What is Aetna Premier Care Network (APCN)?
Your Aetna Premier Care Network (APCN) plan puts you and your health first. And it couldn’t be easier to use it. Just stay in network – and save money, too. You have access to doctors and hospitals chosen to give you quality care at low costs. It’s a plan that puts you and your health first. ...
How do I find doctors that accept Aetna Health Insurance?
Aetna members, log in to find doctors, dentists, hospitals and other providers that accept your plan. For non-members, choose the type of plan you're interested in and search for health care providers that accept it.
Is Aetna Medicare PPO or HMO?
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. See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage.
What information do Aetna members have about premium payments?
Aetna members have access to contact information and resources specific to their plans. Aetna handles premium payments through InstaMed, a trusted payment service. Your InstaMed log-in may be different from your Caremark.com secure member site log-in. Aetna handles premium payments through Payer Express, a trusted payment service.
What is the highest rated Medicare Advantage plan?
Best Medicare Advantage Plans: Aetna Aetna Medicare Advantage plans are number one on our list. Aetna is one of the largest health insurance carriers in the world. They have an AM Best A-rating. There are multiple plan types, like Health Maintenance Organizations (HMOs) or Preferred Provider Organizations (PPOs).
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.
Does Aetna Medicare PPO require referrals?
How do Medicare Advantage PPO plans work? Preferred provider organization (PPO) plans let you choose any provider who accepts Medicare. You don't need a referral from a primary care physician for specialist or hospital visits. However, using providers in your plan's network may cost less.
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.
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 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.
Does Aetna Medicare require prior authorization for MRI?
A prior authorization or precertification is when your doctor has to get approval from us before we cover an item or service. 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.
Which is better PPO or HMO?
HMO plans typically have lower monthly premiums. You can also expect to pay less out of pocket. PPOs tend to have higher monthly premiums in exchange for the flexibility to use providers both in and out of network without a referral. Out-of-pocket medical costs can also run higher with a PPO plan.
Is Aetna PPO a good plan?
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.
Does Aetna pay for Shingrix?
Remember to confirm with the provider that they accept your medical plan prior to receiving services. And we also cover the shingles (zoster and Shingrix) vaccine for members age 50 and older.
Does Aetna SilverScript cover shingles vaccine?
Aetna Medicare and SilverScript Part D plans cover the shingles vaccine and some commercially available vaccines.
Is Aetna owned by CVS?
CVS Health-owned Aetna on Monday rolled out a plan design that would steer patients toward its parent company's brick-and-mortar locations — a key concern of antitrust regulators in reviewing the almost $69 billion megamerger that closed in 2019.
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.
What is a PCP?
Choosing a primary care physician (PCP) Choosing the right PCP is one of the most important parts of your health care. We’re here to support and inform you so that you can make the best choice for you and your family. You can select your PCP after you enroll with Aetna Better Health ®.
What is the job of a PCP?
They may also do small procedures in the office. Internists: They take care of adults with a variety of medical problems. Obstetrician/gynecologists ( Ob/Gyns): They treat female health issues. They often serve as a PCP for women who are of childbearing age.
Where can I see a PCP?
There are many places where you can see a PCP. Some providers have their own offices, some work in group offices and some work in clinics. Other types of care centers include: Federally Qualified Health Centers (FQHCs): Plan members have the right to get services at these community-based health centers in our network.
What is an IPA plan?
Independent practice associations (IPAs): Plan members can request that their PCP or specialist is part of an IPA group. These groups are made up of providers, specialists, health care systems and programs. The IPA will manage all your care.
Use our online tools and resources
Your member website is a powerful tool for managing your health plan. Find doctors, review your plan coverage, compare costs, check your claims, pay your bills and more. It’s your personal, go-to resource for using your plan.
Compare costs
It’s easy to find cost estimates for services, such as office visits, tests and surgeries. Use the cost-estimating tools to help your health care dollars go further.
Take advantage of discounts
Preventive care is covered 100%, so stay up to date on your annual exams, screenings and other preventive benefits. This will help you stay ahead of potential health problems. Also, be sure to take advantage of any healthy living discounts offered by your plan.
Health Care Services and Medical Supplies
Aetna Medicare Premier Plan (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B).
Prescription Drug Costs and Coverage
The Aetna Medicare Premier Plan (PPO) plan offers the following prescription drug coverage, with an annual drug deductible of $150 (excludes Tiers 1, 2 and 3) per year.