Values in Action

Simplicity | Focus | Connection

Walmart Remains In-Network | Plus, SilverSneakers, CollegeSave, Member ID Cards, Diabetic Supplies and More

Medicare Producer News Individual MA/MAPD: January 16, 2019 Don't worry, Walmart is still an in-network pharmacy for 2019 MAPD and PDP products CVS Health recently announced that Walmart has opted to leave its pharmacy network for Commercial and Medicaid plans. As stated in the press release, this has no impact on Medicare plans. Please let your clients [...]

Aetna DSNP Application Tips

When your clients enroll in an Aetna DSNP, be sure to include an accurate phone number so their Aetna-assigned personal care team can connect with them All 2019 Aetna Medicare Dual-eligible Special Needs Plan (DSNP) members get access to our personal care team led by a nurse case manager. After your client enrolls, a representative from the [...]

Aetna & CVS Merge Complete

A New Day in Health Care We are excited to share that CVS Health, the nation’s premier health innovation company, has completed its acquisition of Aetna. The combination of CVS Health and Aetna is a transformative moment for our company and our industry. With the combined capabilities of two leading organizations, our goal is to [...]

Agent Portal

Log in or Register for Producer World Our secure website can help you sell our products and manage your book of business. Once logged in, select ‘Individual Medicare’ at the top. There, you’ll find:

  • Product availability by service area
  • Reports
  • Marketing materials
  • Sales presentations
  • Requirements to sell (certification, contracting, licensing and appointment information)
Contact Number(s)
Medicare Broker Services Department
866-714-9301
Email(s)
Broker Support Email
brokersupport@aetna.com
Fax Information

New Business Fax Number Aetna MA 877-819-9167

Fax Cover Sheet Aetna MA

New Business Fax Number Coventry MA 888-554-7668

Fax Cover Sheet Coventry MA

New Business Fax Number Coventry PDP 866-415-2232

Fax Cover Sheet Coventry PDP
Plans

Find & Compare Plans

Enter a zip code, select ‘Find Plans’ and then ‘Compare Plans’ from the top right

Forms
Need a specific form or document? We can help you access it quickly and easily. You will need to log in to Aetna before clicking the link above. 

 

Summary of Benefits

Summary of Benefit Search

The Summary of Benefits and Coverage search gives you three ways to find account numbers, plan IDs and more

Search online for providers (recommended)
There are two online provider search sites. Both sites are updated 6 days a week. Make sure you are using the site that corresponds with your client’s plan.

For Aetna plans:
Aetnamedicare.com/findprovider

For Aetna Coventry plans:
Coventry-medicare.com/findprovider

Call the provider lookup hotline: 1-855-242-9735
You can call our Medicare provider lookup hotline for help looking up providers during the busy AEP selling season. This hotline is for ready-to-sell brokers only and is available now through December 7. Representatives are available 7 a.m. to 9 p.m. CT.

Download and print a provider directory

  • You can find Aetna provider directory PDFs on Producer World. These directory PDFs are updated monthly.
  • For Aetna Coventry provider directory PDFs, you can use the Coventry online directory, search for providers, and then choose the “print to PDF” option.

Remember, provider directory PDFs show providers that are in network as of the date printed on the cover page. Whenever possible, use our online directory tools— they’re more up-to-date.

5 tips to help you use the online provider lookup tools
  1. Use the website that corresponds with your client’s plan. Since providers vary by plan, you’ll need to search for in-network providers based on your client’s plan. We have two online provider search sites: Aetnamedicare.com/findprovider and Coventry-medicare.com/findprovider
  2. Enter a “city” and “state” on the provider search page instead of a zip code. Be sure to spell out the state name completely (e.g., Pennsylvania, not PA). Even better, start typing the name of the city and select the correct city and state from the drop down.
  3. Enter a provider’s full first and last name. Don’t use:
    1. Nicknames (e.g., Bill, Will)
    2. A first name if you’re unsure of the spelling (e.g., MaryAnn or Maryanne)
  4. Enter a provider’s name without credentials. Don’t include words like “Doctor,” “Dr” or “MD.”
  5. The primary care physician (PCP) may be listed under their contracted group name. All applicants are encouraged to select a PCP when enrolling for a plan. This helps ensure the right PCP is assigned to the member’s file. To find the primary care ID, be sure to use the provider lookup tool that corresponds with your clients’ plan. A PCP may have two different provider care IDs: one for Aetna plans and one for Aetna Coventry plans.
Find Pharmacies & Other Providers

Types of providers in our network You’ll find more than 25 types of health care providers in our online directories. Our network includes doctors, hospitals, pharmacies, urgent care centers, drug and alcohol counselors, hospice providers, diabetic supply providers, dialysis centers and physical therapists.

Participating physicians, hospitals and other health care providers are independent contractors. They’re neither agents nor employees of Coventry. The availability of any particular provider can’t be guaranteed. Provider network make-up is subject to change.
Aetna has contracts with pharmacies that equal or exceed CMS requirements for pharmacy and preferred pharmacy access in your area.
Steps to Locate Compliance Information

 

  1. Go to the broker portal login here.
  2. Click on the Compliance tab in the middle of the screen
  3. Choose the document

Medicare Producer News

  • Aetna’s certification is LIVE
  • Commission system migration –  What you need to know
  • Ascend Virtual Sales Office app now EASIER to use

Get certified to sell MA/MAPD and PDP plans

It’s time to get certified to sell Aetna’s Individual Medicare plans! To get started, go to AetnaMedicareProducerCertification.com

 

Commission system migration — What to know & expect

Starting later this month, we’re migrating commission systems to streamline our commission payment process. Once complete, you’ll start receiving one combined commission statement for your Aetna and Coventry Medicare business, and you’ll be able to access your reports in one place.

To accomplish this system migration, there will be some temporary disruptions to reports, processing time for newly submitted contracts, and commission payments for new-to-Medicare enrollments only. Please review key dates and information to ensure you’re prepared.

 

Rave reviews for improved Ascend Virtual Sales Office app

We recently made some exciting changes to the home screen of the Ascend Virtual Sales Office app that make it much easier to use. The Ascend app is our electronic enrollment tool for producers. If you weren’t impressed with it before, we encourage you to take another look! This app is a great way to help you save time, schedule more appointments, minimize errors and more.

 

Order Enrollment Kits  You must first be ready to sell. You’ll need your National Producer Number (NPN) to log in and place your order. Or fill out the form below.

Aetna Insurance Company organized an annuity fund to sell life insurance in 1850. In 1853, the Annuity department separated from Aetna Insurance and was incorporated as Aetna Life Insurance Company. Aetna’s core values include creating a better healthcare system through simplicity, focus, and connection in their services. As one of the nation’s leading diversified health care benefits companies, Aetna provides people with information and resources to help them make better informed decisions about their health care – and the financial side of health care.