The answer to whether your doctor will accept your Aetna Medicare Advantage (also called Medicare Part C) plan depends on the specific plan you’re enrolled in and whether your doctor is in your plan’s network.
How do I find doctors that accept Aetna Health Insurance?
Aetna members, log in to find doctors, dentists, hospitals and other providers that accept your plan. For non-members, choose the type of plan you're interested in and search for health care providers that accept it.
Do Aetna Medicare Advantage plans cover emergency care?
Aetna Medicare Advantage plans even offer global coverage for emergency care. Do you want to find Medicare providers who accept Aetna Medicare Advantage plans? One way to do so is to compare specific plans offered in your area and search for providers who are in those plan networks.
How do I find a doctor that accepts Medicare payments?
To find a doctor that accepts Medicare payments, you may want to visit the Centers for Medicare and Medicaid Services' Physician Compare. You can search by entering a health care professional’s last name or group practice name, a medical specialty, a medical condition, a body part, or an organ system.
How many patients does Aetna have?
Aetna networks include close to 1.2 million health care professionals, over 700,000 primary care doctors and specialists and over 5,700 hospitals. 1 About eleven percent of all Medicare Advantage enrollees in 2020 are enrolled in an Aetna Medicare plan. This accounts for over 2.6 million Medicare Advantage plan beneficiaries. 2
What type of insurance is Aetna Medicare?
Aetna Medicare Advantage plans include HMO, PPO and D-SNP A D-SNP (Dual Special Needs Plan) provides benefits to Medicare-qualified members who also receive Medicaid benefits and/or assistance with Medicare premiums or Parts A & B cost-sharing.
Is Aetna considered Medicare?
Aetna Medicare is a HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs.
Is Medicare and Aetna the same?
Aetna Medicare is a HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal.
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.
Why do doctors not like Medicare Advantage plans?
If they don't say under budget, they end up losing money. Meaning, you may not receive the full extent of care. Thus, many doctors will likely tell you they do not like Medicare Advantage plans because private insurance companies make it difficult for them to get paid for their services.
Can I have Medicare and Aetna at the same time?
You will still be considered a Medicare beneficiary while enrolled in the Aetna MA plan, and you should always keep your Medicare enrollment card. However, when you seek medical care you will no longer have to file claims with Medicare first and then to Aetna as secondary.
Is Aetna Medicare Part D?
Medicare prescription drug coverage (Part D) is offered through private insurance companies, like Aetna and SilverScript.
What states is Aetna Medicare in?
Aetna Medicare Advantage plans are available in most statesAlabamaHawaiiNew MexicoConnecticutKansasOklahomaDelawareKentuckyOregonWashington, D.C.LouisianaPennsylvaniaFloridaMaineRhode Island5 more rows
Does Aetna Medicare PPO require prior authorization?
For some services, your PCP is required to obtain prior authorization from Aetna Medicare. You'll need to get a referral from your PCP for covered, non‐emergency specialty or hospital care, except in an emergency and for certain direct‐access service. There are exceptions for certain direct access services.
Does Aetna Medicare PPO require referrals?
How do Medicare Advantage PPO plans work? Preferred provider organization (PPO) plans let you choose any provider who accepts Medicare. You don't need a referral from a primary care physician for specialist or hospital visits. However, using providers in your plan's network may cost less.
Is Medicare primary or Aetna?
Medicare pays first and your group health plan (retiree) coverage pays second . If the employer has 100 or more employees, then the large group health plan pays first, and Medicare pays second .
Who owns Aetna Medicare?
CVS Health CorporationAetna agrees to be acquired by CVS Health Corporation in a transaction valuing Aetna at about $69 billion.
How Can I Find Health-Care Providers That accept Aetna’S Medicare Plans?
Aetna is a private company contracted with Medicare to provide benefits to beneficiaries under the Medicare Advantage program. Like many companies...
Who Are Aetna’S Providers For Medicare Advantage Plans?
If you are enrolled in a Medicare Advantage plan with Aetna, you may be required to get your health care from doctors and other providers who are i...
How Do I Find Aetna Providers?
The easiest way to find contracted Aetna providers is to use Aetna’s online Medicare Advantage . You simply enter your location (zip code) and the...
What Happens If I Don’T Use Aetna’S Providers?
If you’re enrolled in a Medicare Advantage plan through Aetna, and you choose to use a provider outside your plan’s provider network, one or more o...
How to contact Aetnamedicare?
For up-to-date information about our network pharmacies, including pharmacies with preferred cost sharing, members please call the number on your ID card, non-members please call 1-855-338-7027 (TTY: 711) or consult the online pharmacy directory at http://www.aetnamedicare.com/pharmacyhelp.
How to speak to an Aetna agent?
Speak with a licensed insurance agent by calling. 1-877-890-1409. 1-877-890-1409 TTY users: 711 24 hours a day, 7 days a week.
How many doctors are in Aetna network?
Aetna networks include close to 1.2 million health care professionals, over 700,000 primary care doctors and specialists ...
What is the average rating for Aetna?
For 2020, Aetna Medicare Advantage Prescription Drug (MAPD) plans earned an overall weighted average rating of 4.3 out of 5 stars. And the majority of Aetna Medicare plan members are enrolled in plans with a rating of 4.5 stars or higher. 4.
Do you have to pay Medicare Part B premium?
You must continue to pay your Medicare Part B premium. The Part B premium is covered for full-dual members (those who have both Medicare and Medicaid, and meet the state’s requirements for full Medicaid benefits). The formulary, pharmacy network, and/or provider network may change at any time.
Find a doctor
Find doctors or pharmacies within your network and search for other providers like dentists or specialists.
Shopping for a new plan?
If you're looking for a new plan, check to see if your provider or pharmacy is covered.
What is the number for Aetna?
1-877-890-1409. 1-877-890-1409 TTY Users: 711. They’re available 24 hours a day, 7 days a week. They can help you find a doctor, pharmacist or other health care provider near you who accepts an Aetna Medicare Advantage plan.
What is the average rating for Aetna?
For 2020, Aetna Medicare Advantage Prescription Drug (MAPD) plans earned an overall weighted average rating of 4.3 out of 5 stars. The majority of Aetna Medicare plan members are in a plan rated 4.5 stars or higher out of 5 stars. 3.
Does Aetna offer global coverage?
Health care providers who accept Aetna Medicare Advantage (also called Medicare Part C) plans can be found in many areas of the country. Aetna Medicare Advantage plans even offer global coverage for emergency care.
What is Aetna insurance?
Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Health benefits and health insurance plans contain exclusions and limitations. See all legal notices.
Is Aetna liable for the content of linked sites?
Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Please log in to your secure account to get what you need. You are now leaving the Aetna Medicare website.
What does it mean to be a Medicare provider?
When it comes to providers, there are a couple points that are useful to know.
So how do you find these Aetna network providers?
There’s really no magic to finding Aetna’s network providers. If you enroll in a Medicare Advantage plan from Aetna, you’ll generally receive information about network providers.
Is Aetna Inc. responsible for the CDC?
You are now being directed to the CDC site. Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. Continue.
Is Aetna Inc. responsible for the content of its websites?
Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Links to various non-Aetna sites are provided for your convenience only.
Is Aetna liable for the content of linked sites?
Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Please log in to your secure account to get what you need. You are now leaving the Aetna Medicare website.
