medicare premiums, you may be dis-enrolled from the Senior
Retiree Aetna Medicare Advantage PPO plan.
If you need to enroll in Medicare Parts A and B or are not sure if you’re currently enrolled,
visit the Social Security website at ssa.gov/locator, or call 800-772-1213, TTY 800-325-
0778, 8 a.m.–7 p.m., Monday–Friday. You can also call the Fund’s office.
16. What if my spouse is not yet eligible for Medicare?
The Senior Retiree Aetna Medicare Advantage PPO plan will NOT cover spouses who are
not yet eligible for Medicare. Their coverage will continue to be provided through the IBEW
Local 683 Health and Welfare Fund’s regular plan, and they will be issued their own
prescription ID cards. When they become eligible for Medicare, they will be transferred to
the Senior Retiree Aetna Medicare Advantage PPO plan.
17. What if I have an existing Medicare Supplement or Prescription Plan?
Once enrolled in the Senior Retiree Aetna Medicare Advantage PPO plan you will be
automatically dis-enrolled in your existing Medicare Supplement and Prescription Plans. If
you are paying for your supplemental coverage through your credit card or bank account, you should
contact your credit card company or bank to have them stop payments
18. When can I register on Aetna’s Member Site for Retirees?
Once you receive your Member ID card from Aetna, you can register on the Aetna Retiree
Site, www.aetnaretireeplans.com.
The Goal of the Labor/Management Fund Trustees is to provide us with all Health and Welfare and Aetna Plan details; this enables us to make informed decisions and fully utilized all we are paying for. to keep us as healthy as possible for as long as possible.
Please make sure the Union Hall and Aetna has your current and primary mailing address.
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