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2021 Plans

Choose a plan to see 2021 plan documents

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View 2021 plans

Formulary - Prescription drug coverage

See a list of covered drugs for your plan

Referrals & prior authorizations

Looking for referral and pre-approval requirements?
Check your plan’s Evidence of Coverage.

Check your claims

Review your claim and payment status

Flu shot coverage

Protect yourself from the flu.
Learn about your flu shot benefit

Medicare coverage changes

The Centers for Medicare & Medicaid Services periodically issues National Coverage Determinations. They issue these when a service’s or drug’s coverage rules change.
View a list of coverage determinations

Coverage during a disaster or emergency

We want to make sure you can access your benefits even during urgent situations - like a public health emergency or state of disaster.

Finding care during a disaster or emergency

How we decide which health care services to cover

We help you get medically necessary health care services in the most cost-effective way under your health plan. And we work with you and doctors to evaluate services for medical appropriateness, timeliness and cost.

Specifically, we:

Base our decisions on appropriateness of care, service and plan coverage
Use nationally recognized guidelines and resources to make changes
Don’t pay or reward providers, employees or others for denying coverage or care
Focus on reviewing the risks of members who aren’t fully using certain services

How we review new technologies

Doctors and health care companies continuously develop new technologies. This can include anything from a new procedure to a new way to use a device.

When we learn about a new technology, we:

Carefully review the latest information and ask experts for their opinions
Compare the information with well-known standards
Base all of our decisions on making sure you have the right care and services

Using an out-of-network provider

If you’re enrolled in an Allina Health | Aetna Medicare Plan (PPO)

You have flexibility to receive covered services from network providers or out-of-network providers. Out-of-network/non-contracted providers are under no obligation to treat Allina Health | Aetna Medicare members, except in emergency situations. For a decision about whether we’ll cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call us or see your Evidence of Coverage for more information, including the cost share for out-of-network services.

Although you don’t have to choose a primary care provider, we encourage you to do so. If you receive covered services from an out-of-network doctor, it’s important to confirm that they:

Accept your PPO plan
Are eligible to receive Medicare payment

Telehealth coverage

Telehealth – or telemedicine – means virtual care you can get at home or away. These visits are live, video conferences between you and a doctor over a computer or smart phone. Consider using telehealth when you have a time sensitive medical need or can’t get to the doctor in person.

Your plan covers certain telehealth visits with in-network

Primary care doctors
Mental health providers, and
Urgent care facilities

Not all provider visits can be handled through telehealth. You can view and download a list of potentially covered telehealth services here. Ask your doctor whether they offer these services via telehealth and how to schedule a visit.

Telehealth visits with out-of-network providers are not covered. Please refer to your provider directory to find an in-network provider.

Note: Certain services may require a prior authorization (pre-approval). See your Evidence of Coverage for details.

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.

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Members

Find your plan information

2021 Plans

Allina Health | Aetna Medicare
Discover Plus (PPO) H3219-001

Allina Health | Aetna Medicare
Discover Premier (PPO) H3219-002

Allina Health | Aetna Medicare
Discover Grand (PPO) H3219-003

Allina Health | Aetna Medicare
Discover Elite (PPO) H3219-004

Allina Health | Aetna Medicare
Discover Value (PPO) H3219-005

Not yet a member?

Formulary - Prescription drug coverage

Referrals & prior authorizations

Check your claims

Flu shot coverage

Medicare coverage changes

Coverage during a disaster or emergency

How we decide which health care services to cover

How we review new technologies

Using an out-of-network provider

Telehealth coverage

We're here to help

We speak your language

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View Coverage & Benefits

Find your plan information

2021 Plans

Allina Health | Aetna Medicare Discover Plus (PPO) H3219-001

Allina Health | Aetna Medicare Discover Premier (PPO) H3219-002

Allina Health | Aetna Medicare Discover Grand (PPO) H3219-003

Allina Health | Aetna Medicare Discover Elite (PPO) H3219-004

Allina Health | Aetna Medicare Discover Value (PPO) H3219-005

Not yet a member?

Formulary - Prescription drug coverage

Referrals & prior authorizations

Check your claims

Flu shot coverage

Medicare coverage changes

Coverage during a disaster or emergency

How we decide which health care services to cover

How we review new technologies

Using an out-of-network provider

Telehealth coverage

We're here to help

We speak your language

Allina Health | Aetna Medicare
Discover Plus (PPO) H3219-001

Allina Health | Aetna Medicare
Discover Premier (PPO) H3219-002

Allina Health | Aetna Medicare
Discover Grand (PPO) H3219-003

Allina Health | Aetna Medicare
Discover Elite (PPO) H3219-004

Allina Health | Aetna Medicare
Discover Value (PPO) H3219-005