Medicare Blog

what changes did aetna make to medicare plan

by Prof. Keshawn Gerlach Published 1 year ago Updated 1 year ago
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New Aetna® logo and Medicare plan name changes

2019 Contract PBP 2019 Plan Name 2020 Contract PBP 2020 Plan Name State
H1100-001 Innovation Health Medicare Voyager Plan ... H1100-001 Innovation Health-Aetna Medicare Voyager ... VA
H1608-001 Coventry Advantra Platinum (PPO) H1608-001 Aetna Medicare Premier Advantra (PPO) IA, SD
H1608-004 Coventry Total Care (PPO) H1608-004 Aetna Medicare Prime (PPO) SD
H1608-007 Coventry Total Care (PPO) H1608-007 Aetna Medicare Prime (PPO) IA
Apr 22 2022

Full Answer

When do Medicare plans get the new Aetna logo?

Starting January 1, 2020, you’ll see the new Aetna logo, shown below, on company communications and member ID cards for Medicare plans. Always ask for the member’s ID card and send claims to the payor ID or address on the back of the card. Also, see the following Excel spreadsheet for 2020 plan name changes. They are sorted by H contract and PBP.

What Medicare Advantage plans does Aetna offer?

In general, Aetna offers Medicare Advantage Prescription Drug plans, or MAPDs, as well as stand-alone prescription drug plans and Medicare Advantage Plans without drug coverage. New this year, the company is offering Aetna Medicare Eagle MA-only plans in 27 states, designed for veterans to complement their VA health care coverage.

How many Medicare members does Aetna have in 2021?

Aetna now serves nearly 9.8 million Medicare members nationwide, as of June 30, 2021. "The pandemic continues to disrupt so many aspects of our lives, including our health and well-being," said Christopher Ciano, president of Aetna Medicare.

How much do Aetna rates increase per year?

Aetna rate increases, like most companies, fall between 3% and 10% depending on various factors. Aetna does offer a 12-month rate-lock that guarantees your rates won’t increase the first year. Aetna also offers a 30-day Free Look Period, you can cancel for any reason within the first 30 days the policy is active.

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How much does Aetna rate increase?

Aetna rate increases, like most companies, fall between 3% and 10% depending on various factors.

What is the star rating for Aetna?

The weighted overall star rating for Aetna Medicare Advantage plans is 4.3 out of 5 stars. Also, the majority of beneficiaries in an Aetna Advantage plan have a 4.5 star or higher policy.

Is Aetna a good Medicare supplement?

Our expert opinion is yes; Aetna is a good Medicare Supplement. But, we also believe there are many good Medicare Supplements. Since Medigap plans agree to cover the other portion of claims Medicare approves, denials aren’t an issue, making these plans an excellent choice.

Does Aetna cover Medicare Part D?

Aetna Medicare Part D. Aetna does offer Part D plans to cover your prescription medications. You can enroll in a Part D plan to supplement your Aetna Medigap plan. However, just because you choose to enroll in an Aetna Medigap plan, doesn’t automatically mean that their Part D options are the best ones for you.

Is Aetna Medicare Supplement Plan G good?

Aetna Medicare Supplement Plan G. Plan G reviews are excellent no matter which company you choose. Plan G is perfect for those that are money savvy; you pay the Part B deductible yourself and save quite a bit of money in premium costs.

Does Aetna have a low premium?

A low premium doesn’t always equate to an excellent policy. Sometimes, paying more in premiums can save you money. Our expert opinion of Aetna is that when it comes to their Medicare Advantage plans, they have a broad range of doctors in-network and some of the most affordable policies.

Does Aetna offer dental insurance?

Medigap plans don’t include dental coverage. Also, Aetna does offer stand-alone dental coverage that you can have alongside Medigap or Medicare Advantage.

Medicare Advantage plans

More than 2.9 million (link is external) Medicare beneficiaries are currently enrolled in an Aetna Medicare Advantage (MA) plan, which can include extra benefits, such as prescription drug coverage, vision, dental, hearing and fitness.

Medicare prescription drug plans

The Aetna standalone prescription drug plans (PDP) serve 5.7 million (link is external) members. In 2022, Aetna Medicare will offer the same three individual standalone PDPs as in 2021. SilverScript SmartRx (PDP), featuring an average monthly premium of $7.08, will again be the lowest premium plan available from Aetna.

Medicare Supplement plans

With more than 1.2 million (link is external) members, our competitively priced individual Medicare Supplement plans utilize a simplified underwriting process. We also offer popular dental, vision and hearing products in 37 states.

Offering innovative new programs and benefits

Aetna provides individual MA members access to convenient and affordable care through various benefits and programs that are new this year:

Addressing social determinants of health with new and expanded MA benefits

Aetna Medicare Advantage plans take a total approach to health that goes beyond clinical care. With this approach in mind, Aetna expanded benefits to include:

About Aetna

Aetna, a CVS Health (link is external) business, serves an estimated 34 million people with information and resources to help them make better informed decisions about their health care.

How many members of Aetna are in Medicare Advantage?

While most of Aetna’s members are enrolled in employer-sponsored group health insurance plans, 2.7 million members enrolled in Aetna Medicare Advantage plans and 1 million people had an Aetna Medicare supplement plan as of September 30, 2020. 4 .

How many complaints did Aetna have in 2019?

For Medicare Supplement plans, Aetna’s complaint index was 4.87 in 2019 and 3.89 in 2018, with more than twice the likely complaints. 9  There were no complaints in 2017. Though complaints against Aetna rose over this period, the numbers are small and may not yet indicate a worsening trend.

What is Aetna insurance?

Aetna is the fifth-largest health insurer in the U.S., with $55.4 billion in 2018 premium revenues and 5% of the overall health insurance market. 1 . Aetna offers Medicare Advantage, Prescription Drug, Supplement (Medigap) plans, and Special Needs plans for people who are dually eligible for Medicare and Medicaid.

What is the average Medicare premium for 2021?

Sixty percent of Medicare Advantage Prescription Drug Plan enrollees paid no premium in 2020, and the average premium for all Medicare Advantage enrollees, including those with and without premiums, is projected to be $21 in 2021. 12  13  Aetna expanded its $0-premium Medicare Advantage offering in 2021.

How many stars does Aetna have?

Aetna’s Medicare Advantage plans range from 3 to 4.5 Stars; their Part D prescription plans range from 3 to 5 Stars. Aetna’s highest-ranking Part D plans are those in Georgia and Pennsylvania, both 5-Star plans. 7  Check Aetna’s Star Ratings in your county and for the plan you have or are considering.

What are the extra benefits of Medicare Advantage?

Extra Benefits. Most Medicare Advantage plans offer extra benefits, such as fitness, dental, and vision benefits, as well as hearing aids, over-the-counter medications, and meal benefits. These benefits have become increasingly common. In 2020, 98% of Medicare Advantage plans also offered telehealth benefits.

Does Aetna have a copay for Tier 1?

All three stand-alone prescription drug plans have $0 copayments for Tier 1 drugs at preferred retail pharmacies. More $0-premium Medicare Advantage plans in 2021: Aetna expanded their $0-premium Medicare Advantage options. This year, these plans will be available to 81% of Medicare-eligible beneficiaries.

Managing my costs

I paid out of pocket for a drug or medical procedure. How do I submit a claim for reimbursement?

Managing my plan

How do I change the telephone number or address associated with my plan?

Managing my care

How do I order medication to be delivered at home through CVS Caremark Mail Service Pharmacy?

When will Medicare Part D change to Advantage?

Some of them apply to Medicare Advantage and Medicare Part D, which are the plans that beneficiaries can change during the annual fall enrollment period that runs from October 15 to December 7.

How many people will have Medicare Advantage in 2020?

People who enroll in Medicare Advantage pay their Part B premium and whatever the premium is for their Medicare Advantage plan, and the private insurer wraps all of the coverage into one plan.) About 24 million people had Medicare Advantage plans in 2020, and CMS projects that it will grow to 26 million in 2021.

What is the maximum out of pocket limit for Medicare Advantage?

The maximum out-of-pocket limit for Medicare Advantage plans is increasing to $7,550 for 2021. Part D donut hole no longer exists, but a standard plan’s maximum deductible is increasing to $445 in 2021, and the threshold for entering the catastrophic coverage phase (where out-of-pocket spending decreases significantly) is increasing to $6,550.

What is the Medicare premium for 2021?

The standard premium for Medicare Part B is $148.50/month in 2021. This is an increase of less than $4/month over the standard 2020 premium of $144.60/month. It had been projected to increase more significantly, but in October 2020, the federal government enacted a short-term spending bill that included a provision to limit ...

How much is the Medicare coinsurance for 2021?

For 2021, it’s $371 per day for the 61st through 90th day of inpatient care (up from $352 per day in 2020). The coinsurance for lifetime reserve days is $742 per day in 2021, up from $704 per day in 2020.

What is the income bracket for Medicare Part B and D?

The income brackets for high-income premium adjustments for Medicare Part B and D will start at $88,000 for a single person, and the high-income surcharges for Part D and Part B will increase in 2021. Medicare Advantage enrollment is expected to continue to increase to a projected 26 million. Medicare Advantage plans are available ...

How long is a skilled nursing deductible?

See more Medicare Survey results. For care received in skilled nursing facilities, the first 20 days are covered with the Part A deductible that was paid for the inpatient hospital stay that preceded the stay in the skilled nursing facility.

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.

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