Medicare Blog

which states does aetna operate medicare

by Maribel Emmerich MD Published 2 years ago Updated 1 year ago
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How to find Aetna Medicare providers?

Mar 09, 2022 · Aetna Prescription Drug plans by state. Read More Read Less. Alabama 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.

Does Aetna Health Insurance cover out of State?

Nov 17, 2021 · For members. Call us at 1-888-624-6290 (TTY: 711), Monday to Friday, 7 AM to 7 PM CT. 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 states does Medicare cover?

Oct 01, 2021 · Medicare Advantage (MA) plans can also be a good way to get health coverage while on a trip. MA differs from Original Medicare in a few important ways. MA plans are sold by private companies, and many offer benefits not included in Original Medicare, like dental, vision and hearing coverage. MA plans also include a network of providers.

What does Aetna Health Insurance cover?

An estimated 39 million people rely on Aetna, a CVS Health company, to help them make decisions about their health care and their health care spending. Every day, we work to make the system easier and more convenient for our customers. Our health insurance plans and services include: Medical, pharmacy and dental plans; Medicare plans; Medicaid ...

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Is Aetna a subsidiary of Aetna?

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). Not connected with or endorsed by the U.S. Government or the Federal Medicare Program.

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 the number to call Aetna?

Call us at 1-888-624-6290 (TTY: 711), 7 days a week, 7 AM to 8 PM CT. 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.

Is Aetna a PPO or HMO?

After all, the right plan is one of the most important items you can take with you on your adventures. Aetna Medicare is a HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs.

Does Medicare cover travel?

Medicare can provide excellent health coverage during your travels in the United States . Original Medicare, which is what many people call the combination of Medicare Parts A and B, is widely accepted by health care providers across the country. You just need to confirm that the provider you see accepts Medicare before you receive your care.

Is Medicare Advantage a good plan?

Medicare Advantage (MA) plans can also be a good way to get health coverage while on a trip. MA differs from Original Medicare in a few important ways. MA plans are sold by private companies, and many offer benefits not included in Original Medicare, like dental, vision and hearing coverage. MA plans also include a network of providers.

Does Medicare cover medical expenses on a ship?

But for the most part, you have no coverage for any health care you receive abroad with Original Medicare, including emergency care.

What is an HMO plan?

In Health Maintenance Organization (HMO) plans you generally need to use one of the health care providers in network to get coverage for a service. Members of Preferred Provider Organization (PPO) plans have coverage when they see providers who are out of their plan’s network, although they usually pay more.

Can you pick up prescriptions while on the road?

That’s why certain MA plans come with a national pharmacy network that allows you to pick up your prescription medications across the United States.

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?

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.

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.

What is Aetna insurance?

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Health benefits and health insurance plans contain exclusions and limitations. See all legal notices.

Is Aetna a part of CVS?

and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. Aetna is proud to be part of the CV S Health family . You are now being directed to the CVS Health site.

Is Aetna responsible for the content of linked sites?

Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Continue. You are now being directed to the US Department of Health and Human Services site.

Our numbers add up to savings and quality

As one of the nation's leading diversified health care benefits companies, Aetna provides people with information and resources to help them make better informed decisions about their health care – and the financial side of health care.

Directory of subsidiaries

These independent Aetna companies all support our goal to help people live healthier lives.

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Overview

Aetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare. Since November 28, 2018, the company has been a sub…

History

• 1819: Henry Leavitt Ellsworth, Yale graduate and attorney, became the second president of Aetna (Fire) Insurance Company, succeeding Thomas Kimberly Brace. Ellsworth, who later became the first U.S. Patent Commissioner, served as Aetna's president until 1821, when he resigned. He continued as a director at the company for another 16 years. Ellsworth's brother, William Wolcott Ellsworth, …

Lawsuits and regulatory action

• A jury in California awarded $116 million in punitive damages for "malice, oppression and fraud" to a patient's widow who contended he died after a subsidiary of Aetna delayed approving treatment for stomach cancer that its own doctors had recommended. Lawyers on both sides called it the largest such verdict against a health maintenance organization. In 2001 a settlement was reached.
• The U.S. Court of Appealsaffirmed a $1.855 million federal jury award for Brokerage Concepts I…

Life insurance policies on slaves

In 2000, Deadria Farmer-Paellmann, head of the nonprofit Restitution Study Group of Hoboken, New Jersey, disclosed that, from approximately 1853 to 1860 Aetna, had issued life insurance policies to slaveowners covering the lives of their slaves.
Aetna acknowledged that concrete evidence exists for Aetna issuing coverage for the lives of slaves and released a public apology.

Lobbying and campaign contributions

Aetna has spent more than $2.0 million in 2009 on lobbying. The company spent $809,793 between January 2009 and the end of March 2009—up 41 percent from the same period in 2008. Aetna's campaign contributions include more than $110,000 to US Senator Joe Lieberman (ID-CT) in 2009. From 2005 through 2009, Aetna contributed $56,250 to Senator Max Baucus (D-MT), chairman of the Senate Finance Committee, making Aetna the senator's seventh highest contrib…

See also

• Aetna Building
• List of United States insurance companies
Related topics
• Drivotrainer
• Health care reform in the United States

External links

• Official website

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