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Although Medicare is a government program, you may be able to get some of your coverage through private insurers such as Aetna.

Getting Aetna Medicare plans may help you expand your coverage beyond what Original Medicare offers as well as reduce your out-of-pocket costs. Aetna Medicare plans may include Aetna Medicare Advantage plans and Aetna Medicare Supplement Plans.

What is an Aetna Medicare Advantage plan?

Aetna Medicare Advantage plans are an alternative way to get your Original Medicare benefits (Part A and Part B) from a private insurance company. Aetna Medicare Advantage plans must include, at a minimum, all the benefits that Original Medicare covers, except hospice care which is still covered by Medicare Part A. Medicare Advantage is sometimes referred to as “Medicare Part C.”

Aetna Medicare Advantage plans may also include extra benefits including coverage for routine dental, routine vision, prescription drugs, and wellness programs. An Aetna Medicare Advantage plan could be a way to get all your Medicare benefits bundled together in one convenient plan. With an Aetna Medicare Advantage plan, you still have all the rights and protections of the Original Medicare program, including the right to appeal a coverage decision.

Aetna Medicare Advantage plans may come in different plan types including:

  • HMO (Health Maintenance Organization)
  • PPO (Preferred Provider Organization)
  • PFFS (Private Fee for Service)
  • SNP (Special Needs Plans)

The differences in these plans include whether or not you are required to get a referral from your primary care doctor for specialist care and whether or not you are covered to use non-network providers for emergency or urgent care.

An Aetna Medicare Advantage plan may require an additional monthly premium and you generally still have to pay your Medicare Part B premium. Some Aetna Medicare Advantage plans may have a monthly premium as low as a $0.

What is an Aetna Medicare Supplement Plan?

An Aetna Medicare Supplement plan may help you pay for certain out-of-pocket costs associated with Original Medicare, including copayments, coinsurance, and deductibles. This coverage could give you some peace of mind, considering that Original Medicare has no out of pocket maximum. An Aetna Medicare Supplement plan only works with Original Medicare; it will not cover any costs associated with Medicare Advantage.

To begin searching for an Aetna Medicare plan in your area, enter your ZIP code on this page.

Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Aetna. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change. See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.

The product and service descriptions, if any, provided on these eHealth web pages are not intended to constitute offers to sell or solicitations in connection with any product or service. All products are not available in all areas and are subject to applicable laws, rules, and regulations.

 

NR_0001_17096_C  09/2019

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