To enroll in this plan, you must obtain a special enrollment application directly from the health plan.

The Aetna Golden Medicare 10 plan is available to City of New York Medicare beneficiaries living in NY (the five boroughs and the counties of Rockland and Westchester); the entire state of New Jersey and certain counties in Pennsylvania.  All individuals entitled to Medicare Part A and enrolled in Medicare Part B, including the disabled, may apply. Each Aetna Golden Medicare member selects a participating primary care physician (PCP) to coordinate his/her care and issue specialist and hospital referrals. Primary care physician visits are covered with a $10 copayment, specialists visits have a $15 copayment and routine preventative care visits are covered with a zero co-payment. There are no deductibles to pay. Emergencies are covered worldwide with a $35 co-payment (waived if admitted).

Aetna Navigator^TM is Aetna’s member website (www.aetna.com), which provides a single source for online health and benefits information 24 hours a day, 7 days a week.

DocFind®, an online provider list located at www.aetna.com; InteliHealth®, an online consumer health information network located at www.intelihealth.com; and Informed Health® Line, a telephonic nurse line are available 24 hours a day, 7 days a week.

Aetna Special Medical Programs
Disease Management programs aimed at slowing or avoiding complications of certain diseases through early detection and treatment to help improve outcomes and quality of life.

Wellness Programs including Healthy Breathing® a 8-to-12-week smoking-cessation program; and Healthy Eating, which offers information and tools to help develop long-term, realistic healthy eating plans. Natural Alternatives offers contracted discounted rates for alternative types of health care.  Vision One® Discount Program offers discounts on eye care needs, such as prescription eyeglasses, contact lenses, non-prescription sunglasses, contact lens solutions and eye care accessories. Members can call 1-800-793-8618 to find the Vision One® locations nearest to them. This benefit is in addition to, not in place of, members’ union welfare fund vision benefits.

Prescription Drug Coverage
Retirees who receive prescription drug coverage through their union welfare fund will continue to access that coverage. 
Retirees who do not receive prescription drug coverage through their union welfare fund will automatically receive the following prescription benefit:  

Retail: $0/$20/$40 for a 30-day supply. 
Mail Order: $0/$40/$80
Copays are effective up to $2,510 then 50% coinsurance for Generic/Brand drugs up to true-out-of-pocket costs for covered drugs up to $4,050. 
Once member reaches $4,050 the copays are $2.35 or 5% for covered generic (including brand names treated as Generic) drugs or the greater of $5.60 or 5% for all other covered drugs.   

Cost
There is no cost for the basic medical plan. The cost for the plan with prescription drugs can be viewed on the rate page.
See the rate page

For More Information
For more details, refer to the City of New York/Aetna Golden Medicare packet or call (800) 445-8742, 8:00 am - 6:00 pm, Monday through Friday. You can send your questions in writing to:

Aetna
99 Park Avenue
New York, NY 10016
Attn: City of New York Department
Visit the Plan Web site

Updated to reflect changes to Prescription Drug Benefit effective January 1, 2008.