Aetna Retiree 80/20 Plan

The Aetna Retiree 80/20 plan provides coverage for Cornell retirees and their applicable dependents who are eligible for Medicare.

For Medicare-covered services, you may choose any licensed doctor or hospital that is eligible to receive payment under Original Medicare (Parts A & B). Your provider must participate in Medicare for reimbursement and will be able to tell you if they accept Medicare assignment (see Plan details below for more information). 

You’re covered for medically necessary urgent and non-urgent care when traveling anywhere in or out of the United States. Prescription coverage included under OptumRx.

Individuals have three ID cards: 

1. Original Medicare A & B Card,
2. Aetna Retiree 80/20 Card,
3. OptumRx ID card for pharmacy.

Plan Details

• Summary of Benefits for the Aetna 80/20 Plan for Medicare-eligible Retirees (pdf): Snapshot of services
• Retiree 80/20 Plan Brochure Including Claim Examples (pdf): A more detailed description of how the 80/20 plan works.

Summary Plan Description

• Addendum (pdf): Recent updates
• Booklet (pdf): What the plan covers and how benefits are paid
• Schedule of Benefits (pdf): Complete details of plan
• Notice of Privacy Practices

Additional Resources

• Notice of Creditable Coverage (pdf)
• OptumRx Pharmacy Network

Questions

While every attempt has been made to ensure the accuracy of this Summary, in the event of any discrepancy the Summary Plan Description and Plan Document will prevail.