Medicare Blog

aetna medicare available in which states

by Robb Howell DDS Published 2 years ago Updated 1 year ago
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Aetna Medicare Advantage plans are available in most states

Alabama Hawaii Massachusetts New Mexico South Dakota
Arizona Idaho Michigan New York Tennessee
Arkansas Illinois Minnesota North Carolina Texas
California Indiana Mississippi North Dakota Utah
Colorado Iowa Missouri Ohio Vermont
May 6 2022

Aetna Medicare Advantage plans are available in most states
AlabamaHawaiiNew Mexico
ConnecticutKansasOklahoma
DelawareKentuckyOregon
Washington, D.C.LouisianaPennsylvania
FloridaMaineRhode Island
5 more rows

Full Answer

How to find Aetna Medicare providers?

  • Your plan may pay less toward your care. ...
  • The fees for health services may be higher. ...
  • Any amount you pay might not contribute to your plan deductible, if you have one.
  • You may need preauthorization for any services you receive in order for any coverage to apply.

Does Aetna Health Insurance cover out of State?

The Short Answer: All plans cover emergency services at any hospital in the United States, regardless of what state plan was purchased from, with the exception of Hawaii. As long an emergency is considered life-threatening, it will be covered as in-network, regardless if the hospital is in your plan’s network.

What states does Medicare cover?

The states listed below have NO REQUIREMENTS for switching primary insurers:

  • Arkansas
  • Florida
  • Louisiana
  • Missouri
  • Tennessee

What does Aetna Health Insurance cover?

Plans may typically also cover more advanced services such as restorative care, tooth extractions, root canals, oral surgery and more. Aetna Medicare Advantage plans are required by law to cover everything covered by Original Medicare, and many plans may also cover vision, hearing aids, prescription drugs and more.

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What states is Aetna Medicare in?

Aetna Prescription Drug plans by stateAlabama Prescription Drug plans.Alaska Prescription Drug plans.Arizona Prescription Drug plans.Arkansas Prescription Drug plans.California Prescription Drug plans.Colorado Prescription Drug plans.Connecticut Prescription Drug plans.Delaware Prescription Drug plans.More items...

Is Aetna Medicare nationwide?

Aetna offers Medicare Advantage plans in 49 states. Medicare Advantage plans are not currently sold in Alaska. Although there is wide availability throughout the country, specific types of plans and coverage options may only be offered in certain areas.

How many states does Aetna operate in?

Over 2.8 million members We have programs in 14 states covering Medicaid and Medicare populations.

Does Aetna cover all 50 states?

This means the accreditation will apply to Aetna health plan members in all 50 states – nearly 10 million members. Accreditation covers all PPO products except AGB, SRC, Chickering and the PA prison system.

Does Medicare cover you out of state?

If you have original Medicare (Medicare Part A and Medicare Part B) you are covered anywhere in the United States. You must, however, use hospitals and doctors that accept Medicare. Anywhere in the United States includes: all 50 states.

Is Aetna available in Arizona?

In Arizona, Aetna Open Access HMO and Health Network Only health benefits plans are offered by Aetna Health Inc.

Is Aetna Medicare the same as Medicare?

Both terms refer to the same thing. Instead of Original Medicare from the federal government, you can choose a Medicare Advantage plan (Part C) offered by a private insurance company.

Is Aetna in Florida?

Aetna offers a variety of health insurance plans to Florida residents. Aetna is one of the first national, full-service health insurers to offer consumer-directed healthcare products, and is one of the nation's lead health insurance companies.

Is Aetna accepted in California?

(OAMC) network is Aetna's national network and is available in all California counties, except Mendocino, Sierra, Alpine and Inyo. The network has more than 111,000 providers and 407 hospitals.

Is Aetna available in Hawaii?

While our Aetna plans are generally widely available nationwide, there are some limitations in a few states: Alaska, Hawaii, Idaho, Louisiana, Maryland, Missouri, Montana, South Dakota and Vermont.

Does Aetna have coverage in Texas?

Texas Health Aetna are affiliates of Texas Health Resources and of Aetna Life Insurance Company and its affiliates (Aetna). Aetna provides certain management services to Texas Health Aetna. Self-funded plans are administered by Texas Health + Aetna Health Insurance Company.

Is Aetna in South Carolina?

New HMO plans in North Carolina, South Carolina and Tennessee – beginning January 1. We are expanding our 2021 Aetna Medicare Value℠ Plan (HMO) and Aetna Medicare Value Plus Plan (HMO)

Who is Aetna Health?

Aetna is the brand name for insurance products issued by the subsidiary insurance companies controlled by Aetna Inc. The Medicare Supplement Insurance plans are insured by Aetna Health and Life Insurance Company (Aetna).

What is Medicare Supplement Insurance?

Medicare Supplement Insurance (Medigap) plans offer special coverage for some health care costs that are not covered by Original Medicare (Parts A and B). They can help limit your yearly out-of-pocket costs.

What is the number to call for medicare?

Please call us at 1-800-358-8749. Sorry, we don’t offer Medicare Supplement Insurance Plans in your state. View Delaware Medicare Supplement Insurance Plans. We appreciate your interest. Please call us at 1-800-358-8749. View Georgia Medicare Supplement Insurance Plans.

Find the Medicare plan you need without leaving your home

Did you know you don’t have to walk into an office to enroll in a Medicare plan? With just a simple phone call, a friendly, licensed agent can answer any questions you may have and help you find the best benefits in your area. Speak with an agent today to learn more.

Get in contact with a Medicare agent near you

Looking for a licensed insurance agent to help you enroll in Medicare plans? Call today!

Medicare plans available in your area

Aetna offers a variety of Medicare health insurance plans to people all over the country. Find everything from Original Medicare to a Medicare Advantage plan, which gives you access to more benefits than Original Medicare.

Medicare in your state

Looking for more information about Medicare plans, locations, or brokers in your state? You’ve come to the right place! Simply select your state from the dropdown menu.

Who is part of Aetna Medicare?

Aetna Medicare networks include doctors, pharmacies and other providers. Health care providers who could be part of an Aetna Medicare plan network include, but aren’t limited to:

What is Aetna Medicare Advantage?

Aetna Medicare Advantage plans provide coverage with a nationwide network of health care providers, hospitals and other facilities. The type of Aetna Medicare Advantage (Medicare Part C) plan you have determines which doctors and other medical providers are in your network.

What are the benefits of Aetna?

Some of the other extra benefits many Aetna Medicare Advantage plans may offer include: Vision and hearing benefits, including eye exams and an annual allowance for select products and services. Over-the-counter (OTC) benefits that give you an allowance for select items such as vitamins and cold medicine.

How to speak to an Aetna agent?

To speak with one, call 1-800-891-6309, TTY: 711. They’re available 24 hours a day, 7 days a week.

Does Aetna have a nationwide network?

Aetna Medicare Advantage plans feature nationwide networks. The type of Aetna Medicare Advantage plan you have will determine the rules and requirements regarding your in-network plan coverage. With an Aetna health maintenance organization (HMO) plan, you’re typically required to choose a primary care physician ...

How many Medicare beneficiaries are in Aetna?

Overall, Aetna is the fifth-largest health insurer in the country, and it is the third-largest in terms of for-profit health plans. Nearly 2.7 million Medicare beneficiaries are enrolled in an Aetna Medicare Advantage plan, and the company added 210,000 new members for the 2021 plan year. Back to top.

What is the Aetna Medicare Advantage number?

to 8 p.m. EST, at 855-335-1407 (TTY: 711).

What is the lowest Medicare premium in 2021?

Even as a Medicare Advantage user, you’ll still be responsible for paying your Medicare Part B premium, which is $148.50 in 2021, although some plans cover part or all of this cost.

What is the cost of Aetna 2021?

Aetna offers three stand-alone prescription drug plans in 2021, with average monthly premiums that range from $7.15 to $69.52: SilverScript SmartRx: Average premium of $7.15. Offers Tier 1 generic drug coverage with a $0 deductible and $0 copays. This is the lowest-cost stand-alone drug plan nationwide.

What is the average rating for Aetna 2021?

Average star ratings: The Centers for Medicare & Medicaid Services gives Aetna’s 2021 Medicare Advantage plans an average rating of 3.7 out of 5 stars , with not a single plan earning 5 stars. (The national average for all providers is 4.16.)

What are the factors that determine the satisfaction of Medicare Advantage plans?

Power measured member satisfaction with Medicare Advantage plans based on six factors: coverage and benefits, provider choice, cost, customer service, information and communication, and billing and payment.

Does Aetna Medicare cover dental?

Multiple benefits offerings: In addition to dental, vision and hearing, Aetna Medicare beneficiaries in many plans have access to benefits such as an over-the-counter allowance, meal delivery services and in-home health visits.

What are Obamacare Health Insurance Plans?

Obamacare health insurance plans are plans which are eligible for reduced costs with a subsidy tax credit. Obamacare plans are only offered through the federal government exchange marketplace healthcare.gov or some States have their own exchange marketplace website.

What are Off-Exchange Health Insurance Plans?

Off-Exchange health insurance plans are plans which are available outside of the federal government exchange marketplaces. Off-Exchange plans existed before Obamacare. For example, if someone did not have access to a health insurance plan through work, they may have purchased an Off-Exchange plan offered on the Individual Market.

Can a plan be both an Obamacare and Off-Exchange plan?

Yes, a plan can be available as both an Obamacare and an Off-Exchange plan.

Do plans which are both Obamacare and Off-Exchange plans cost the same price?

Yes, by law a plan which is offered as both an Obamacare plan and an Off-Exchange plan must be sold at the same price. In addition, broker, agents, and web brokers are required to sell plans at the same market price. However, keep in mind that only Obamacare plans are eligible for a subsidy to reduce the monthly premium price.

Who is eligible for Obamacare and Off-Exchange plans?

Technically everyone is eligible for Obamacare plans and Off-Exchange plans. The real question is - who is eligible for a subsidy tax credit? - which can only be used to reduce the costs of Obamacare plans. Note that even if you are not eligible for a subsidy tax credit, you are still allowed to purchase an Obamacare plan at the full price.

What is the Obamacare Subsidy (Tax Credit)?

The Obamacare subsidy is really a tax credit, and it is formally known as the Advanced Premium Tax Credit (APTC). Typically people receive a tax credit at the end of the year when filing taxes, but this tax credit can be received “in advance”, during the year, to reduce the monthly premium costs of an Obamacare health insurance plan.

Who is eligible to receive an Obamacare Subsidy (Tax Credit)

To be eligible for a subsidy to reduce the monthly premium costs of Obamacare plans, you must meet the following requirements.

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