Aetna Medicare Elite Plan (PPO) | H5521-293 | $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 Essential Plan (PPO) 4 out of 5 stars* for plan year 2024. Aetna Medicare Essential Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-168-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Looking for ways to get the most out of your plan? You've come to the right place. Want to see a different plan? Find other options hereYou need to enable JavaScript to run this app.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 ...2024. H7323-011. Wellcare Mutual of Omaha No Premium Secure Open (PPO) 2024. H7323-012. Wellcare All Dual Assure (HMO D-SNP) 2024. H0174-022. Discover Medicare insurance plans accepted by Fanny Lean Ho, NP and find primary care doctors accepting Medicare near you.Details. Chiropractic services. In-Network: Chiropractic Services: Copayment for Medicare-covered Chiropractic Services $15.00. Copayment for Routine Care $15.00. Maximum 12 Routine Care every year. Prior Authorization Required for Chiropractic Services. Diabetes supplies, training, nutrition therapy and monitoring.CMS 802 Dynamic List Information. Dynamic List Data. Form # CMS 802. Form Title. Roster/Sample Matrix. Revision Date. 2023-10-24. O.M.B. # EXEMPT. Special Instructions. N/A. Downloads. CMS 802 (428KB) Get email updates. Sign up to get the latest information about your choice of CMS topics. You can decide how often to receive updates.2023 Evidence of Coverage for Aetna Medicare Premier Plan (PPO) 7 Chapter 1 Getting started as a member SECTION 1 Introduction Section 1.1 You are enrolled in Aetna Medicare Premier Plan (PPO), which is a Medicare PPOPlan Name Effective Year Benefit Package; Aetna Medicare Plan (PPO) 2024: H5521-801: Aetna Medicare Plan w/Rx CY (PPO) 2024: H5521-802: Aetna Medicare Plan w/Rx CY (HMO)OTC benefit questions. Call OTC Health Solutions at 1-833-331-1573 (TTY: 711). You can speak with an agent 9 AM to 8 PM local time, Monday through Friday. Order a catalog. Call Member Services to order a printed copy of your OTC catalog or call the number on your Aetna member ID card. Contact Member Services.H5521-802: Aetna Medicare Value Plan (HMO) 2024: H8332-002: Aetna Medicare Eagle (PPO) 2024: H5521-286: Aetna Medicare Premier (HMO-POS) 2024: H3192-003: Aetna Medicare Essential (PPO) ... H2320-802: PriorityMedicare Compass (PPO) 2024: H4875-021: PriorityMedicare PPO No RX EGWP Calendar (PPO) 2024: H4875-805: PriorityMedicare PPO No RX EGWP ...Mental Health Inpatient Care. In-Network: Psychiatric Hospital Services: $325.00 per day for days 1 to 4. $0.00 per day for days 5 to 90. Prior Authorization Required for Psychiatric Hospital Services. Prior authorization required. Out-of-Network: Coinsurance for Psychiatric Hospital Services per Stay 45%.Aetna Medicare Essential Plan (PPO) 4 out of 5 stars* for plan year 2024. Aetna Medicare Essential Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-168-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Plan Name Effective Year Benefit Package; Aetna Medicare Plan (PPO) 2024: H5521-801: Aetna Medicare Plan w/Rx CY (PPO) 2024: H5521-802: Aetna Medicare Value Plan (HMO)Average Cost of Medicare Advantage Plans in Seminole County, Florida. Average Monthly Premium. $58.79. Average in-network out-of-pocket spending limit. $4,269.44. Average drug deductible in 2024 (weighted) $270.31. Percentage of plans rated 4 stars or higher. 63.9%.In-Network: Podiatry Services: Copayment for Medicare-Covered Podiatry Services $35.00. Skilled Nursing Facility (SNF) care. $0 per day, days 1-20; $178 per day, days 21-100 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 Premier Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-121-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $49.00 Monthly Premium. New York Medicare beneficiaries may ...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.Aetna Medicare Value Plan (PPO) 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: H5521-087-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Aetna Medicare Essential Elite Plan (PPO) | H5521-352 | $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 ...View the coverage and benefits provided in the Aetna Medicare Premier (PPO) plan from Aetna. Alight Retiree Health Solutions represents Medicare plans from 61 insurers nationwide.View the coverage and benefits provided in the Aetna Medicare Premier Plus Plan (PPO) plan from Aetna. Alight Retiree Health Solutions represents Medicare plans from 59 insurers nationwide.A vertical vegetable garden is a perfect way to grow your own food, gild your deck, patio, or exterior walls, and maximize your outdoor space. Expert Advice On Improving Your Home ...2023-H5521.391.1 H5521-391 Aetna Medicare Premier Plan (PPO) H5521 ‑ 391 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 visitLearn more about your plan. Watch this quick video to find out more about the benefits, programs and services your plan offers.The Aetna Medicare Premier Plan (PPO) (H5521 - 081) currently has 32,193 members. There are 108 members enrolled in this plan in Stokes, North Carolina, and 31,893 members in North Carolina. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4.5 stars.Once you reach the maximum out‐of‐pocket, our plan pays 100% of covered medical services. Your premium doesn't count toward the maximum out‐of‐pocket. $300 per day, days 1‐5; $0 per day, days 6‐90. You pay $0 for days 91 and beyond. Our plan covers an unlimited number of days, subject to medical necessity.In-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.2023-H5521.391.1 H5521-391 Aetna Medicare Premier Plan (PPO) H5521 ‑ 391 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 visit2023-H5521.245.1 H5521-245 Aetna Medicare Premier Plan (PPO) H5521 ‑ 245 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 visitLooking for ways to get the most out of your plan? You've come to the right place. Want to see a different plan? Find other options hereYour secure Medicare account lets you access your information anytime. Get a summary of your current coverage. Add your drugs & pharmacies. Use your saved drugs & pharmacies to compare plan costs. Create Account. Using a shared or public device?Looking for ways to get the most out of your plan? You've come to the right place. Want to see a different plan? Find other options hereMedicare Advantage Compliance Audit of Specific Diagnosis Codes That Aetna, Inc. (Contract H5521) Submitted to CMS Issued on 10/02/2023 | Posted on 10/02/2023 | Report number: A-01-18-00504 Report Materials Full Report (PDF, 2.6 MB) Report In Brief (PDF, 132.5 KB) Why OIG Did This Audit Under the Medicare Advantage (MA) program, CMS makes ...January 1 – December 31, 2021. Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of . Aetna Medicare Premier Plan (PPO)In-Network: Psychiatric Hospital Services: $385.00 per day for days 1 to 5. $0.00 per day for days 6 to 90. Prior Authorization Required for Psychiatric Hospital Services. Prior authorization required. Out-of-Network: Coinsurance for Psychiatric Hospital Services per Stay 50%. Mental Health Outpatient Care.For mail-order, you can get prescription drugs shipped to your home through the network mail-order delivery program. Typically, mail-order drugs arrive within 10 days. You can call 1-833-570-6670 (TTY: 711), 8 AM to 8 PM, 7 days a week, if you do not receive your mail-order drugs within this timeframe.Aetna Medicare Premier (PPO) Call today! We can help you find the right plan. Our licensed advisors are here to help you find a plan that fits your lifestyle. 1-888-387-9975 (TTY 711) Mon - Fri, 8 AM - 8 PM Central.Primary benefits Your costs for in-network care Your costs for out-of-network care Hospital coverage* $335 per day, days 1-6; $0 per day, days 7-90 You pay $0 for days 91 and beyond. Inpatient hospital 30% per stay coverage Our plan covers an unlimited number of days. Outpatient hospital observation services $335 per stay 30% per stay.You may also contact us at 1-866-241-0356 (TTY: 711) Monday through Friday, 8 AM to 9 PM ET. Aetna Medicare is a HMO, PPO plan with a Medicare contract. Enrollment in our plans depends on contract renewal. Y0001_GRP_2022_H5521_M_VZN. 1/1.H5521-802: Aetna Medicare Plan w/Rx CY (HMO) 2024: H3931-804: Aetna Medicare Value Plan (HMO) 2024: H8332-002: Aetna Medicare Prime (HMO-POS) 2024: H3192-001: Aetna Medicare Eagle (PPO) ... H1045-802: UnitedHealthcare Group Medicare Advantage (HMO) 2024: H1045-803: UnitedHealthcare Group Medicare Advantage (HMO) 2024: H4514-803:Aetna 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.Aetna Medicare Premier Plan (PPO) H5521 ‐ 081. Here’s a summary of the services we cover from January 1, 2023 through December 31, 2023. Keep in mind: This …Create Account. View the coverage and benefits provided in the Aetna Medicare Explorer Premier (PPO) plan from Aetna. Alight Retiree Health Solutions represents Medicare plans from 61 insurers nationwide.Aetna Medicare Essential Plan (PPO) 4 out of 5 stars* for plan year 2024. Aetna Medicare Essential Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-168-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Your secure Medicare account lets you access your information anytime. Get a summary of your current coverage. Add your drugs & pharmacies. Use your saved drugs & pharmacies to compare plan costs. Create Account. Using a shared or public device?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. $295 per day, days 1‐6; $0 per day, days 7‐90.50%–70% for comprehensive services. Comprehensive services include fillings, extractions, crowns, root canals, dentures and oral surgery. Our plan pays up to a maximum amount of $3,000 every year for preventive and comprehensive services. You are responsible for any costs over this amount.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 ...4.5 out of 5 stars. Aetna Medicare Advantra Premier Plus (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5522-002. Have …Create an account. Your secure Medicare account lets you access your information anytime. Get a summary of your current coverage. Add your drugs & pharmacies. Use your saved drugs & pharmacies to compare plan costs. Create Account. Using a shared or public device?Aetna Medicare Essential Elite 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.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). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $15.00. Copayment for Routine Care $15.00. Maximum 12 Routine Care every year.H5521 - 168 - 0 Click to see other plans: Member Services: 1-888-268-9800 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Specialty Doctor Visit. $30 in-network | $40 out-of-network. Inpatient Hospital Care. $350 per day, days 1-4; $0 per day, days 5-90 in-network | 40% 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.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.The Aetna Medicare Choice Plan (PPO) (H5521 - 328) currently has 4,460 members. There are 159 members enrolled in this plan in Newton, Georgia, and 4,339 members in Georgia. 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: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.Dec 22, 2023 · Aetna Medicare Plan w/Rx (PPO) plan information last updated December 22, 2023. Company: Aetna Medicare Plan enrollment: 523,045 Total monthly premium: Max annual payment: $13,300 Plan link on Medicare.gov: Plan on Medicare.gov Plan website: www.aetnamedicare.com Plan member phone number: 888-267-2637 Plan prospect phone number: 800-307-4830Under the Affordable Care Act (ACA), you must receive a Summary of Benefits and Coverage (SBC) document. It explains your benefits. It also has examples of how much you might pay out of pocket for certain health services. All SBCs must follow a standard format. This makes it easier to compare health plans and costs. Where to find your plan's SBC.Sep 27, 2022 · 2023 Summary of Benefits. 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.Your secure Medicare account lets you access your information anytime. Get a summary of your current coverage. Add your drugs & pharmacies. Use your saved drugs & pharmacies to compare plan costs. Create Account. Using a shared or public device?Learn more about your plan. Watch this quick video to find out more about the benefits, programs and services your plan offers.. January 1 - December 31, 2021. Evidence of In-Network: Copayment for Medicare-Covered Podiatry Services $30.0 In-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.2023 Summary of Benefits. 1. 2023-H5521.360.1. H5521-360 . Aetna Medicare Signature Plan (PPO) H5521 ‑ 360. 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. Aetna Medicare Essential Plan (PPO) is a Medicare A Aetna Medicare SmartFit (PPO) 4 out of 5 stars* for plan year 2024. Aetna Medicare SmartFit (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-396-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. 2023-H5521.243.1 H5521-243 Aetna Medicare Val...
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