The Right Choice Agency

Last updated · Reviewed by a licensed insurance agent

Aetna Medicare in Pennsylvania

Aetna (a CVS Health company) offers Medicare Advantage, Medigap, and Part D plans in Pennsylvania. Aetna's PA Medicare Advantage portfolio typically includes HMO and PPO options across most counties, with provider networks that vary by plan and region.

Aetna's CVS Caremark integration affects pharmacy benefits on Medicare Advantage plans with bundled drug coverage. CVS pharmacies are usually preferred-network for Aetna plans, but the specific copay tier varies by plan and medication.

We're independent. We compare Aetna against UnitedHealthcare, Humana, Independence Blue Cross, Highmark, and the other carriers we represent in your PA ZIP. If Aetna fits your situation best, we'll tell you. If a different carrier fits better, we'll tell you that too.

What's worth knowing about Aetna in PA

Aetna's PA hospital network varies by plan. An Aetna PA Medicare Advantage plan that includes Penn Medicine or Jefferson Health may be configured differently across counties. Some plans include broader networks than others within the same carrier brand. We pull the actual provider directory by plan and check the specific facilities you'd use.

CVS Caremark integration matters for Part D and MAPD. Aetna's parent (CVS Health) operates CVS Caremark as a pharmacy benefit manager. CVS retail pharmacies are usually preferred-tier on Aetna plans with drug coverage. If you fill at Walgreens, Walmart, Rite Aid, or another non-CVS chain, the cost difference per fill can add up. Worth checking.

Aetna offers SilverScript-branded Part D. Aetna's standalone Part D plans are sometimes branded as SilverScript (an Aetna subsidiary). Same plan structure, same Aetna underwriting. Formulary, pharmacy network, and pricing vary by specific plan.

Plan year changes apply. Aetna can change networks, formularies, and cost-sharing each plan year. The Annual Notice of Change (ANOC) you get each fall is worth opening. Last year's right plan may not be this year's right plan.

Common questions about Aetna Medicare in Pennsylvania

Does Aetna offer Medicare Advantage plans in Pennsylvania?

Yes. Aetna offers Medicare Advantage plans in most Pennsylvania counties, typically including HMO and PPO options. Specific plan availability, premiums, and provider networks vary by county and ZIP code, and they change every plan year.

Is CVS preferred for my Aetna Medicare Advantage plan in PA?

Usually yes. Because Aetna and CVS are both part of CVS Health, CVS retail pharmacies are typically preferred-network on Aetna's Medicare Advantage plans with bundled Part D coverage. The specific copay savings vs standard-network pharmacies vary by plan and medication tier. We can check fit against the pharmacies you actually use.

Does my Aetna Medicare Advantage plan in PA include Jefferson Health or Penn Medicine?

It depends on the specific plan. Aetna's PA Medicare Advantage portfolio includes plans with different network configurations. Some plans include Jefferson Health and Penn Medicine at preferred tier; some at standard tier; some focus on other systems. We pull the actual provider directory by plan and check by facility.

Is SilverScript still available as an Aetna Part D plan in PA?

Aetna's standalone Part D offerings have evolved over the years and at times have been branded under SilverScript. Current branding and plan availability vary by year. We can pull what's currently available from Aetna in your PA ZIP and check formulary and pharmacy network fit against your situation.

Do you only sell Aetna plans in Pennsylvania?

No. We're an independent agency. We represent multiple carriers in Pennsylvania and compare them against each other based on your doctors, prescriptions, and budget. Aetna may or may not be the best fit for your situation. We tell you honestly either way.

Are you connected to Aetna or to Medicare?

No. The Right Choice Agency is an independent licensed insurance agency that represents multiple carriers including Aetna. We are not connected with or endorsed by the United States government or the federal Medicare program. Aetna contracts with the federal Medicare program to offer plans, but Aetna is a private company, not a government program. For information on all your options, contact Medicare.gov or call 1-800-MEDICARE.

If your current Aetna plan still fits, we tell you to stay

We don't do paperwork on the first call. We pull what's available in your PA ZIP from Aetna and the other carriers we represent, check your doctors and prescriptions against each plan's actual provider directory and formulary, factor in the CVS pharmacy network angle, and walk through the tradeoffs. If your current Aetna plan is the right one, we tell you to stay where you are. That's the whole pitch.

For the full Pennsylvania Medicare overview, see Medicare in Pennsylvania. For more on Aetna generally (across all states), see Aetna.

Required disclosures. We are not connected with or endorsed by the United States government or the federal Medicare program. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. Plan availability, premiums, and benefits vary by county, ZIP code, and plan year. This is not a complete description of benefits.

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