Category: My Blog

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.

WHAT IS HUMANA MEDICARE ADVANTAGE PLAN?

  Medicare AdvantageMedicare Advantage plans are a type of health plan which is provided in the United States. Along with covering the part A and part B of your medicare, medicare advantage plans also cover part C of your medicare. Medicare Advantage plans are extra beneficial plans which are provided by companies along with your original medicare. In simpler terms, if you already have a part A and part B of your medicare, you can choose to opt for part c of the medicare – medicare advantage plans. But are they actually beneficial?

 

As the name suggests, Medicare Advantage health plans provide an added advantage to your original medicare. Along with organising your original medicare provided by the government in a more efficient way, the plans also provide dental services, routine vision checks, dentures etc. which are not covered in Part A and Part B of the medicare.

 

The Medicare Advantage plans are provided by privately-owned companies, which are approved by Medicare. One of the most popular and beneficial plans are Humana Medicare Advantage plans. With Humana plans you can afford the advantage at a very minimal cost, and huge health benefits. Along with dental and visual coverage, most of the plans also provide with prescription drug coverage and fitness programs.

 

Membership in medicare advantage plans has nearly doubled in the last decade. With more and more people wanting to enrol and avail services at affordable prices, many of the Humana Medicare advantage plans can cost you as less as $0 per month. Humana Medicare Advantage plans are broadly classified into four types – HMO plans, PPO plans, PFFS plans, and SNPs.

 

Humana offers Medicare Advantage health maintenance organisation plans, which along with covering your original medicare, also includes prescription drug coverage at affordable monthly plans. The plan provides you with a huge bundle of extras like choosing a primary care physician, emergency coverage anywhere in the world, hospitalisation coverage, annual preventive screenings, along with fitness program memberships.

 

Humana’s preferred provider organisation plans give you the freedom of choosing a medicare-approved doctor either in or out of the network. Along with predictable coinsurance and copayments, Humanas PPO plans make it easier to budget your healthcare plans. The plans provide in-network home healthcare, emergency health services when you are travelling outside of the U.S. , dental services, prescription drug coverage, and optional fitness programs as well. You can choose a health provider of your choice, however, you would save more if you choose one in your network.

 

Humana Private-fee-for-service plans give you the flexibility of choosing any medicare approved doctor at the same cost, irrespective they are in your network or out of the network. The only condition is your doctor must accept the terms and services of your plans. Along with providing prescription drug coverage, the PFFS plan also provides full coverage on hospitalisation and annual preventive screenings.

 

A Special Needs Plan is a type of medicare advantage plan which are available to only those beneficiaries which have a chronic health condition, are eligible for both Medicare and Medicaid, or a resident of a long-term facility. Many of the Humana special need plans have an affordable monthly premium of $0. The plan is suited for your specific health condition. These plans provide extra coverage and can help you manage your specific health condition more efficiently.

 

With 23 million Americans adopting to medicare advantage plans, the companies have become quite competitive. With Humana you can be assured of best health plans, covering a wide range of services at the least cost.

Navigation