Medicare Blog

optomologists in stamford/norwalk ct who take aetna medicare advantage

by Delfina Jacobs Published 1 year ago Updated 1 year ago

What kind of doctors do Aetna Medicare Advantage patients have to see?

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 in Aetna’s provider network and contracted with Aetna to treat their members. Aetna’s Medicare Advantage providers include primary care doctors,...

How do I find an Aetna ophthalmologist near me?

Zocdoc is a free online service that helps patients find Aetna Ophthalmologists and book appointments instantly. You can search for Aetna Ophthalmologists by symptom or visit reason. Then, choose your location. Based on that information, you’ll see a list of providers who meet your search criteria, along with their available appointment slots.

Does Zocdoc take Aetna Insurance?

On average, patients who use Zocdoc can search for an Ophthalmologist who takes Aetna insurance, book an appointment, and see the Ophthalmologist within 24 hours. Same-day appointments are often available, you can search for real-time availability of Ophthalmologists who accept Aetna insurance and make an appointment online.

Dr. David Chow, MD, MPH, FACS

Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Providers can’t request to alter or remove reviews.

Thomas Robertson, MD

Thomas Robertson, MD is an Ophthalmologist in Rocky Mount, NC. Thomas Robertson completed their Medical School at University Of Virginia School Of Medicine. Following their education, Thomas Robertson was board certified by the American Board of Ophthalmology.

Alexander Morgan, MD

Alexander Morgan, MD is an Occupational Medicine Specialist in North Chesterfield, VA. Alexander Morgan completed their Residency at Ny University Medical Center. Following their education, Alexander Morgan was board certified by the American Board of Occupational Medicine.

William Foster, MD

William Foster, MD is an Ophthalmologist in Raleigh, NC. William Foster completed their Residency at Medical University Sc Medical Center. Following their education, William Foster was board certified by the American Board of Ophthalmology.

Nitin Gupta, MD

Nitin Gupta, MD is an Ophthalmologist in Raleigh, NC. Nitin Gupta completed their Medical School at The Brody School Of Medical At E Carolina University. Following their education, Nitin Gupta was board certified by the American Board of Ophthalmology.

Joseph McCracken, MD

Joseph McCracken, MD is an Ophthalmologist in Durham, NC. Joseph McCracken was board certified by the American Board of Ophthalmology.

Gail Ganser, MD

Gail Ganser, MD is an Ophthalmologist in Lynchburg, VA. Gail Ganser completed their Medical School at Vanderbilt University School Of Medicine. Following their education, Gail Ganser was board certified by the American Board of Ophthalmology.

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.

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.

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 an HMO plan?

Aetna Medicare Prime Plan (HMO) Aetna Medicare SM Plan (PPO) Aetna Medicare Prime Plan (PPO) Each type of plan has different network rules. No matter which Aetna Medicare Advantage plan you choose, be sure to ask your doctor or health care provider if they accept the terms of your plan before seeking care.

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.

How to contact Aetna Medicare?

If you have any questions about your Aetna Medicare Advantage plan or how to find Aetna network providers, you can contact Aetna Customer Service at 1-800-282-5366 (TTY: 711), 8 a.m. to 8 p.m., local time, seven days a week, from October 1 – February 14 and 8 a.m. to 8 p.m., local time, Monday – Friday, from February 15 – September 30.

How to find contracted Aetna?

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 type of medical provider you are looking for, and the tool lists Aetna’s Medicare providers in your area. You can also use Aetna’s provider search tool to find health-care facilities, pharmacists, ...

How does Aetna work?

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 of the following things may happen: 1 Your plan may pay less toward your care. Some plans do cover certain out-of-network services, while others pay nothing for non-emergency care outside the network. 2 The fees for health services may be higher. This is because Aetna providers agree to accept a certain amount for your care. For example, if you usually pay 20% of the Medicare-approved cost for in-network care, you may be responsible for up to 50% of the cost for out-of-network care. 3 Any amount you pay might not contribute to your plan deductible, if you have one. 4 You may need preauthorization for any services you receive in order for any coverage to apply.

Why is Aetna fee higher than Medicare?

The fees for health services may be higher. This is because Aetna providers agree to accept a certain amount for your care. For example, if you usually pay 20% of the Medicare-approved cost for in-network care, you may be responsible for up to 50% of the cost for out-of-network care.

Does Aetna have Medicare Advantage?

Aetna’s Medicare Advantage providers include primary care doctors, specialists, hospitals, surgical centers, laboratories, imaging centers, dentists, pharmacists, and other health-care professionals. Aetna’s network providers have agreed under contract to provide care for its members, usually at lower rates than they would otherwise charge you ...

Does Aetna pay for out of network care?

Depending on the plan you choose, you may be required to get all your care from providers in your Aetna Medicare Advantage plan network; you may have to pay in full (other than emergency treatment) for out-of-network care.

Does Medicare cover out of network services?

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 of the following things may happen: Your plan may pay less toward your care. Some plans do cover certain out-of-network services, while others pay nothing for non-emergency care outside the network.

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