Aetna Part D – CMS Sanctions Lifted

Aetna Part D open for business as CMS lifts sanctions

Aetna Medicare Part D Open For BusinessIn April 2010 The Centers for Medicare and Medicaid Services (CMS) imposed sanctions on Aetna Medicare that required them to cease marketing their Part D Plans.

Aetna Part D Plans have been a popular choice with many Medicare beneficiaries and are available in all 50 states.

The sanctions against Aetna Medicare were due to some issues related to how they were administering their Part D Plans. Beginning June 13, 2011 Aetna was able to start accepting Part D applications for plans with a July 1 2011 effective date.


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Should you consider an Aetna Part D Plan?

Many people may be cautious when it comes to enrolling in a Part D Plan where the plan sponsor has be penalized by CMS for what was deemed inappropriate behavior. But in this case caution should be brushed aside as sanctions would not have been lifted if CMS felt there was going to be ongoing infractions.

It’s safe to say that given the fact that Aetna missed an entire Annual Enrollment Period they will be vigilant with how they administer their plans and may even make their 2012 Part D offering more benefit rich to make up lost ground.

Aetna Part D for 2011

You can submit an application for one of Aetnas 2011 Part D plans if you meet the qualifications. First you must:

  • Have Medicare Part A or Part B
  • Live within the plan’s service area

In addition to the above requirements you must also qualify for a Special Enrollment Period if you are interested in a 2011 Aetna part D Plan. For a complete list of Part D Special Enrollment Periods you should refer to your Medicare and You handbook or visit the Medicare website.

Aetna Part D for 2012

If you would like to compare Aetna Part D 2012 plans you will need to wait until the Annual Enrollment Period. Plan details are generally released October 1 and the Annual Enrollment Period for Part D Plans with a January 2012 effective date begins October 15, 2011 and ends December 7, 2011. This is a new time frame for the Part D Annual Enrollment Period.

Is Aetna Part D your best choice?

There is not a Part D Plan that is best for everyone.  You must take into consideration your circumstances, including your health, list of current medications and your budget.

Popular Part D Plans from Aetna in 2011 include:

  • Aetna Medicare Rx Essentials PDP
  • Aetna Medicare Rx Costco Plus PDP
  • Aetna Medicare Rx Premier PDP

The Rx Essentials Plan requires a $310 deductible while the other plans do not require a deductible. You will save money on copays if you utilize Costco pharmacies with the Costco Plus plan and the Rx Premiere Plan is best for those people managing chronic conditions that require an expanded formulary.

Aetna Part D Plans do not have the lowest premiums on the market but you should not make your decision to enroll in a Part D Plan based on monthly premium alone.

Aetna Medicare may be aggressively seeking to make up for lost ground and design more value rich Part D Plans for 2012. It may be worth your time to compare Aetna 2012 Medicare Part D plans to other options you may have available.

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