As of January 1, 2024, retiree health coverage through the Rochester Area School Health Consortium (RASHP I) officially transitioned to Aetna Medicare Advantage Plans. This change replaced Medicare Advantage plans previously offered through Excellus, MVP and Univera. Retirees enrolled in Classic Blue were not affected by this change.
A Medicare Advantage plan is another way to provide Original Medicare Part A (hospital insurance) and Part B (medical insurance) benefits, and more. Medicare Advantage plans are offered through private insurance companies and are approved by the Centers for Medicare and Medicaid Services (CMS). Medicare Advantage is also known as Medicare Part C.
The Aetna Medicare Advantage PPO plan is a type of Medicare Advantage plan. RASHP and Aetna® have teamed up to provide you with enhanced medical and prescription drug coverage all in one plan. The combined coverage is called the Aetna MedicareSM Plan (PPO), and it’s designed exclusively for RASHP retirees.
Yes. You’ll get both medical and prescription drug coverage, all in one plan. Your prescription drug coverage will generally remain as it is today. You will not experience a gap in prescription drug coverage, also referred to as “donut hole” coverage, regardless of the cost of your prescription drugs.
RASHP and Aetna® have teamed up to provide you with enhanced medical and prescription drug coverage all in one plan. We chose this plan because it offers a good balance of quality, value and affordability.
With over 35 years of Medicare experience, you’ll see why more than 2.9 million retirees trust Aetna to provide quality benefit coverage.* Rest assured, you can too.
Quality
Each year, the Centers for Medicare and Medicaid Services (CMS) rate Medicare Advantage plans based on:
The Aetna Medicare Advantage PPO plan is rated as 4.5 out of 5 stars.**
Value and affordability
Costs to provide health care can change annually. CMS helps Medicare Advantage plans with high star ratings offer more affordable benefits. Aetna also regularly reviews benefits and health care costs to offer you value, without sacrificing quality.
**Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. Our overall Part C and Part D rating is <4.5> Stars.
The enhancement to the Medicare Advantage Plan to Aetna will NOT affect your Major Medical Plan. The Major Medical Plan will continue through Excellus as it has in the past.
Dental coverage will remain through Excellus Smile Saver.
Vision coverage will continue through EyeMed.