AETNA ADVANTAGE PLANS IN LAKEWOOD

Medicare Advantage plans are co-coordinated care plans, provided by private organisations which are certified by Medicare. Medicare Advantage plans have a network of providers, and you pay much less if you use the providers which are covered by your plan. These plans coordinate your Original Medicare, both Part A as well as Part B, along with providing extra benefits like hearing services, dental coverage, chiropractic services, outpatient mental health services, prescription drug services etc. Aetna Medicare Advantage plans offered in Lakewood are discussed below.

 

  1. Aetna Honor (PPO)

With an overall rating of 4, the Aetna medicare advantage plan has a monthly premium of $0. It is a preferred provider organisation plan, which lets you choose a healthcare provider of your choice. In this plan, you don’t even have to get a referral to see any special doctor. The plan has no annual deductible, and an out of pocket maximum of $4400. Under this plan, you have to pay a $20 copay for visiting your primary doctor, and a copay of $50 for specialist. Aetna Honor plan provides added services like dental coverage, oral exams, vision care, hearing services, and transportation services. You are also entitled to fitness, and over the counter benefits. However, the plan does not cover prescription drug services and you have to enrol in a Part D plan separately.

 

  1. Aetna Choice H5216-077 (PPO)

With an overall rating of 4, the plan is offered at a monthly premium of $0. The plan has no annual in-network deductible and an out of pocket maximum expense of $4400. You have to pay a $0 copay for visiting your primary health care provider, and a $30 copay for an office visit to a specialist. The plan does not cover your prescription drug needs. The plan also provides extra benefits like home health care services, preventive care services, eye exams, eyewear, contact lenses, eyeglasses, glaucoma screening, routine hearing exams, fitness benefits, Silver sneakers program, transportation services, outpatient mental health services, as well as chiropractic coverage. The plan also provides alternative acupuncture services at a $0 copay, with 25 treatments per year.

 

  1. Aetna Gold Plus H0028-025 (HMO)

Aetna Medicare Advantage With an overall rating of 4.2, the plan is offered at a monthly premium of $0. The plan has no annual in-network deductible and an out of pocket maximum of $4500. While visiting a primary health care provider you have to pay a copay of $0, whereas a copay of $40 has to be paid while visiting a specialist. The plan also covers prescription drugs with a deductible amount of $95. This deductible amount is applicable to the non-preferred drug and specialty tier. For generic and brand name drugs, you have to pay a 25% coinsurance. The plan covers outpatient surgery cost and the cost of urgently needed services, including the ambulance service as well. The plan also covers skilled nursing facility at $0 copay for the first 20 days, along with dental care, hearing services, transportation services, and various fitness programs.

 

  1. Aetna Value Plus H5216-195 (PPO)

With an overall rating of 4, the plan is offered at a monthly premium of $23.90. The annual deductible for the plan is charged as per medicare defined part B amount, with an out of pocket maximum of $6700. For every visit to your primary health care provider or specialist, you have to pay a coinsurance of 20%. The plan also covers inpatient hospital stay for both acute disease as well as psychiatric for a $0 copay after the third day. The plan also covers your prescription drugs, with a deductible of $435. The deductible is applicable to generic, preferred brand, non preferred drug, and specialty tier. For generic and brand name you have to pay a coinsurance of 25%. Along with all the basic benefits of dental as well as vision care, the plan also covers your transportation costs and helps you limit your out of pocket expenses.

 

  1. Aetna Gold Plus H0028-026 (HMO)

With an overall rating of 4.2, the plan is offered at a monthly premium of $50. The plan has no annual deductible and a maximum out of pocket expense of $6700 for in-network providers. You have to pay an $11 copay while visiting your primary health care provider and a copay of $50 while visiting a specialist. The plan also covers prescription drug services as well, with a deductible of $95. The deductible is applicable to non-preferred drug and specialty tier. For generic and brand name drugs, you have to pay a coinsurance of 25%. The plan covers all of your urgently needed services as well as emergency ambulance services as well. The plan covers medicare covered dental services, oral exams, x-rays, extractions, oral surgery, eye exams, eyewear, glaucoma screening, hearing exams, hearing aids, and over the counter benefits of $25 every three months.

 

  1. Aetna Choice H5216-078 (PPO)

With an overall rating of 4, the plan is offered at a monthly premium of $55. The annual deductible of the plan is $800, along with an out of pocket maximum of $6700. While visiting your primary health care provider you have to pay a copay of $10, and a copay of $50 for a specialist. The plan covers prescription drug coverage, with a deductible amount of $195. The deductible amount is applicable to the preferred drug, non-preferred drug, and specialty tier. For generic and brand name drugs, you have to pay a coinsurance of 25%. The plan also covers urgently needed services at a maximum of a copay of $65, along with cardiac and pulmonary rehabilitation services.

  1. Aetna Gold Choice H8145-120 (PFFS)

With an overall rating of 3.4, the plan is offered at a monthly premium of $59. The plan has an in and out of the network annual deductible of $150 and an out of pocket maximum of $6700. While visiting your primary doctor you have to pay a copay of $20 and for a specialist, you have to pay a copay of $50. The plan does not include prescription drug services. The plan covers outpatient surgery and rehabilitation services. Along with this, the plan provides medicare approved dental services, eye exams, eyewear, glaucoma screening, hearing exams, emergency services, rehabilitation services, as well as enrollment in the SilverSneakers program.

 

  1. Aetna Gold Choice H8145-123 (PFFS)

With an overall rating of 3.4, the plan is offered at a monthly premium of $127. The plan has no annual deductible and an out of pocket maximum of $6700. While visiting your primary doctor you have to pay a copay of $15 and for a specialist, you have to pay a copay of $50. The plan includes prescription drug services as well with a deductible amount of $300. The deductible amount is applicable to preferred brand, non-preferred drug, and specialty tier. For generic and brand name drugs you have to pay a 25% coinsurance. The plan also provides in-network home healthcare as well as preventive care at $0 copay. The plan also covers oral exams, prophylaxis, dental x-rays, and restorative services at 0% coinsurance. The plan also entitles you to SilverSneakers program, along with over the counter benefits and chiropractic care as well.

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