How to compare 2021 MAPD plans to find the right plan for beneficiaries
There are several tools you can use to compare Medicare Advantage Prescription Drug (MAPD) plans. While Medicare.gov is one of the most common tools, you can also use AetnaMedicare.com.
To get the best results when comparing MAPD plans, make sure you:
- Include all the drugs your client takes, along with dosage and frequency. This is important, since all plans have variations on the formulary. Plans cover both generic and brand-name prescription drugs. The formulary includes at least two drugs in the most commonly prescribed categories and classes. All Medicare drug plans must cover at least two drugs per drug category, but plans can choose which specific drugs they cover
- Compare different pharmacies. Medicare drug plans have contracts with pharmacies that are part of the plan’s “network.” Along with retail pharmacies, most plans’ networks might include preferred pharmacies and a mail-order program. Preferred pharmacies vary by plan.
For example, Aetna has over 23,500 preferred pharmacies including Walmart, CVS, Publix, etc. Be sure to use one of Aetna’s preferred pharmacies to help you review the best options for your client. If you are looking for more cost savings, then compare costs using mail-order through CVS.
- Verify your client’s critical providers are in-network. Many tools will allow you to check the provider’s network participation. With Aetna, you can also check Aetnamedicare.com, and use the "Compare Plans" feature. You can also call Broker Services Department, or reach out to your local broker manager. The Aetna network is vast, so if you can’t find an important provider, then please take a few extra minutes and make a call to us. We’re happy to check.
Learn more about how Medicare drug plans use pharmacies, formularies, and common coverage rules.
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If you have questions, just reach out to your local Broker Manager.