Aetna offers Medicare Advantage and Medigap plans for those enrolled in parts A and B of the Original Medicare program. They offer coverage on top of your regular benefits, providing you with additional services such as routine eye exams or dental care.
Overall, these are among the best affordable options available today!
Aetna is an insurance company that sells health coverage to millions of Americans across the country. The company was founded in 1853 and has since expanded to become one of the nation’s largest health insurance providers; however, as of 2018, they no longer offer individual health insurance plans. Aetna is now a subsidiary of CVS.
Aetna Medicare Plans Available
The full scope of Medicare changes in 2022 has yet to be revealed, but below, you will find an up-to-date breakdown of the changes you can expect, including premium amounts from 2021.
The Medicare program is a social insurance service available to citizens 65 years or older and those living with specific disabilities. Original Medicare comprises two parts: Part A and Part B. Medicare.gov offers an online tool to help determine Medicare eligibility.
Medicare Part A
Medicare Part A, also known as hospital insurance, can provide coverage for Medicare inpatient care. You are eligible for Part A generally when you turn 65. This is referred to as your Initial Enrollment Period (IEP), which lasts 7 months. (3 months before you turn 65, the month of your 65th birthday and 3 months after.)
In general, services covered under Medicare Part A:
- Hospital care (inpatient)
- Limited home health services
- Care in a skilled nursing facility (SNF), provided that custodial care not be the only care required
- Hospice care
Medicare Part B
Medicare Part B covers medical services and supplies your physician requires to treat a policyholder’s health condition. The following are examples of costs covered by Medicare Part B:
- Visits to a healthcare facility
- Ambulance services
- Part-time or temporary home health care
- Rehabilitation services and physical therapy
- Flu and hepatitis b shots
- Cardiovascular, cancer, and diabetes screenings
- Limited outpatient prescription drugs
- Durable medical equipment
- Clinical research
- Mental health services (inpatient, outpatient, and partial hospitalization)
- Second opinions before surgery
Aetna Medicare Advantage (Part C)
Aetna sells Medicare Advantage Prescription Drug plans in 46 states and Washington, D.C., including 1,793 counties with stand-alone prescription drug coverage available nationwide. Currently, Aetna is the fourth-largest provider of Medicare Advantage plans. Your current Aetna Medicare advantage options are:
- Medicare Advantage HMO
- Medicare Advantage HMO-POS
- Medicare Advantage PPO plans
- Medicare Advantage Dual Special Needs Plans (D-SNP)
Their advantage plans come with additional perks such as their Resources For Living® concierge, SilverSneakers® fitness membership, a 24-Hour Nurse Line, and prescription home delivery.
To learn more about 2021 Medicare Advantage and Prescription Drug Plans Offered by Aetna, visit: https://www.aetnamedicare.com/en/compare-plans-enroll/medicare-advantage-plans.html
Aetna Medicare Part D – Drug Plans
Aetna currently offers three drug plans, all with 0$ deductibles and 0$ Tier 1 copays. visit: https://www.aetnamedicare.com/en/compare-plans-enroll/part-d-prescription-drug-plans.html
SilverScript SmartRx (PDP)
- A selection of generic drugs for a low monthly premium (average cost $7.15).
- Tier 1 generic drug coverage with $0 deductible and $0 copay
- Free standard mail delivery (30 day supply)
SilverScript Choice (PDP)
- A selection of generic and brand name drugs
- Tier 1 with $0 deductible and $0 copay
- Tier 2 $0 deductible
- Tier 1 drugs offer 90 day supply at a preferred pharmacy or free standard delivery
SilverScript Plus (PDP)
- Gap coverage
- 0$ deductible for all tiers
- Tier 1 drugs at a $0 copay
- Tier 2 drugs $2 copay on 30 day supply (90 day supply may be less)
- Possible inclusion of Vitamin and Mineral supplements
Not available in Alaska.
Aetna Medicare Supplement Plans
Aetna offers a variety of Medicare Supplement plans to purchase in most states. In 2020, Aetna offered Medicare Supplement coverage in 49 states plus Washington D.C., under the Aetna brand and subsidiaries such as American Continental Insurance Company and Continental Life Insurance Company of Brentwood, Tennessee.
In most states, Medicare beneficiaries can purchase the following Medicare Supplement Plans from Aetna:
- Plan A
- Plan B
- Plan F*
- High-Deductible F (As of January 2020)
- Plan G
- Plan N
Plans C* and D are also available, but not in all states.
*Starting January 1st, 2020, people new to Medicare could no longer purchase the Plans C or F Medigap plans. If you are currently enrolled in one of these plans or have purchased Plan F with a high deductible before then (if eligible), you can still use this plan until it expires.
Aetna Medicare Supplement Plan F is the most comprehensive as it covers all your Part A and B out-of-pocket expenses. However, this coverage comes at a cost, making it the most expensive plan offered.
- Medicare Part A coinsurance, plus hospital expenses up to 100% (up to an additional 365 days once Medicare benefits are exhausted)
- The initial three pints of blood
- Medicare Part B copayment or coinsurance up to 100%
- Medicare Part A hospice care copayment or coinsurance up to100%
- Medicare Part A deductible up to 100%
- Skilled nursing facility care coinsurance up to 100%
- Medicare Part B excess fees up to 100%
- Medicare Part B deductible 100%
- Foreign travel emergency care up to 80% of the plan limits
- Medigap plans do not include prescription drug coverage. If you want prescription drug coverage and have Original Medicare.
Suppose you have a high deductible Plan F. In that case, this plan has lower monthly premiums compared to other plans in its class. This could be more beneficial for individuals on tight budgets each month due to their medical needs.
A Medicare Supplement Plan G is the 2nd most popular Supplemental Healthcare plan. Since Part A and Part B of your Medicare does not pay for all medical costs, you may be responsible for additional copays or coinsurance on top of any deductibles. With supplemental healthcare like this one, almost all these costs will be paid off in full!
- After Original Medicare benefits run out, you can have up to 365 days in the hospital
- Coinsurance and copayments when visiting your doctor and additional Medicare Part B services.
- Coinsurance use in skilled nursing care and or hospice care
- First 3 pints of blood used for different medical procedures
- Deductible of $1,484 for your Medicare Part A
- Deductible of $203 for your Medicare Part B
- Foreign travel emergencies based on your plan’s limits
Original Medicare only pays for a limited number of days in the hospital and covers 80% of your doctor visits. Plan N will cover 20% more than Original Medicare. Still, you may have to pay an additional fee for services not covered under Original Medicare, like emergency room visits if you don’t need hospitalization.
- Up to 365 days for additional hospitalization after your Medicare Part A benefits have been exhausted.
- Coinsurance if you need hospice care
- Coinsurance if you need skilled nursing facility care
- First 3 pints of blood if a medical procedure is needed
- Medicare Part A deductible of $1,484
- Emergency care when traveling to foreign countries up to your plan’s limits
Enrolling in Aetna & Open Enrollment Period
You can apply for a Medicare Supplement insurance policy if you are:
- A resident of a state where the policy is offered
- Enrolled in Medicare Parts A and B
- Age 65 or over or, in some states, under age 65 with a disability (plan offerings and eligibility vary by state)
In most cases, once you are enrolled in Medicare, you don’t have to re-enroll or renew your Medicare plan every year. If you want to change your Medicare policy, though, you can do that during the annual Medicare open enrollment period. This gives you the chance to change your policy or choose a different coverage option that meets your needs.
Open enrollment for 2022 coverage will start November 1st, 2021. In most states, it will end on December 15th, 2021, but some states will have later deadlines.