Dispelling group Medicare Advantage myths

SUZY: How’s the biography?

JEFF: Straightforward. Factual. Informative.

SUZY: I prefer Greek mythology. Surprising. Fun.

JEFF: Fiction

SUZY: Fiction isn’t necessarily a bad thing…

JEFF: But it can be…

SUZY: Like…?

JEFF: I’m just saying I prefer getting my facts straight when it comes to certain things — like biographies... and health insurance

SUZY: … Like what we were talking about during breakfast this morning... some of the chatter about our new Aetna Medicare Advantage plan has my eyebrow raised, and you know how I worry…

JEFF: Oh, do I ever.

SUZY: And sometimes things do sound too good to be true.

JEFF: What have you heard?

SUZY: That it isn’t as good as some other plans, like individual Medicare Advantage or Medicare Supplement.

JEFF: Incorrect.

SUZY: You pay more but get less coverage.

JEFF: Myth.  In fact, group plans aren’t available on the market to just anyone. Aetna works to customize a retiree plan just for us.

SUZY: Oh, really?

JEFF: Yep, that means they can build in additional services just for us too. Those benefits we’ve heard about ‒ like home health visits, community referral services and support programs for chronic health conditions –

SUZY: Those would all be nice…

JEFF: Those are all included with our coverage. Because we’re in a plan with all the other retirees we used to work with, we have our former employer looking out for us. For our neighbors, it might be a union or a trust—but that means we’re more likely to see stronger coverage and lower costs. So that’s another fact for you.

SUZY: Unbelievable.

JEFF: Well, believe it! Also, fact, we can have a lower cost plan without sacrificing quality.

SUZY: How are you so informed?

JEFF: I called Aetna Member Services the other day.

SUZY: Well aren’t you smart.

SUZY: Yunno, George and Anita have been saying how much they love the new plan and how good the service is. I guess what they said was true after all.

JEFF: And the truth prevails!

SUZY: Well, I’m glad myths can stay where they belong–

SUZY: –right here.

JEFF: Enjoy your fictitious fantasyland.

SUZY: Enjoy your factual snoozefest.

Count on Aetna to take care of you in retirement. All of your Medicare benefits and more are conveniently offered in one comprehensive plan.

Explore the facts with Aetna® Member Services. Call the phone number or visit the website shown in the information mailed to you.

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Aetna Medicare Advantage Plan

Explore the facts with Aetna® Member Services. Call the phone number or visit the website shown in the information mailed to you.

{On screen}

Aetna logo

Healthier happens together^TM

See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.

©2023 Aetna Inc.

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SUZY: What’s this?

CARLY: The kids made you a “heartfelt” gift bag for your upcoming heart surgery.

SUZY: Awwww…my

SUZY: It’s like they know their Mimi is in worry-mode.

CARLY: Oh, Ma. How can I help?

SUZY: I feel like I’m forgetting to do something before my surgery…

SUZY: Ollie’s teddy bear?!

CARLY: On loan.

SUZY (with a smile): Of course.

CARLY: You gave Aetna permission to talk to me, right? As a caregiver?

SUZY: Yes.

CARLY: Let me call to see if there’s anything we need to do while you work on opening your next gift.

MEMBER SERVICES REP: Aetna Member Services, how may I help?

CARLY: My mother has an Aetna Medicare Advantage plan with her former employer, and I wanted to see if there’s anything we need to do or get, like an approval, before her heart surgery.

SUZY (to herself): Gosh they sure used a lot of tape.

MEMBER SERVICES REP: No problem. What’s her name?

CARLY (talking to Rep): Her name is Suzy Ziegler and I’m her daughter, Carly Rivera.

MEMBER SERVICES REP (types at his computer): Thanks Carly.  I see your mom has given us permission to share this information with you, so let me see what the status is.

CARLY (talking to Rep): Thanks! She’s been worried about prior authorizations, and well, worrying about everything.

MEMBER SERVICES REP: Of course, and you can tell her there’s no need to worry. Prior authorizations are only required for few services. Aetna Medicare Advantage plans work with providers behind the scenes to get the necessary prior authorizations for services like skilled nursing care and surgeries.

MEMBER SERVICES REP: Ah here we go. We received her authorization from Dr. Betty, and I see that it's been reviewed and approved! She’ll be getting a letter in the mail soon.

CARLY (to Rep): She’s good to go?

MEMBER SERVICES REP: She’s good to go!

CARLY (to Suzy): You’re good to go!

CARLY (to Rep): Thank you!

CARLY: Your doctor worked with the Aetna care team to get your prior authorization. You don’t need to do a thing.

SUZY: Nothing?

CARLY: Except finishing opening your gift!

SUZY: I’m getting there! Seems like you had the easier assignment here!

CARLY: Leah made that for you…

SUZY: Oh, my heart…

Prior authorization helps us make sure a prescribed treatment is medically necessary so we can keep your costs down and keep you safe. Have a heart-to- heart with Aetna® Member Services. Call the phone number or visit the website shown in the information mailed to you.

{On screen end card}

Aetna Medicare Advantage Plan

Have a heart-to-heart with Aetna® Member Services. Call the phone number or visit the website shown in the information mailed to you.

{On screen}

Aetna logo

Healthier happens together^TM

See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.

©2023 Aetna Inc.

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