Aetna Medicare Elite Plan (PPO) H5521-293-0. Monthly Premium. $0 per month. Deductible. $250 annual deductible. Out-of-Pocket Max. $8,950 In and Out-of-network $5,500 In-network. Available in Counties: Alameda, Marin, Napa, Placer, Sacramento, San Francisco, San Joaquin, Santa Clara, Sonoma, Stanislaus, YoloIn-Network: Copayment for Medicare-Covered Podiatry Services $45.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $60.00. Skilled Nursing Facility Care. $0 per day, days 1-20. $196 per day, days 21-100 in-network| 35% per stay. Out-of-Network: for more information see Evidence of Coverage.Podiatry services. In-Network: Podiatry Services: Copayment for Medicare-Covered Podiatry Services $35.00. Skilled Nursing Facility (SNF) care. $10 per day, days 1-20; $196 per day, days 21-100 in-network| 30% per stay out-of-network, for more information see Evidence of Coverage.The Aetna Medicare Elite Plan (PPO) (H5521 - 293) currently has 7,803 members. There are 633 members enrolled in this plan in Placer, California. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4.5 stars. The detail CMS plan carrier ratings are as follows: Customer Service Rating of 5 out of ...4 out of 5 stars* for plan year 2024. Aetna Medicare Dual Choice (PPO D-SNP) is a PPO D-SNP Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-464-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Aetna Medicare Eagle Plan (PPO) | H5521-320 | $0 Compare our plan to Medicare To learn more about the coverage and costs of Original Medicare, look in your "Medicare & You" handbook. View it online at www.medicare.gov or get a copy by calling 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.Inpatient Hospital Care. $350 per day, days 1-6; $0 per day, days 7-90 in-network | $350 per day, days 1-6; $0 per day, days 7-90 out-of-network. Urgent Care. Copayment for Urgent Care $25.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit.Aetna Medicare Value Plus (PPO) 4 out of 5 stars* for plan year 2024. Aetna Medicare Value Plus (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-400-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $34.00 Monthly Premium.Specialty Doctor Visit. $35 in-network | $70 out-of-network. Inpatient Hospital Care. $290 per day, days 1-6; $0 per day, days 7-90 in-network | 50% per stay out-of-network. Urgent Care. Copayment for Urgent Care $25.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Emergency Room Visit.2023 Evidence of Coverage for Aetna Medicare Elite Plan (PPO) 1 January 1 - December 31, 2023 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Aetna4 out of 5 stars* for plan year 2024. Aetna Medicare Core Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-419-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. California Medicare beneficiaries may want ...Plan ID: H5521:293-0. Basic Medical Costs and Coverage. Plan Deductible: $250. Out of Pocket Max: $5500. Primary Doctor Visit: $0 in-network | $10 out-of-network.If you have any questions, you can call and speak to a customer service representative at 1-833-859-6031 (TTY: 711). From October 1 to March 31, you can call us 7 days a week from 8 AM to 8 PM local time. From April 1 to September 30, we’re here Monday through Friday from 8 AM to 8 PM local time.The most you pay for copays, coinsurance and other costs for medical services for the year. Once you reach the maximum out‐of‐pocket, our plan pays 100% of covered medical services. Your premium and prescription drugs don't count toward the maximum out‐of‐pocket. $245 per day, days 1‐7; $0 per day, days 8‐90.4 2024 Evidence of Coverage for Aetna Medicare Elite Plan (PPO) Table of Contents SECTION 2 Fill your prescription at a network pharmacy or through the plan’s mail‑order service 94Aetna Medicare Value (PPO) 4 out of 5 stars* for plan year 2024. Aetna Medicare Value (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-283-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Get 2021 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCUrgent Care: Copayment for Urgent Care $25.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Maximum Plan Benefit of $250000.00. Emergency room visit. $120 If you are admitted to the hospital within 24 hours your cost share may be waived, for more information see the Evidence of Coverage.Aetna Medicare Discover Plan (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $15.00. Prior Authorization Required for Chiropractic Services.Urgent Care: Copayment for Urgent Care $50.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Maximum Plan Benefit of $250000.00. Emergency room visit. $120 If you are admitted to the hospital within 24 hours your cost share may be waived, for more information see the Evidence of Coverage.Y0001_H5521_269_PQ65_SB24_M. 2024 Summary of Benefits. Aetna Medicare Premier (PPO) H5521 ‐ 269. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.Aetna's mailing address: Aetna Inc. P.O. Box 14088. Lexington, KY 40512. Aetna Medicare members, contact us with questions about your Medicare plan.2023-H5521.082.1 H5521-082 Aetna Medicare Essential Plan (PPO) H5521 ‑ 082 Here’s a summary of the services we cover from January 1, 2023 through December 31, 2023. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Just visitAetna Medicare Essential Plan (PPO) | H5521-091 | $0 Compare our plan to Medicare To learn more about the coverage and costs of Original Medicare, look in your "Medicare & You" handbook. View it online at www.medicare.gov or get a copy by calling 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.This is called prior authorization or pre‐certification. Benefit. Your in‐network costs Your out‐of‐network costs. Inpatient (unlimited number of days) $275 per day, days 1‐7; $0 per day, 50% per stay days 8‐90; $0 for additional days. Outpatient hospital observation services. $325 per stay 50% per stay. Outpatient hospital. $35 ...Mental health services. Inpatient hospital - psychiatric. In-Network: $290 per day for days 1 through 6 / $0 per day for days 7 through 90. Out-of-Network: 50% per stay. Outpatient group therapy ...Aetna Medicare Elite Plan (PPO) H5521-293-0. Monthly Premium. $0 per month. Deductible. $250 annual deductible. Out-of-Pocket Max. $8,950 In and Out-of-network $5,500 ...With this plan, the monthly premium you pay to the SSA is reduced by $55. Plan deductible. $0. MOOP. $7,000 for in‐network services $9,500 for in‐ and out‐of‐network services combined. Once you reach the maximum out‐of‐pocket, our plan pays 100% of covered medical services. Your premium doesn't count toward your MOOP.The most you pay for copays, coinsurance and other costs for medical services for the year. Once you reach the maximum out‐of‐pocket, our plan pays 100% of covered medical services. Your premium and prescription drugs don't count toward the maximum out‐of‐pocket. $275 per day, days 1‐6; $0 per day, days 7‐90.Inpatient Hospital Care. $275 per day, days 1-9; $0 per day, days 10-90 in-network | 40% per stay out-of-network. Urgent Care. Copayment for Urgent Care $30.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit.Mental health services. Inpatient hospital - psychiatric. In-Network: $370 per day for days 1 through 5 / $0 per day for days 6 through 90. Out-of-Network: 40% per stay. Outpatient group therapy ...Get 2023 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCAetna Medicare Value Plan (PPO) | H5521-089 | $0 Compare our plan to Medicare To learn more about the coverage and costs of Original Medicare, look in your "Medicare & You" handbook. View it online at www.medicare.gov or get a copy by calling 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.Aetna Medicare Explorer Premier Plus (PPO) H5521 - 278 - 0. (3.5 / 5) Aetna Medicare Explorer Premier Plus (PPO) is a Medicare Advantage (Part C) Plan by Aetna Medicare. Premium: $35.00. Enroll Now. This page features plan details for 2023 Aetna Medicare Explorer Premier Plus (PPO) H5521 – 278 – 0 available in Northern and Southern NJ.This is called prior authorization or pre‐certification. Benefit. Your in‐network costs Your out‐of‐network costs. Inpatient (unlimited number of days) $295 per day, days 1‐7; $0 per day, 50% per stay days 8‐90; $0 for additional days. Outpatient hospital observation services. $325 per stay 50% per stay. Outpatient hospital. $40 ...Get 2024 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC.Plan ID: H5521-195. Have Medicare questions? Talk to a licensed agent today to find a plan that fits your needs. Get Medicare Help. Aetna Medicare Value (PPO) H5521-195 Plan Details. 3.5 out of 5 stars. Aetna Medicare Value (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.4 out of 5 stars* for plan year 2024. Aetna Medicare Value Plus Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-424-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $20.00 Monthly Premium. Arizona Medicare beneficiaries may ...4 out of 5 stars* for plan year 2024. Aetna Medicare Value Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-243-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. North Carolina Medicare beneficiaries may ...Over‐the‐counter (OTC) benefit. You will receive a $25 benefit amount (allowance) each month to purchase approved over‐the‐counter (OTC) health and wellness items like first aid supplies, cold and allergy medicine, pain relievers, COVID‐19 tests, and more. The $25 benefit amount is available the first day of each month.Urgent Care: Copayment for Urgent Care $50.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Maximum Plan Benefit of $250000.00. Emergency room visit. $120 If you are admitted to the hospital within 24 hours your cost share may be waived, for more information see the Evidence of Coverage.Aetna Medicare Value Plan (PPO) | H5521-243 | $21 Compare our plan to Medicare To learn more about the coverage and costs of Original Medicare, look in your "Medicare & You" handbook. View it online at www.medicare.gov or get a copy by calling 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.2023-H5521.082.1 H5521-082 Aetna Medicare Essential Plan (PPO) H5521 ‑ 082 Here’s a summary of the services we cover from January 1, 2023 through December 31, 2023. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Just visitIt says a lot about Americans' changing fast-food preferences. Eight years after McDonald’s let Chipotle go, the contrast between the two restaurant chains still serves as a remind...2023-H5521.293.1 H5521-293 Aetna Medicare Elite Plan (PPO) H5521 ‑ 293 Here's a summary of the services we cover from January 1, 2023 through December 31, 2023. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Just visitIn-Network: Copayment for Medicare-Covered Podiatry Services $35.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $55.00. Skilled Nursing Facility Care. $0 per day, days 1-20. $203 per day, days 21-100 in-network| 50% per stay. Out-of-Network: for more information see Evidence of Coverage.The Aetna Medicare SmartFit Plan (PPO) offers prescription drug coverage, with an annual drug deductible of $250.00 (excludes Tiers 1 and 2) Coverage. Cost. 30 day supply. 60 day supply.4 out of 5 stars* for plan year 2024. Aetna Medicare Value Plus Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-169-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $18.00 Monthly Premium.In-Network: Copayment for Medicare-Covered Podiatry Services $35.00. Out-of-Network: Coinsurance for Medicare Covered Podiatry Services 45%. Skilled Nursing Facility Care. $0 per day, days 1-20. $196 per day, days 21-100 in-network| 45% per stay. Out-of-Network: for more information see Evidence of Coverage.In-Network: Copayment for Medicare-Covered Podiatry Services $35.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $55.00. Skilled Nursing Facility Care. $0 per day, days 1-20. $196 per day, days 21-100 in-network| 40% per stay. Out-of-Network: for more information see Evidence of Coverage.Y0001_H5521_195_PQ26_SB24_M. 2024 Summary of Benefits. Aetna Medicare Value (PPO) H5521 ‐ 195. Here's a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.Aetna Medicare Explorer Premier (PPO) 4 out of 5 stars* for plan year 2024. Aetna Medicare Explorer Premier (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-439-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Mental Health Inpatient Care. In-Network: Psychiatric Hospital Services: $265.00 per day for days 1 to 6. $0.00 per day for days 7 to 90. Prior Authorization Required for Psychiatric Hospital Services. Prior authorization required. Out-of-Network: Coinsurance for Psychiatric Hospital Services per Stay 50%.In-Network: Copayment for Medicare-Covered Podiatry Services $30.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $50.00. Skilled Nursing Facility Care. $10 per day, days 1-20. $196 per day, days 21-100 in-network| 25% per stay. Out-of-Network: for more information see Evidence of Coverage.In-Network: Copayment for Medicare-Covered Podiatry Services $35.00. Out-of-Network: Coinsurance for Medicare Covered Podiatry Services 40%. Skilled Nursing Facility Care. $0 per day, days 1-20. $196 per day, days 21-100 in-network| 40% per stay. Out-of-Network: for more information see Evidence of Coverage.TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Aetna Medicare Value Plan (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 (see Plan Premium Details below) Annual Deductible: $150 (Tier 1, 2 and 3 excluded from the Deductible.) Annual Initial Coverage Limit (ICL):Get 2021 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC4 out of 5 stars* for plan year 2024. Aetna Medicare Preferred Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-380-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Washington Medicare beneficiaries may ...This is called prior authorization or pre‐certification. Benefit. Your in‐network costs Your out‐of‐network costs. Inpatient (unlimited number of days) $275 per day, days 1‐7; $0 per day, 50% per stay days 8‐90; $0 for additional days. Outpatient hospital observation services. $325 per stay 50% per stay. Outpatient hospital. $35 ...In-Network: Copayment for Medicare-Covered Podiatry Services $45.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $55.00. Skilled Nursing Facility Care. $10 per day, days 1-20. $196 per day, days 21-100 in-network| 45% per stay. Out-of-Network: for more information see Evidence of Coverage.Get 2021 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCWe would like to show you a description here but the site won't allow us.Copayment for Medicare-Covered Podiatry Services $45.00. Copayment for Routine Foot Care $45.00. Maximum 6 visits every year. Out-of-Network: Coinsurance for Medicare Covered Podiatry Services 50% Coinsurance for Non-Medicare Covered Podiatry Services 50%. Skilled Nursing Facility Care. $0 per day, days 1-20.Podiatry services. In-Network: Podiatry Services: Copayment for Medicare-Covered Podiatry Services $40.00. Skilled Nursing Facility (SNF) care. $0 per day, days 1-20; $203 per day, days 21-50; $0 per day, days 51-100 in-network| 50% per stay out-of-network, for more information see Evidence of Coverage.4 out of 5 stars* for plan year 2024. Aetna Medicare Value Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-390-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. New Jersey Medicare beneficiaries may want ...Routine hearing services:1. This plan covers 1 routine hearing exam(s) and hearing aid fitting/evaluation(s) every year. $1,000.00 maximum plan benefit for hearing aids every year. Doctors in our plan: $0.00 copay for routine hearing exam(s). $0.00 copay for hearing aids up to the maximum plan benefit amount.Aetna Medicare Premier Plus Plan (PPO) | H5521-319 | $0 Compare our plan to Medicare To learn more about the coverage and costs of Original Medicare, look in your "Medicare & You" handbook. View it online at www.medicare.gov or get a copy by calling 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486 ...4 out of 5 stars* for plan year 2024. Aetna Medicare Value Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-243-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. North Carolina Medicare beneficiaries may ...Front-wheel drive transmissions that are used in GM vehicles may weigh 187 to 293 pounds, depending on the type of car. Rear-wheel 4-speed and 5-speed transmissions weigh within th...Over‐the‐counter (OTC) benefit. You will receive a $25 benefit amount (allowance) each month to purchase approved over‐the‐counter (OTC) health and wellness items like first aid supplies, cold and allergy medicine, pain relievers, COVID‐19 tests, and more. The $25 benefit amount is available the first day of each month.To send a complaint to Aetna, call the Plan or the number on your member ID card. To send a complaint to Medicare, call 1‐800‐MEDICARE (TTY users should call 1‐877‐486‐2048), 24 hours a day/7 days a week. If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance.. 4 out of 5 stars* for plan year 2024. Aetna Medicare Value Plu3.5 out of 5 stars* for plan year 2023. Aetna Medicare Es Aetna Medicare Explorer Premier (PPO) 4 out of 5 stars* for plan year 2024. Aetna Medicare Explorer Premier (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-433-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Specialty Doctor Visit. $30 in-network | $45 out-of-network. Inpatient Hospital Care. $425 per day, days 1-4; $0 per day, days 5-90 in-network | 45% per stay out-of-network. Urgent Care. Copayment for Urgent Care $40.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Emergency Room Visit. Specialty Doctor Visit. $35 in-network | $6 4 out of 5 stars* for plan year 2024. Aetna Medicare Value Plus (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-448-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $29.00 Monthly Premium. Massachusetts Medicare beneficiaries may ...Drug Info. Aetna Medicare Premier Plus Plan (PPO) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered. Drug Deductible: $0.00. Initial Coverage Limit: $5,030.00. Catastrophic Coverage Limit: $8,000.00. Podiatry services. In-Network: Podiatry Services:...
Continue Reading