Aetna | COVID-19 update: New & Extended Cost-Share Waivers for Medicare due to COVID-19

May 15, 2020

Medicare Producer News

CVS Health extends cost-sharing waivers and announces new action to support Aetna members during the COVID-19 pandemic

Now covering out-of-pocket costs for primary care services for Medicare Advantage members


This week, we announced that we are extending a range of cost-sharing waivers and benefits to help Aetna members access the care they need during the COVID-19 pandemic. These actions, which were scheduled to expire on June 1, 2020, have been extended through September 30, 2020.

  • For members of Aetna Medicare Advantage plans, the company is extending all member cost-sharing and co-pay waivers for inpatient admissions for treatment of COVID-19 or health complications associated with COVID-19.
  • Additionally, given the escalating mental health crisis resulting from or amplified by the pandemic, Aetna is extending all member cost-sharing waivers for in-network telemedicine visits for outpatient behavioral and mental health counseling services.

Primary Care Visits

The company is also taking additional steps to eliminate out-of-pocket costs for primary care services for Medicare Advantage members. Effective from May 13, 2020 through September 30, 2020, Aetna is waiving member out-of-pocket costs for all in-network primary care visits, whether done in-office and via telehealth, for any reason, and encourages members to continue seeking essential preventive and primary care during the pandemic.

Access to Medication

In addition to supporting members’ access to needed care, Aetna continues to focus on protecting patient access to medication. It has extended the following actions, which were scheduled to expire on May 15, 2020, through September 30, 2020:

  • Waiving early refill limits on 30-day prescription maintenance medications for all members with pharmacy benefits administered through CVS Caremark.

  • Continuing to encourage all members of Medicare Advantage plans to use their plan benefits for 90-day maintenance medication prescriptions.

For more Information

These announcements build on CVS Health’s overall efforts to help members, customers, providers, and communities navigate through this public health emergency. More information on steps CVS Health has taken to address the COVID-19 pandemic is available at the company’s frequently updated COVID-19 resource center.

In the News: How We’re Helping Members fight COVID-19

NEW: Remote Agent Telephonic Enrollment (RATE) tool now compatible with Windows-based devices

The RATE tool allows you to obtain a complete, compliant enrollment entirely by phone through the Ascend Virtual Sales Office app. Now, in addition to iPad devices, you can use the RATE tool with any Windows-based device. Just download the Ascend app on your device and make sure your microphone is turned on. Download a flyer to learn more.

Need access to the Ascend app? Just fill out a request form on Producer World. (Please note: it may take 2-7 business days to process your request.)

NEW: Digital flyers on Studio to use for Remote Meetings

To better support your remote sales appointments, we’ve created digital versions of the four most popular informational flyers. You can download them at no cost on the Aetna Medicare Marketing Studio.

PLUS, these new digital flyers will automatically size themselves to fit and fill the screen, vertically or horizontally, for any device (laptop, iPad, or smartphone) during your meeting. That means you won’t have to waste time adjusting the screen during your sales appointment.

Find the flyers on the Studio in the new Digital Flyers (Download Only) section.

Questions? We’re here to help

If you have any questions, just contact your local Aetna Medicare broker manager. Or you can contact the Aetna Medicare Broker Services Department at 1-866-714-9301 or brokersupport@aetna.com. At this time, our office is open from 8 a.m. to 6 p.m., Monday – Friday.

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881


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