what state is aetna medicare insurance cover

by Miss Gloria Mosciski Published 2 years ago Updated 1 year ago

What is Aetna Medicare coverage?

Oct 09, 2021 · In 2022, the average Medicare beneficiary has access to 39 Medicare Advantage plans. This includes Medicare Advantage plans offered by Aetna. 2. To learn more about your Aetna Medicare Advantage plan options and to compare plans in your area, speak with a licensed insurance agent. You can reach one by calling. 1-877-890-1409.

How many people does Aetna cover?

Feb 24, 2022 · For more info about your no-cost OneTouch BGM for Aetna ® Medicare plan members, you can visit us online or call 1-877-764-5390 (TTY: 711) without a prescription. Use order code 123AET200. Medicare Part D: Individual Medicare Prescription Drug (PDP) and MAPD plans cover diabetic supplies under Part D, including:

Does Aetna have an HMO plan?

Aetna uses or discloses your Protected Health Information (PHI) only for very specific reasons and only in accordance with Texas state and federal law. PHI is any information that Aetna creates or receives related to health that identifies an individual. This information can be electronic or in any other format.

How much does Aetna prescription drug insurance cost?

May 03, 2022 · Aetna Medicare Advantage Plan. To learn more, contact Aetna Member Services, Monday to Friday, 8 AM to 6 PM ET: SHBP call 1-866-234-3129 (TTY: 711) SEHBP call 1-866-816-3662 (TTY: 711) SONJ.AetnaMedicare.com.

Is Aetna Medicare in all 50 states?

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 is Aetna Medicare in?

Broad availability: Aetna offers Medicare Advantage plans in 46 states and Washington, D.C., as well as stand-alone drug plans in all 50 states plus Washington, D.C.

How many states does Aetna operate in?

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

Does Medicare cover from state to state?

If you have Original Medicare, you have coverage anywhere in the U.S. and its territories. This includes all 50 states, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands. Most doctors and hospitals take Original Medicare.

Is Aetna Medicare available in Georgia?

Your Guide to Medicare

The following Aetna Medicare plans offer Medicare Advantage Prescription Drug plan coverage to Georgia residents. Medicare Advantage plans are an alternative way to get your Original Medicare.

Is Aetna accepted 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.Aug 3, 2021

Does Aetna have coverage in Florida?

With the two Florida Benefit Option Plans from Aetna, you will get health plan choices, along with award winning customer service that always puts you first. You will also have access to our strong nationwide network.

Does Aetna cover 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 in Wisconsin?

Top 10 Aetna Provider Specialties in Wisconsin:

Family Doctor (2559 providers) Internist (1778 providers) Nurse Practitioner (NP) (1366 providers) Pediatrician (Kids / Children Specialist) (1164 providers)

Can you have Medicare in two states?

You can have Medicare while living in two states, but you'll choose one location as your primary residence. There will be some Medicare plans that benefit you more than others when you have multiple homes. Some retired people choose to reside in two different locations.Sep 16, 2021

Can I use my health insurance in another state?

Key Takeaways. Moving to another state may warrant finding new health insurance as some plans may terminate upon the move or may not provide coverage in the new state. If coverage transfers, it is still prudent to verify the system of in-network providers.

Do I need to notify Medicare if I move?

If you have Original Medicare — Medicare Part A and Part B — you should notify the Social Security Administration and Medicare before you move. It's important to update your address and other information so you don't miss or delay benefits.

Does Aetna Medicare cover PCP?

Medicare and Aetna Medicare won’t be responsible either. Generally, you must get your health care coverage from your primary care physician (PCP). Your PCP will issue referrals to participating specialists and facilities for certain services. For some services, your PCP is required to obtain prior authorization from Aetna Medicare.

What is telehealth coverage?

Telehealth coverage. Telehealth – or telemedicine – means virtual care you can get at home or away. These visits are live, video conferences between you and a doctor over a computer or smart phone. Consider using telehealth when you have a time sensitive medical need or can’t get to the doctor in person.

What is a referral for medical care?

Sometimes you need a referral or prior authorization before you can get care. A referral is a kind of preapproval from your primary care doctor to see a specialist. A prior authorization or precertification is when your doctor has to get approval from us before we cover an item or service.

What is prior authorization?

Prior authorizations are often used for things like MRIs or CT scans. Your doctor is in charge of sending us prior authorization requests for medical care. Each plan has rules on whether a referral or prior authorization is needed. Check your plan’s Evidence of Coverage (EOC) to see if or how these rules apply.

What is telehealth in medical terms?

Telehealth – or telemedicine – means virtual care you can get at home or away. These visits are live, video conferences between you and a doctor over a computer or smart phone. Consider using telehealth when you have a time sensitive medical need or can’t get to the doctor in person.

What is a referral for a doctor?

Can a dependent be covered by Aetna?

A subscriber or dependent may be eligible for continued coverage under the Aetna benefits plan if the subscriber's plan would otherwise terminate but the plan includes a provision for continued coverage for total disability and the subscriber or dependent initiates a request for continued coverage by contacting Aetna Member Services.

Does Aetna use PHI?

What is POA code?

A POA code is a code used to indicate if the corresponding diagnosis was present at the time of admission. A POA code is required for all primary and secondary diagnosis codes; however a POA code is not needed for the admitting diagnosis code.

Is Aetna a PPO?

Aetna Medicare is a HMO, PPO plan with a Medicare contract. Enrollment in our plans depends on contract renewal. Out-of-network/non-contracted providers are under no obligation to treat Aetna members, except in emergency situations.

How to enroll in Aetna?

When you enroll in an Aetna ® Medicare plan, here's what you can expect. We'll mail you: 1 A letter saying you’re a member of our plan 2 Your Aetna member ID card 3 A new member Journey Handbook with helpful tools, cost-saving resources and important tips

Is Aetna a private company?

Aetna is a private company contracted with Medicare to provide benefits to beneficiaries under the Medicare Advantage program. Like many companies that offer Medicare plans, Aetna... Read more.

Is Aetna a PDP?

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. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Aetna.

Does Aetna discriminate?

Aetna complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATTENTION: If you speak a language other than English, free language assistance services are available.

Do you qualify for Medicaid?

If you have limited assets, special needs or a disability, you may qualify for Medicaid coverage. It's offered at no or very low cost for those who qualify. Find out if you qualify for your state's Medicaid program.

Aetna and Medicaid

We manage plans across the country including the Children's Health Insurance Plan (CHIP), plans for people on Medicaid and Medicare and long-term care programs. Our plans go by different names in different states, but they all offer the same high-quality care.

Medicare Supplement Insurance has you covered

Your coverage can’t be changed or canceled when you move anywhere within the United States, as long as you pay your premiums on time.

A variety of plans to choose

There are many different Medicare Supplement Insurance plans, so it’s important to understand what each plan covers and how federal law affects your eligibility.

See an outline of coverage

Select your state to view a PDF summary of Medicare Supplement coverage.

How many states have Medigap?

There are 10 standardized Medigap plans available in 47 states (Minnesota, Massachusetts, and Wisconsin have their own standardized plans). Because the plans are standardized in most states, you may be able to remain with the same plan.

What is a SEP in Medicare?

If you’re enrolled in a Medicare Advantage plan or a Medicare Part D Prescription Drug Plan, a change in residence, such as moving to another state, could qualify you for a Special Election Period (SEP). During your SEP, you’re allowed to enroll into a new plan that is offered in your new service area.

What happens if you don't enroll in Medicare Advantage?

If your current Medicare Advantage plan is not offered in your new service area, your Medicare Advantage plan is required by Medicare to disenroll you. If you don’t enroll in a new Medicare Advantage plan during your SEP, you’ll return to Original Medicare (Part A and Part B).

How long does a SEP last?

If you notify the plan before you move, your SEP timeframe is four months long. It begins one month before the month you move and lasts for three more months after that. If you notify your plan after you move, you can switch plans the month you provided notice of the move and up to two months after that.