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The answer depends on what type of Aetna Medicare Plan you have.

If you have an Aetna Medicare Supplemental Plan, then Original Medicare pays first and the Aetna plan pays secondary

If you have an Aetna Medicare Advantage HMO Plan, then the Aetna plan will always be primary as Medicare has assigned the benefits over to Aetna for processing and administration.

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Q: Is Aetna Medicare primary over Medicare?
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