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2019 Plans

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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

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How Medicare Plans Work

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Prescription Drugs

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Members

Find your plan information

2020 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

2019 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

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

We're here to help

We speak your language

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What 2020 coverage do you have?

Doctors & Hospitals

Your Provider Forms

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View Coverage & Benefits

Find your plan information

2020 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

2019 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

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

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

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