By changing the year, as an Aetna member, you must check the eligibility status of the patient. Verifying the patient eligibility at the beginning of the year is very necessary when you want to change your plan at every visit. However, your eligibility is very important when submitting claims, precertification, or also referrals.
One of Aetna’s plans that a lot of people change is the Medicare Supplement Insurance plan. Before you change your plan, you may need to check the eligibility of Medicare Supplement Insurance. Then, how to check the eligibility of Aetna Medicare Supplement Insurance plan? Let’s find out the information about it in our post below!
Eligibility of Aetna Medicare Supplement
The Aetna Medicare Supplement Insurance plan actually has different plans. If you have a plan to take Aetna Medicare Supplement Insurance plan, you surely need to understand what each plan covers and how federal affects your eligibility.
Here are some eligibility you have to meet when taking an Aetna Medicare Supplement Insurance:
- You live in a state where they offer the policy.
- You have Medicare Parts A and Parts B (and will continue to pay your Part B premium).
- You are at the age of 65 or older in some states. For those who are under 65, they can also apply if they have disability or end-stage renal disease (ESRD).
- You have been diagnosed with end-stage disease (permanent kidney failure) when you need a kidney transplant or dialysis.
- You really have a qualifying disability and have been receiving Social Security Disability Insurance (SSDI) for over 24 months.
Okay, that’s a list of eligibility for Aetna Medicare. If you have a plan to take Aetna Medicare Supplement Insurance plan or others, you have to meet all requirements above.
After you’re enrolled in Medicare Part A or Medicare Part B, you will be also eligible for Medicare Part D. Unless you have other creditable prescription drug coverage, you will be encouraged to enroll in a Medicare prescription drug plan.
If you do not have creditable prescription drug coverage and do not enroll during your Initial Enrollment Period, Medicare probably adds a Part D late enrollment penalty to your monthly Part D premium.
You may qualify for the Extra Help Program to pay for your prescription drug costs, if you have limited resources and income. The extra help members do not pay any late enrollment fee.
When are You First Eligible to Enroll in Medicare?
Before you are first eligible, your Initial Enrollment period is a 7-month window which starts 3 months. As an example, you will be able to first register for Medicare during the 7-month period which starts 3 months before the month you turn 65 including the month you turn 65, and ends 3 months once the month you turn 65.
If you register for Medicare during the first 3 months of your initial Enrollment period, in most cases, your coverage will start the first day of your birthday month. But, if your birthday is on the first day of the month, your coverage will begin the first day of the prior month.
To know whether you are eligible for Medicare or not, Aetna really helps you identify Medicare eligibility based on a lot of different factors including disability status, your age, and whether you or your spouse qualify to accept Social Security or Railroad Retirement Board benefits.
If it sounds a bit complicated, you do not have to worry, as Aetna will help take the mystery out of your individual Medicare eligibility requirements with just a simple phone call. You definitely can talk to an agent today to identify if you qualify for Medicare benefits.
You can also talk to Aetna Customer support to find out your eligibility. You can also read on to learn more about when you are eligible to enroll in Medicare health and prescription drug insurance plans.
Is It Possible for You to Get Medicare Under 65?
You cannot get Medicare, unless you’ve been diagnosed with a Medicare-covered disability. Basically, you should be at least 65 years old to get Medicare benefits. Your spouse probably qualifies for Medicare under some circumstances, even if you are younger than 65 and retired.
For instance, assuming you retired at 62 years old, however your spouse just turned 65 and your spouse has not worked or paid Medicare taxes for at least 10 years, prior to turning 65. On other hand, you’ve been working and paying Medicare taxes for over 10 years.
In this case, you cannot enroll in Medicare Part A yet, but your spouse will. Of course, it’s just one example. However, if you would like to learn whether you and your spouse’s circumstances may qualify one or both of you for Medicare, you can speak with a licensed agent right now.
How to Verify Aetna Eligibility?
You can check the eligibility through the official Aetna site or the third-party. If you want to verify Aetna eligibility through the official Aetna site, you just simply visit the Eligibility Verification page here.
At the Eligibility Verification page, you need to enter required fields to verify eligibility including Your Last Name, Your Birthdate and Your Policy Number. Once you’ve entered all required fields, you can just click on the ‘Submit’ button to continue verifying the Aetna eligibility.
In addition to visiting the official site of Aetna, you can also use Practice Management Software to submit and track Medicare transactions. You definitely can submit electronic claims to Medicare for all Medicare covered services.
You can visit this link to get started checking eligibility or claim status. In the next page, you will be required to start using the new and improved portal.
When you check eligibility or claim status, your new account will be free. You can also check eligibility using either the old or new portal during a transaction period of at least one month.
After the transaction period, you can only view old remits by using Reporting & Analytics. You will be also prompted to use the new portal for eligibility inquiries or claims submissions.