Medicare Blog

what aetna medicare plans are available in kerr county texas

by Efrain Hilpert Published 2 years ago Updated 1 year ago

Aetna Inc. Medicare Advantage Plans in Kerr County, TX
Plan NamePlan CodeDeductible
Aetna Medicare Choice Plan (PPO)H3288: 046$300
Aetna Medicare Choice II Plan (PPO)H3288: 048$300

What is Aetna Medicare Advantage?

As a Medicare Advantage Plan provider, Aetna Medicare offers a variety of plans that each have different benefits, costs, and rules. Aetna’s plans are unlike Original Medicare in that all the maximum out-of-pocket expenses you may incur in a year are restricted.

Does Aetna Medicare have a contract with Medicare?

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. Standalone Prescription Drug Plans are offered by SilverScript, a CVS Health company. You are now leaving the Aetna Medicare website.

Is Aetna Medicare PPO or HMO?

Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage.

What is the difference between Aetna Medicare and silverscript?

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. SilverScript is a Prescription Drug Plan with a Medicare contract marketed through Aetna Medicare. Enrollment in SilverScript depends on contract renewal. (Effective 1/2021)

Is Aetna Medicare nationwide?

Aetna offers three different Medicare Part D plans, with offerings available across the United States. Find out what these plans cover and how much… Cigna offers three different Medicare Part D plans. These plans are available in all states and U.S. territories.

Is Aetna Medicare considered an advantage plan?

Aetna Medicare Advantage D-SNPs Our dual-eligible Special Needs Plan (D-SNP) is a type of Medicare Advantage plan, available to people who have both Medicare and Medicaid. We can help you find out if you qualify.

Is Aetna Medicare elite an Advantage plan?

Aetna Medicare Elite Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.. Plan ID: H5521-118.

Is Aetna Medicare Advantage 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. These plans include all of the benefits and services of Parts A and B. They may include prescription drug coverage as part of the plan.

Is Aetna SilverScript a good plan?

All of Aetna's PDPs have a Medicare star quality rating of 3.5 out of five stars. CVS/Aetna's SilverScript Smart RX plan has the lowest average monthly premium in 2022, and CVS is one of four main providers of stand-alone Part D prescription drug plans in the United States.

What is the highest rated Medicare Advantage plan?

According to MoneyGeek's scoring system, the top-rated Medicare Advantage plans are Blue Cross Blue Shield for preferred provider organizations and UnitedHealthcare for health maintenance organizations.

Is Aetna and SilverScript the same?

What is SilverScript? SilverScript is one of the largest providers offering Medicare Part D coverage in the United States, with plans in all 50 states. It became part of Aetna Medicare for the 2021 health plan year.

Does Aetna Part D pay for shingles shot?

Aetna Medicare and SilverScript Part D plans cover the shingles vaccine and some commercially available vaccines. Part D in general covers recommended adult immunizations when needed to prevent illness.

Does Aetna have a Part D plan?

Aetna offers three standalone Part D prescription drug plans: SilverScript Smart Rx. SilverScript Choice. SilverScript Plus.

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.

Does Aetna have a Medicare supplement plan?

Aetna offers highly-rated policies for Medicare beneficiaries. Aetna Medicare policies range from Medicare Supplement plans (Medigap) and Medicare Advantage plans to Medicare Part D coverage and ancillary products.

Aetna Inc. Medicare Advantage Plans in Kerr County, TX

The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in Texas in 2022.

Humana Inc. Medicare Advantage Plans in Kerr County, TX

The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in Texas in 2022.

UnitedHealthcare Medicare Advantage Plans in Kerr County, TX

The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in Texas in 2022.

What is the state of Texas for Medicare?

The state of Texas offers a number of resources to help. Texas Medicare Savings Programs. If you’re on Medicare and you’re struggling to pay for your health care, Texas’s Medicare Savings Programs may help cut your costs by offering financial assistance for expenses like deductibles, copayments, and coinsurance.

Which state has the third highest Medicare enrollment?

That may explain why the great state of Texas sits just behind Florida with the third highest number of people enrolled in Medicare. In fact, in 2018 Texas had over 4 million Medicare beneficiaries living within its borders. If you want to find out more about your Medicare options in Texas, you’re in the right spot.

What is Medicare Part A?

Original Medicare is made up of two parts: Part A and Part B. Medicare Part A, also known as “hospital insurance, ” covers your inpatient care at hospitals, skilled nursing facilities, or hospices. Medicare Part B, on the other hand, is sometimes called “medical insurance” and helps pay for your Medicare-approved outpatient care. This includes medical services and supplies such as doctor’s visits, physical therapy, and preventative care. It also covers durable medical equipment (DME) that you may need, such as oxygen pumps, walkers, and wheelchairs. Original Medicare is funded and administered by the federal government.

What is the Texas Department of Aging and Disability Services?

First established in 2004, the Texas Department of Aging and Disability Services (DADS) is the location of the Lone Star State’s Aging and Disability Resource Center, which provides a broad range of resources and services for Texas Medicare beneficiaries, including personal counseling.

What are the benefits of Medicare?

Medicare benefits are also available to younger folks who suffer from certain medical conditions, such as end-stage renal disease (ESRD) or kidney failure and amyotrophic lateral sclerosis (also known as ALS or Lou Gehrig’s disease).

What is HICAP in Texas?

Health Information Counseling & Advocacy Program of Texas (HICAP) is the Texas branch of SHIP. HICAP’s mission is to help provide senior or disabled citizens statewide with free health insurance counseling, so you can get all the information you need to make wise decisions regarding your health care.

Can you get Medicare in Texas?

While coverage varies depending on where you live, Medicare-eligible folks, including those in Texas, have a wide range of health coverage options to choose from . You can choose a federally funded Medicare plan, such as Original Medicare, or you can select a Medicare Advantage plan sold through a Medicare-approved private insurance company.

Aetna Inc. Medicare Advantage Plans in Texas

The table below outlines some of the specific plan details for Aetna Inc. Medicare Advantage plans available in Texas in 2022.

Aetna Inc. Medicare Advantage Prescription Drug Plans in Texas

The table below outlines some of the specific plan details for Aetna Inc. Medicare Advantage prescription drug plans available in Texas in 2022.

Does Aetna use InstaMed?

Aetna handles premium payments through InstaMed, a trusted payment service. Your InstaMed log-in may be different from your Caremark.com secure member site log-in.

Is SilverScript a Medicare plan?

Enrollment in our plans depends on contract renewal. SilverScript is a Prescription Drug Plan with a Medicare contract marketed through Aetna Medicare. Enrollment in SilverScript depends on contract renewal. (Effective 1/2021)

Is Aetna a PPO?

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. SilverScript is a Prescription Drug Plan with a Medicare contract marketed through Aetna Medicare.

Does Aetna use Payer Express?

Aetna handles premium payments through Payer Express, a trusted payment service. Your Payer Express log-in may be different from your Aetna secure member site log-in.

How to contact Medicare for a TTY?

This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-633-4227 (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.

When is the AEP for CMS?

You are also eligible during the Annual Election Period (AEP) which is from Oct.15 to Dec.7. You can change as many times as you want. The last change received by CMS prevails.

What is Medicare Advantage?

A Medicare Advantage plan is a health plan provided through a private insurer and delivering Medicare Part A and Part B benefits. A Part D Drug plan is a prescription drug plan provided through a private insurer and delivering Medicare Part D benefits. To apply for coverage you must submit an application for the company and plan that you want.

How to get extra help for Part D?

For plans with Part D Coverage: You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call: 1-800-633-4227. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m EST., Monday through Friday. TTY users should call, 1-800-325-0778; or your Medicaid Office.

How often does Medicare evaluate plans?

Every year, Medicare evaluates plans based on a 5-star rating system.

What is the phone number for Medicare Advantage?

If you need help, please call (800) 884-2343 Mon - Fri, 9am - 4pm PT and licensed insurance agents can assist with finding information on available Medicare Advantage Plans.

Can you enroll in a SEP in a nursing home?

You may be eligible for a Special Enrollment Period (SEP) if you reside in a nursing home, join a Special Needs Plan (SNP), move outside the plan's service area, the plan leaves your area, or other special situations.

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