Medicare Blog

what states does aetna offer medicare plans?

by Kenneth Mitchell Published 1 year ago Updated 1 year ago
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According to Aetna, nearly 20 states including Florida, Texas, and New York are in its custom HMO plan that offers full coverage on vision, hearing, rehab services, inpatient mental health facilities, and more on top of everything parts A and B cover.

Full Answer

How to find Aetna Medicare providers?

  • Your plan may pay less toward your care. ...
  • The fees for health services may be higher. ...
  • Any amount you pay might not contribute to your plan deductible, if you have one.
  • You may need preauthorization for any services you receive in order for any coverage to apply.

Does Aetna Health Insurance cover out of State?

The Short Answer: All plans cover emergency services at any hospital in the United States, regardless of what state plan was purchased from, with the exception of Hawaii. As long an emergency is considered life-threatening, it will be covered as in-network, regardless if the hospital is in your plan’s network.

What states does Medicare cover?

The states listed below have NO REQUIREMENTS for switching primary insurers:

  • Arkansas
  • Florida
  • Louisiana
  • Missouri
  • Tennessee

What does Aetna Health Insurance cover?

Plans may typically also cover more advanced services such as restorative care, tooth extractions, root canals, oral surgery and more. Aetna Medicare Advantage plans are required by law to cover everything covered by Original Medicare, and many plans may also cover vision, hearing aids, prescription drugs and more.

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What states is Aetna Medicare in?

Aetna Prescription Drug plans by stateAlabama Prescription Drug plans.Alaska Prescription Drug plans.Arizona Prescription Drug plans.Arkansas Prescription Drug plans.California Prescription Drug plans.Colorado Prescription Drug plans.Connecticut Prescription Drug plans.Delaware Prescription Drug plans.More items...

Does Aetna cover all 50 states?

This means the accreditation will apply to Aetna health plan members in all 50 states – nearly 10 million members. Accreditation covers all PPO products except AGB, SRC, Chickering and the PA prison system.

How many states have Aetna Medicare Advantage plans?

What states offer Aetna Medicare Advantage plans? Aetna offers Medicare Advantage plans in 49 states.

How many states does Aetna operate in?

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

Is Aetna accepted in 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 Medicare 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.

Is Aetna Medicare nationwide?

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.

Is Aetna good for Medicare?

Aetna has a longstanding reputation in the insurance industry. Its Medicare plans typically receive favorable reviews, and the company has an overall quality rating of 4 stars from the Centers for Medicare & Medicaid Services.

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.

Is Aetna in Florida?

Aetna offers a variety of health insurance plans to Florida residents. Aetna is one of the first national, full-service health insurers to offer consumer-directed healthcare products, and is one of the nation's lead health insurance companies.

Does Aetna own Humana?

HARTFORD, Conn. – Aetna (NYSE: AET ) and Humana (NYSE: HUM ) have mutually ended their merger agreement following a ruling from the United States District Court for the District of Columbia granting a United States Department of Justice request to enjoin the merger.

Who owns Aetna Medicare?

CVS HealthAetnaTypeSubsidiaryParentCVS Health (2018–present)SubsidiariesCoventry Health Care Healthagen Active Health Management Aetna International First Health PPO Network Unite Health Care MinistriesWebsitewww.aetna.comFootnotes / references10 more rows

What are Obamacare Health Insurance Plans?

Obamacare health insurance plans are plans which are eligible for reduced costs with a subsidy tax credit. Obamacare plans are only offered through the federal government exchange marketplace healthcare.gov or some States have their own exchange marketplace website.

What are Off-Exchange Health Insurance Plans?

Off-Exchange health insurance plans are plans which are available outside of the federal government exchange marketplaces. Off-Exchange plans existed before Obamacare. For example, if someone did not have access to a health insurance plan through work, they may have purchased an Off-Exchange plan offered on the Individual Market.

Can a plan be both an Obamacare and Off-Exchange plan?

Yes, a plan can be available as both an Obamacare and an Off-Exchange plan.

Do plans which are both Obamacare and Off-Exchange plans cost the same price?

Yes, by law a plan which is offered as both an Obamacare plan and an Off-Exchange plan must be sold at the same price. In addition, broker, agents, and web brokers are required to sell plans at the same market price. However, keep in mind that only Obamacare plans are eligible for a subsidy to reduce the monthly premium price.

Who is eligible for Obamacare and Off-Exchange plans?

Technically everyone is eligible for Obamacare plans and Off-Exchange plans. The real question is - who is eligible for a subsidy tax credit? - which can only be used to reduce the costs of Obamacare plans. Note that even if you are not eligible for a subsidy tax credit, you are still allowed to purchase an Obamacare plan at the full price.

What is the Obamacare Subsidy (Tax Credit)?

The Obamacare subsidy is really a tax credit, and it is formally known as the Advanced Premium Tax Credit (APTC). Typically people receive a tax credit at the end of the year when filing taxes, but this tax credit can be received “in advance”, during the year, to reduce the monthly premium costs of an Obamacare health insurance plan.

Who is eligible to receive an Obamacare Subsidy (Tax Credit)

To be eligible for a subsidy to reduce the monthly premium costs of Obamacare plans, you must meet the following requirements.

Who is Aetna Health?

Aetna is the brand name for insurance products issued by the subsidiary insurance companies controlled by Aetna Inc. The Medicare Supplement Insurance plans are insured by Aetna Health and Life Insurance Company (Aetna).

What is Medicare Supplement Insurance?

Medicare Supplement Insurance (Medigap) plans offer special coverage for some health care costs that are not covered by Original Medicare (Parts A and B). They can help limit your yearly out-of-pocket costs.

What is the number to call for medicare?

Please call us at 1-800-358-8749. Sorry, we don’t offer Medicare Supplement Insurance Plans in your state. View Delaware Medicare Supplement Insurance Plans. We appreciate your interest. Please call us at 1-800-358-8749. View Georgia Medicare Supplement Insurance Plans.

When Can I Get A Plan With Aetna?

Let’s start with the basics: you can acquire a plan with Aetna during the Medicare Initial Enrollment Period (IEP). This period lasts the three months before your 65th birthday month, your whole birthday month, and three months after your birthday month. For example:

How To Get A Medicare Plan With Aetna

Aetna overall covers over 23 million people, with almost 700,000 primary care physicians and specialists and over 5,700 hospitals in their network. This coverage is featured in all 50 states.

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.

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