America's Benefit Specialist November 2022

MEDICARE MATTERS

portation benefit, which provides rides to and from the pharmacy, doctors’ appoint ments, vaccination clinics and cooling or warming centers. Additionally, MA customers can access care through a 24-hour nurse help line, $0 copay virtual health care for medical, be havioral health and physical therapy needs at in-network providers, home delivery of maintenance medications and over-the counter supplies, and the MyCigna app. This year, Cigna also is offering the fol lowing three standalone Prescription Drug Plans (PDPs) in all 50 states, the District of Columbia and Puerto Rico: • Cigna Saver Rx: This new, economical plan includes low premiums, low copays and savings on generic drugs. • Cigna Secure Rx: Available to serve cus tomers with a low-income subsidy. • Cigna Extra Rx: Provides a high level of coverage and savings on select insulins with copays as low as $0 at a preferred pharmacy. All plans have $0 copay options for select medications purchased through preferred home delivery. For more details, visit www. CignaMedicare.com. AETNA 2023 MEDICARE PLANS PUT MONEY BACK IN MEMBERS’ POCKETS Aetna, a CVS Health company, announced its 2023 Medicare offerings, featuring more affordable medical and prescription drug coverage and expanded money-saving bene fits that support members’ whole health and well-being. Aetna will offer new Medicare Advantage plan options, including Dual Eligible Special Needs Plans in new markets, a new Institutional Special Needs Plan and expanded Aetna Medicare Eagle plans designed with Veterans in mind. For 2023, Aetna is offering MAPD plans in 46 states plus Washington DC. Aetna PLAN UPDATES

added 141 new counties across the coun try, providing 1 million more Medicare beneficiaries access to an Aetna plan. In total, Aetna will offer MAPD plans in 2,014 counties in 2023, accessible by 55 million Medicare beneficiaries. For those who qualify for both Medicare and Medicaid benefits, Aetna expanded its Dual Eligible Special Needs Plan (D-SNP) offerings across 30 states, including new markets in South Carolina, South Dakota and Utah, and new PPO plan options in Georgia and South Dakota. All plans offer prescription drugs at no out-of-pocket cost and additional benefits for members who qualify for Low-Income Subsidy (LIS). Cov erage varies by plan and may include healthy foods, utilities, over-the-counter items, additional transportation, companionship and fall prevention benefits. New for 2023, Aetna will introduce the Aetna Medicare Longevity Plan, an Institutional Special Needs Plan (I-SNP), in Pennsylvania. This plan is specifically designed for people living in nursing homes. It includes prescription drug coverage and provides enhanced access to onsite care in the facility. Members receive extra benefits tailored to improve their quality of life by caring for their unique medical, social and emotional needs. Aetna also expanded its Aetna Medicare Eagle MA plans to 42 states and 1,383 coun ties—reaching more than 6.1 million Vet erans over age 65. These plans are designed with veterans in mind to complement their VA healthcare coverage and ensure access to important benefits. All 2023 Aetna Medicare Eagle plans will feature a $0 monthly plan premium, $0 primary care copay (including walk-in clinics), dental, vision, hearing, over-the-counter allowance, SilverSneakers fitness program and $0 lab copay. In 2023, Aetna Medicare will continue to offer three individual, standalone PDPs. SilverScript SmartRx will be renamed

SilverScript SmartSaver (PDP) in 2023 and will feature an average monthly premium of $5.92, along with $10 copays for select in sulins at preferred pharmacies. SilverScript Choice (PDP) will be available to members with full Extra Help for a $0 monthly plan premium in all 50 states and DC, while SilverScript Plus (PDP) has the most robust prescription drug coverage of its PDPs. All three plans are available in all 50 states and DC and feature increased formulary cover age from 2022. Aetna made major changes to our formu laries (drug lists) for 2023 to remove many cost and access obstacles and help members be more adherent with their medications. Prescription drug benefit changes will result in significant cost savings for our 2023 Indi vidual MAPD members. Select plans will include a new, preloaded debit card with a quarterly allowance that can be used towards the purchase of OTC items and/or a combination of support ser vices such as: healthy foods; utilities (includ ing water, electricity, gas, phone and Internet service) and transportation. The card can be swiped at thousands of participating retail ers for OTC and healthy foods. Aetna is expanding this debit card to more plans and states and making it more convenient. Qualifying members will receive a quarterly allowance to use towards either out-of-pocket expenses for in-network care; approved OTC wellness items; or both. Members whose benefit includes an allow ance for OTC items can buy a wide selection of items at any CVS Pharmacy retail location or place orders online through OTC Health Solutions, a CVS Health company. Select Aetna Medicare plan members will get access to brain games, exercises and a huge library of information on activities that promote brain health. Memory Fitness can be accessed through BrainHQ on comput ers, smartphones and tablets.

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