Medicare Blog

which is better blue cross blue shield or aetna medicare advantage

by Mrs. Theodora Cormier Published 1 year ago Updated 1 year ago
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Aetna and Blue Cross Blue Shield are two of the largest health insurance providers in the country. We compared the two and found that Aetna is a better option if you qualify for Medicare, and Blue Cross is a better option if you’re shopping for a private individual or family plan.

Full Answer

Is Blue Cross Blue Shield the same as Aetna?

The one major difference between Aetna and Blue Cross Blue Shield is that BCBS is not a nationwide company in the technical sense of the word. BCBS is comprised of dozens of smaller independent health insurance companies that pay a licensing fee to use the Blue Cross & Blue Shield trademark.

Is Aetna or Premera Blue Cross better?

While both BCBS and Aetna are strong companies with great brand names and dependable plans the victory goes to the Aetna health insurance company. With a true nationwide network and strong health plans across the board Aetna offers a combination of coverage and selection that is hard to beat by Blue Cross Blue Shield or anyone else for that matter.

What is the difference between Aetna and United Healthcare?

  • The Policyholder's name and address.
  • The patient's name and age.
  • The number stated on your ID card.
  • The name and address of the provider of the service (s).
  • The name and address of any ordering Physician.
  • A diagnosis from the Physician.

More items...

Is Aetna the same as anthem?

The name “Aetna” was taken from an 11,000-foot volcano in Sicily, Italy, which was also the most active volcano in Europe. In 2004, WellPoint Health Networks Inc and Anthem, Inc. merged and became the nation’s leading health benefits company. In December 2014 WellPoint Inc. changed its corporate name to Anthem, Inc.

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What is the highest rated Medicare Advantage plan?

List of Medicare Advantage plansCategoryCompanyRatingBest overallKaiser Permanente5.0Most popularAARP/UnitedHealthcare4.2Largest networkBlue Cross Blue Shield4.1Hassle-free prescriptionsHumana4.01 more row•Jun 22, 2022

What is the best Medicare carrier?

The Best Medicare Advantage Provider by State Blue Cross Blue Shield, Humana and United Healthcare earn the highest rankings among the national carriers in many states. Overall, Aetna Medicare ranks the best in the most (23) states.

Who is the largest Medicare Advantage provider?

UnitedHealthcareUnitedHealthcare is the largest provider of Medicare Advantage plans and offers plans in nearly three-quarters of U.S. counties.

Are Aetna plans good?

We award Aetna 4.0 out of 5.0 stars. Aetna is one of the largest health insurers in the US, and is highly rated by AM Best and the BBB. The company offers a variety of health plans for employer groups, and a limited number of plans (Medicare supplements, dental plans) for individuals and families.

What is the biggest disadvantage of Medicare Advantage?

Medicare Advantage can become expensive if you're sick, due to uncovered copays. Additionally, a plan may offer only a limited network of doctors, which can interfere with a patient's choice. It's not easy to change to another plan. If you decide to switch to a Medigap policy, there often are lifetime penalties.

What are the top 3 most popular Medicare Supplement plans in 2021?

Three Popular Medicare Supplement PlansBlue Cross Blue Shield. According to Blue Cross Blue Shield (BCBS), Plans F and N are available in most areas. ... AARP United Healthcare. The United Healthcare Medicare Supplement plan is also very popular. ... Humana.

Are there disadvantages to a Medicare Advantage plan?

Medicare Advantage offers many benefits to original Medicare, including convenient coverage, multiple plan options, and long-term savings. There are some disadvantages as well, including provider limitations, additional costs, and lack of coverage while traveling.

What percent of seniors choose Medicare Advantage?

A team of economists who analyzed Medicare Advantage plan selections found that only about 10 percent of seniors chose the optimal Medicare Advantage plan. People were overspending by more than $1,000 per year on average, and more than 10 percent of people were overspending by more than $2,000 per year!

Can I switch from a Medicare Advantage plan back to Original Medicare?

Yes, you can elect to switch to traditional Medicare from your Medicare Advantage plan during the Medicare Open Enrollment period, which runs from October 15 to December 7 each year. Your coverage under traditional Medicare will begin January 1 of the following year.

Does Aetna Medicare Advantage have copays?

$25 copay for up to a 30-day supply from retail pharmacy; $50 copay for up to a 90-day supply from mail-order pharmacy. $35 copay for up to a 30-day supply from retail pharmacy; $70 copay for up to a 90-day supply from mail-order pharmacy.

Do doctors prefer HMO or PPO?

PPOs Usually Win on Choice and Flexibility If flexibility and choice are important to you, a PPO plan could be the better choice. Unlike most HMO health plans, you won't likely need to select a primary care physician, and you won't usually need a referral from that physician to see a specialist.

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.

What is Medicare Advantage?

Medicare Advantage Plans are a way of getting your Medicare Part A and Part B coverage through private companies approved by Medicare. These insure...

Who is eligible to get a Medicare Advantage plan?

If you have Medicare Part A and Part B, and there's a plan that is available where you live, you're eligible for Medicare Advantage. Bear in mind t...

Are there any deadlines I should be aware of?

Yes! You can enroll in a Medicare Advantage plan either when you first sign up for Medicare A & B or during the yearly enrollment period from Octob...

What's the difference between Advantage and Medigap?

There are many differences between these two types of additional Medicare coverage. Medicare Supplement Plans, or Medigap, are designed to pay the...

Will dental, vision and/or hearing coverage be included?

That depends on the plan you select. However, one of the reasons Advantage plans are so attractive is because many of them do include dental, visio...

Will prescription drugs be covered?

That also depends on the plan you choose. Almost every Medicare Advantage plan will still have out-of-pocket costs for prescriptions. When getting...

How much will I likely pay in premiums?

Believe it or not, there are Medicare Advantage policies that have $0 monthly premiums. Of course, you get what you pay for - and if you want broad...

Should I buy my Medicare Advantage plan through a broker or directly from the insurer?

That's a matter of preference. But, it can be helpful to start your search by using a website that offers quotes from multiple insurers, so that yo...

What is Medicare Supplement Insurance?

Medicare Supplement Insurance is additional coverage beyond traditional Medicare. Also known as "Medigap" , these plans cover some or all of the ex...

Why do I need Medicare Supplement Insurance?

Original Medicare only covers 80% of most medical expenses. The remaining 20% can get extremely costly, especially if you have a long hospitalizati...

Is it expensive to get Medigap coverage?

That depends entirely on the plan you select. Will you choose a high-deductible plan with lower premiums, or is it worth it to you to pay more in p...

What are some of the biggest differences among the different plans?

It can be confusing at first, partly because they're all identified by letter names (for example Plan A, Plan B, and so on) - and they're often mis...

How should I know which provider or service to use to get started with a plan?

While your coverage is the same regardless of which provider you use, premiums vary. It's a good idea to speak with a few companies, or with a brok...

Will the premiums change from year to year?

Unfortunately, yes. Just like any other form or insurance (such as auto, medical, homeowner's), your Medicare supplement insurance premiums may cha...

Can I get Medicare Supplement Insurance if I'm on disability?

That depends. While some states require Medigap plans to be available for disabled individuals under the age of 65 (the age that standard Medicare...

Is Medicare Supplement Insurance legitimate?

Not only is it legitimate, it's an important component of many seniors' healthcare benefits and financial planning. Of course, you should be carefu...

How to buy Medicare Advantage Plan?

There are two main approaches to buying a Medicare Advantage Plan: go directly to an insurance company or work with a broker. Buying your policy right from an insurer can feel more reliable, choosing a company you already know and trust, maybe even one that has been your healthcare insurance provider in the past. You can usually count on premium quotes to be the lowest possible for that particular company. However, going through a broker or a referral service doesn't necessarily mean you'll pay more - and you gain the advantage of getting policy quotes from multiple providers at once. No insurance company is going to tell you that you might get better coverage from a competitor!

Does Medicare Advantage include dental?

Similarly, Medicare Advantage bundles up a number of features, many times including prescription drug coverage and even dental/vision/hearing services, that otherwise you'd have to piece together on your own with separate standalone plans.

Where Can You Find the Best Medicare Supplement Plans?

If you or a loved one is approaching the age of 65, or will be qualified for Medicare Parts A and B soon for another reason, it's the ideal time to start shopping around for supplemental coverage.

How to buy Medicare Supplement Plan?

When buying a Medicare Supplement Plan, you have two basic routes: buy directly from an insurance company or go through a broker. Going to an insurance company you already trust can be an appealing option. You'll typically find the best rates for that particular insurer. On the other hand, using a broker often gives you access to not just your favorite insurance company but many others. So, with one process you can get the best rates from a number of providers at the same time - including that rate you got when you contacted the insurance company directly.

Is Aetna a Medigap?

They have a strong reputation and their plans were quoted as the lowest-priced premiums by many of the brokers we surveyed. It's hard to go wrong when choosing Aetna for your Medigap coverage.

What is Aetna and Blue Cross Blue Shield Insurance Rating?

Which health insurance company is better? We've made it easy to compare companies side by side. See how Aetna and Blue Cross Blue Shield ranked among the industry ratings.

What is the Blue Cross Blue Shield app?

The app allows users to find doctors, hospitals, and pharmacies, view claims, pay bill, and manage prescriptions.

What is Aetna Health App?

The Aetna Health app allows you to find a doctor in your area and see estimates of what certain procedures may cost. You can also view your benefits, review account balances, and manage your claims. The App is available on ios and Android.

How to contact Blue Cross Blue Shield?

You can also contact 888.630.2583 to learn more about Blue Cross Blue Shield options for individuals and families or find a local BCBS company by visiting here.

What is the alternative to sending a claim form?

As an alternative to sending a claim form, supply a description of services, a bill of charges from the provider and any medical documents you received from your provider. For medical and/or dental services in the U.S. Puerto Rico or the U.S Virgin Islands, Use these claim forms.

When did Aetna start selling life insurance?

In 1850, Aetna Insurance Company created a fund to sell life insurance. In 1953 the life and health divisions of Aetna separated. The company’s first president was Eliphalet A. Bulkeley. The name “Aetna” was taken from an 11,000-foot volcano in Sicily, Italy, which was also the most active volcano in Europe. Blue Cross was formed in 1929 as ...

How to replace a lost Blue Cross ID card?

How to replace the Blue Cross member ID card: If your Blue Cross ID card is lost or damaged, you can get a replacement ID card by logging into your Blue Cross Account. After signing in, go to the right-hand column and select “order new cards.”.

How many Medigap plans does Blue Cross Blue Shield offer?

Blue Cross Blue Shield also sells nine of the 10 standardized Medigap plans that are available in most states, including Medigap Plans A, B, C, D, F, G, K, L and N.

What is Blue Cross Blue Shield?

Blue Cross Blue Shield offers: 1 Medicare Advantage Health Maintenance Organization (HMO) plans, HMO Point-of-Service (HMO-POS) plans, Preferred Provider Organization (PPO) plans and Special Needs Plans (SNPs). 2 Additionally, Blue Cross Blue Shield sells PFFS (Private Fee-For-Service) and Medicare Cost plans, which are slightly less common types of Medicare Advantage plans. 3 Some Blue Cross Blue Shield's Special Needs Plans are available for people who are dual eligible for both Medicare and Medicaid, and some of their SNPs are designed for people with chronic conditions like diabetes, end-stage renal disease, heart disease and more. 4 Blue Cross Blue Shield sells several different Medicare Part D drug plans in most ZIP codes, giving consumers a variety of cost and coverage options. 5 Blue Cross Blue Shield also sells nine of the 10 standardized Medigap plans that are available in most states, including Medigap Plans A, B, C, D, F, G, K, L and N.

What is a special needs plan for Blue Cross Blue Shield?

Some Blue Cross Blue Shield's Special Needs Plans are available for people who are dual eligible for both Medicare and Medicaid, and some of their SNPs are designed for people with chronic conditions like diabetes, end-stage renal disease, heart disease and more.

How many stars does Aetna have in 2021?

In 2021, Aetna Medicare Advantage plans earned an average Star Rating of 3.74 out of five stars, and its Medicare Part D plans earned an average rating of 3.84 Stars.

How many stars does Medicare have?

The Centers for Medicare & Medicaid Services (CMS) rates all Medicare plan providers base on factors such as customer service and plan member health, with five stars being the best rating and three stars being an average rating.

Which insurance company has the largest footprint for Medicare Advantage?

While Blue Cross Blue Shield may have the upper hand when it comes to Medicare Supplement Insurance, Aetna has a larger footprint for both Medicare Advantage and Medicare Part D plan availability.

What is the most important factor to consider when choosing a Medicare plan?

Cost is always an important factor to consider when choosing a Medicare plan.

Which is bigger, Aetna or Blue Cross Blue Shield?

But if your choice comes down to these two companies, remember the highlights from above. Aetna has a slightly larger network because they are a nationwide company. Blue Cross Blue Shield has a huge network, but it’s dependent on the state.

What to consider when choosing between Blue Cross Blue Shield and Aetna?

When you are deciding between plans, like Blue Cross Blue Shield (BCBS) vs Aetna, you should consider the network of providers, the cost, coverage, and each company’s reputation.

How long have Aetna and BCBS been around?

Both Aetna and BCBS have been around for over 100 years. They are consistently rated among the top health insurance providers in the country.

Which is larger, Aetna or BCBS?

Generally, Aetna is known for having a larger network of providers because they provide nationwide coverage. BCBS does not, so the network varies by state.

Why is it cheaper to see a health care provider?

Seeing a health care provider within the network is less expensive because the health insurance company will help you pay. If you see a provider outside the network, your visit may not be covered by insurance.

Does BCBS cover mental health?

BCBS also has excellent coverage. They cover mental health services and substance abuse counselling. Take a look at the rehab centers that accept Blue Cross Blue Shield. Both insurance companies have good coverage for medical care and specialists.

Is BCBS the same as Aetna?

When it comes to paying for health insurance, we all want the same thing – quality health care for an affordable cost. Both BCBS and Aetna are well-known, established health insurance companies. Unfortunately, that comes at a high price – literally. The total cost of health insurance coverage depends on the exact plan you choose.

What is the difference between Aetna and BCBS?

BCBS Network Size. The one major difference between Aetna and Blue Cross Blue Shield is that BCBS is not a nationwide company in the technical sense of the word. BCBS is comprised of dozens of smaller independent health insurance companies that pay a licensing fee to use the Blue Cross & Blue Shield trademark.

Is Aetna a competitor to Blue Cross Blue Shield?

Aetna and Blue Cross Blue Shield are strong competitors in many different health insurance markets. If you are wondering if you should choose a BCBS health insurance plan or an Aetna health insurance plan then read on.

Is Aetna a strong company?

While both BCBS and Aetna are strong companies with great brand names and dependable plans the victory goes to the Aetna health insurance company. With a true nationwide network and strong health plans across the board Aetna offers a combination of coverage and selection that is hard to beat by Blue Cross Blue Shield or anyone else for that matter.

Does Aetna offer disease management?

With some of its plans, Aetna offers disease management services to members with chronic conditions.

Does Aetna offer health insurance?

Aetna also offers international health insurance plans, individual and family plans, and plans that employers can offer employees. Aetna members have access to helpful tools for managing their health care including a member account, mobile app, support groups, and health education resources through Healthwise ®.

How to buy Medicare Advantage Plan?

There are two main approaches to buying a Medicare Advantage Plan: go directly to an insurance company or work with a broker. Buying your policy right from an insurer can feel more reliable, choosing a company you already know and trust, maybe even one that has been your healthcare insurance provider in the past. You can usually count on premium quotes to be the lowest possible for that particular company. However, going through a broker or a referral service doesn't necessarily mean you'll pay more - and you gain the advantage of getting policy quotes from multiple providers at once. No insurance company is going to tell you that you might get better coverage from a competitor!

Is it a good idea to search for Medicare Advantage plans?

Starting your search for Medicare Advantage Plans on the HealthCare site isn't a great idea. You'll either be redirected to the providers themselves (many of which you'll find in our reviews here), or your information will be given to agents and you could get lots of unwanted phone calls and emails. This "service" exists only to make money, not to give you unbiased, helpful information for getting Medicare Advantage coverage. Go to a higher-ranked site for a better customer experience.

Does Medicare Advantage include dental?

Similarly, Medicare Advantage bundles up a number of features, many times including prescription drug coverage and even dental/vision/hearing services, that otherwise you'd have to piece together on your own with separate standalone plans.

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