Aetna Medicare Advantage Plan 3 Summary BookletAe

Aetna Medicare Advantage Plan 5 Summary Booklet

Effective January 1, 2024, the Rochester Area School Health Consortium (RASHP I) will provide coverage through Aetna.

As a result, Medicare Advantage plans through Excellus, MVP, and Univera will no longer be available to Gates Chili CSD retirees, effective January 1, 2024. Please note, those enrolled in a Classic Blue Plan are not impacted by this change at this time.

The good news about this change in health insurance is that you will NOT need to complete a new enrollment form. To make the transition seamless for our retirees, you will be automatically enrolled in a plan that most closely aligns to your current benefits. Current Gates Chili members of the Excellus PPO plan will be assigned to Aetna Plan 3 and current Gates Chili members of the Excellus HMO plan will be assigned to Aetna Plan 5.

This change comes as the result of a comprehensive analysis and vetting process this past spring. The 19 districts and regional-level NYSUT leaders that make up RASHP I requested a proposal for Medicare Advantage plans from five local and national providers: Excellus, Aetna, Humana, United Healthcare, and MVP. 

Although Aetna was not the least expensive offering, the group selected Aetna based on its outstanding scores in the areas of member/district customer service, plan offerings, implementation, and references from current insured groups. In addition to lower premiums for those who contribute, these Aetna plans also feature other benefit enhancements such as lower copays for primary care visits and nationwide portability.

The next steps in this transition include in-person and virtual meetings that you are encouraged to attend to learn more about Aetna and its benefits. General questions are encouraged at these meetings. Any specific questions regarding your personal coverage should be asked at the virtual meeting or directly to an Aetna Medicare Advantage Plan Liaison. Additionally, within the next few weeks, you will be receiving an informational packet from Aetna to review before these meetings.

Please review the dates, times and locations below and/or take a moment to review the frequently asked questions for information about Aetna.

If you currently have Dental and/or Vision through the district, the change to Aenta will NOT affect your Dental or Vision coverage. 

Dental coverage will remain through Excellus Smile Saver. Vision coverage will continue through EyeMed.

Plan Comparison

Effective Jan. 1, 2024, the Major Medical Plan Medical/Rx Claim Form must be submitted for reimbursement. Click the link below for a printable claim form.

 Majpr Medical Claim Form

Please supply all required information to ensure timely processing and return of your claim submission.