TWU Local 100 Medicare Advantage Plan FAQ

Frequently Asked Questions

Click on a question below to reveal the answer.

Will I be able to use the same doctors?

Yes, 99.997% of current doctors and hospitals are available under these plans. Any Medicare-registered doctor or hospital that accepts Aetna payments will be covered.

If I change my mind, can I switch plans?

Yes, you can switch plans during the next Open Enrollment period.

What about prescriptions?

Generic drugs under Option 1 will have a $0 co-pay, while other co-pays for formulary drugs are set by contract. Option 2 includes similar co-pays.

What is the reimbursement for eligible members?

Option 1 offers $500 per retiree and $500 for Medicare-eligible spouses ($1,000 total annually). Option 2 provides full reimbursement of $1,978.80 per person annually, nearly $4,000 for a couple.

How does this affect members who are not Medicare eligible?

For members under 65, nothing changes. You will maintain the same coverage and benefits you had as an active member, thanks to our Bridge Benefits.

What happens if I don’t make a plan selection?

If you don’t select a plan, you will automatically be enrolled in Option 1 to ensure uninterrupted coverage.

What if I want to change doctors?

You can find a new doctor by checking if they accept Medicare-aged patients and payments from Aetna. Alternatively, you can search Aetna's in-network providers for a list of options.

How does Aetna make money from this?

The federal government funds the coverage. Aetna earns based on the quality ratings of the coverage they provide. High ratings mean more federal funds.

Does Aetna deny services to make a profit?

No, our plans are designed to ensure access to necessary services. Denial of services has not occurred under Options 1 and 2 and will not occur now.

What happens to my coverage after I retire?

Your coverage will continue uninterrupted through the Bridge Benefits until you become Medicare eligible. After that, you will transition to one of the Medicare Advantage Plans.