Aetna’s Medicare Advantage providers include primary care doctors, specialists, hospitals, surgical centers, laboratories, imaging centers, dentists, pharmacists, and other health-care professionals.
Full Answer
What hospitals accept Aetna?
Stanford Health Care accepts most major commercial health plans that employers offer their employees. ... Stanford Health Care accepts the following employer-sponsored group plans. Aetna. If you have an HMO plan: Stanford Health Care is in-network for hospital and specialist physician services only.
What is the preferred pharmacy for Aetna?
The plan’s preferred pharmacy network comprises 4,200 Walmart, 580 Sam’s Club and 7,500 CVS/pharmacy locations. In addition to the preferred pharmacy network, members also can use any of the 52,700 pharmacies in the Aetna Medicare network.
What is the Medicare Advantage plan for Aetna?
- 7% reduction in inpatient hospital services spending 1
- 29% reduction in avoidable hospital stays 1
- 33% reduction in emergency room visits 1
- 73% reduction in serious diabetic complications 1
- 90% satisfaction rating or higher among members 2
Is Aetna a Medicare Advantage?
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.
What type of insurance is Aetna Medicare?
Aetna Medicare is a HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs.
Is Aetna SilverScript a good plan?
All of Aetna's PDPs have a Medicare star quality rating of 3.5 out of five stars. CVS/Aetna's SilverScript Smart RX plan has the lowest average monthly premium in 2022, and CVS is one of four main providers of stand-alone Part D prescription drug plans in the United States.
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.
Is AARP and Aetna the same?
* AARP Essential Premier Health Insurance plans are medically underwritten by Aetna, and you may be declined coverage in accordance with your health condition. AARP Essential Premier Health Insurance Plan is the name of the plan provided for AARP members by Aetna Life Insurance Company (Aetna).
Does CVS accept SilverScript?
The SilverScript pharmacy network includes over 65,000 pharmacies in the U.S. Most chain pharmacies accept your SilverScript Medicare Part D coverage. Walmart, CVS, Wegmans, Kroger, and Publix are a few of the most popular pharmacy choices.
Does CVS own SilverScript?
Since 2006, CVS has sold its individual PDPs through a wholly-owned subsidiary called SilverScript Insurance Company.
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.
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.
Can I have Medicare and Aetna at the same time?
You will still be considered a Medicare beneficiary while enrolled in the Aetna MA plan, and you should always keep your Medicare enrollment card. However, when you seek medical care you will no longer have to file claims with Medicare first and then to Aetna as secondary.
Who is better UnitedHealthcare or Aetna?
From a pure planning front, it would appear that UHC has the edge over Aetna. Its options are more uniform from state to state, and its HSA offerings are far more comprehensive. In general, you get slightly more for your money with UHC, especially if you're looking for an individual health plan.
Who is the parent company of Aetna?
CVS PharmacyCVS HealthAetna/Parent organizations
Who owns Aetna Medicare?
CVS HealthAetnaTypeSubsidiaryProductsHealth insuranceRevenue$60.6 billion (2018)Number of employees47,950 (2018)ParentCVS Health (2018–present)10 more rows
How Can I Find Health-Care Providers That accept Aetna’S Medicare Plans?
Aetna is a private company contracted with Medicare to provide benefits to beneficiaries under the Medicare Advantage program. Like many companies...
Who Are Aetna’S Providers For Medicare Advantage Plans?
If you are enrolled in a Medicare Advantage plan with Aetna, you may be required to get your health care from doctors and other providers who are i...
How Do I Find Aetna Providers?
The easiest way to find contracted Aetna providers is to use Aetna’s online Medicare Advantage . You simply enter your location (zip code) and the...
What Happens If I Don’T Use Aetna’S Providers?
If you’re enrolled in a Medicare Advantage plan through Aetna, and you choose to use a provider outside your plan’s provider network, one or more o...
Who is part of Aetna Medicare?
Aetna Medicare networks include doctors, pharmacies and other providers. Health care providers who could be part of an Aetna Medicare plan network include, but aren’t limited to:
What is Aetna Medicare Advantage?
Aetna Medicare Advantage plans provide coverage with a nationwide network of health care providers, hospitals and other facilities. The type of Aetna Medicare Advantage (Medicare Part C) plan you have determines which doctors and other medical providers are in your network.
What are the benefits of Aetna?
Some of the other extra benefits many Aetna Medicare Advantage plans may offer include: Vision and hearing benefits, including eye exams and an annual allowance for select products and services. Over-the-counter (OTC) benefits that give you an allowance for select items such as vitamins and cold medicine.
How to speak to an Aetna agent?
To speak with one, call 1-800-891-6309, TTY: 711. They’re available 24 hours a day, 7 days a week.
Does Aetna have a nationwide network?
Aetna Medicare Advantage plans feature nationwide networks. The type of Aetna Medicare Advantage plan you have will determine the rules and requirements regarding your in-network plan coverage. With an Aetna health maintenance organization (HMO) plan, you’re typically required to choose a primary care physician ...
Find a doctor
Find doctors or pharmacies within your network and search for other providers like dentists or specialists.
Shopping for a new plan?
If you're looking for a new plan, check to see if your provider or pharmacy is covered.
How to contact Aetna Medicare?
If you have any questions about your Aetna Medicare Advantage plan or how to find Aetna network providers, you can contact Aetna Customer Service at 1-800-282-5366 (TTY: 711), 8 a.m. to 8 p.m., local time, seven days a week, from October 1 – February 14 and 8 a.m. to 8 p.m., local time, Monday – Friday, from February 15 – September 30.
Why is Aetna fee higher than Medicare?
The fees for health services may be higher. This is because Aetna providers agree to accept a certain amount for your care. For example, if you usually pay 20% of the Medicare-approved cost for in-network care, you may be responsible for up to 50% of the cost for out-of-network care.
How does Aetna work?
If you’re enrolled in a Medicare Advantage plan through Aetna, and you choose to use a provider outside your plan’s provider network, one or more of the following things may happen: 1 Your plan may pay less toward your care. Some plans do cover certain out-of-network services, while others pay nothing for non-emergency care outside the network. 2 The fees for health services may be higher. This is because Aetna providers agree to accept a certain amount for your care. For example, if you usually pay 20% of the Medicare-approved cost for in-network care, you may be responsible for up to 50% of the cost for out-of-network care. 3 Any amount you pay might not contribute to your plan deductible, if you have one. 4 You may need preauthorization for any services you receive in order for any coverage to apply.
How to find contracted Aetna?
The easiest way to find contracted Aetna providers is to use Aetna’s online Medicare Advantage . You simply enter your location (zip code) and the type of medical provider you are looking for, and the tool lists Aetna’s Medicare providers in your area. You can also use Aetna’s provider search tool to find health-care facilities, pharmacists, ...
Does Aetna have Medicare Advantage?
Aetna’s Medicare Advantage providers include primary care doctors, specialists, hospitals, surgical centers, laboratories, imaging centers, dentists, pharmacists, and other health-care professionals. Aetna’s network providers have agreed under contract to provide care for its members, usually at lower rates than they would otherwise charge you ...
Does Aetna pay for out of network care?
Depending on the plan you choose, you may be required to get all your care from providers in your Aetna Medicare Advantage plan network; you may have to pay in full (other than emergency treatment) for out-of-network care.
Does Medicare cover out of network services?
If you’re enrolled in a Medicare Advantage plan through Aetna, and you choose to use a provider outside your plan’s provider network, one or more of the following things may happen: Your plan may pay less toward your care. Some plans do cover certain out-of-network services, while others pay nothing for non-emergency care outside the network.
What is the number for Aetna?
1-877-890-1409. 1-877-890-1409 TTY Users: 711. They’re available 24 hours a day, 7 days a week. They can help you find a doctor, pharmacist or other health care provider near you who accepts an Aetna Medicare Advantage plan.
What is the average rating for Aetna?
For 2020, Aetna Medicare Advantage Prescription Drug (MAPD) plans earned an overall weighted average rating of 4.3 out of 5 stars. The majority of Aetna Medicare plan members are in a plan rated 4.5 stars or higher out of 5 stars. 3.
What is a PPO plan?
Aetna Medicare SM Plan (PPO) Aetna Medicare Prime Plan (PPO) Aetna Medicare Advantage Dual Special Needs plans (DNSP) Be sure to ask your health care provider if they accept the terms of your plan before you seek care. The Centers for Medicare and Medicaid Services releases annual Star Ratings for Medicare Advantage plans.
Does Aetna offer global coverage?
Health care providers who accept Aetna Medicare Advantage (also called Medicare Part C) plans can be found in many areas of the country. Aetna Medicare Advantage plans even offer global coverage for emergency 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 liable 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. Please log in to your secure account to get what you need. You are now leaving the Aetna Medicare website.
Can I use a pharmacy network for my prescription?
Usually you must use a network pharmacy for the plan to pay for your prescription. Different plans may have different pharmacy networks, so it's always best to check. Use our online search tool to find network pharmacies in your area. Find a 2021 pharmacy in our network.
Does Medicare Part D have a pharmacy?
Medicare Part D plans have a network of pharmacies. Usually you must use a network pharmacy for the plan to pay for your prescription. Different plans may have different pharmacy networks, so it's always best to check.
