Aetna Medicare

At a glance

  • $0 premium plans available in some areas
  • Many plans offer prescription drug coverage and routine vision and dental benefits
  • About 2.7 million people are enrolled in an Aetna Medicare Advantage Plan1

Aetna is a diversified health care benefits company, serving its customers with the information and resources they need to help them make better informed decisions about their health care.

Millions of people rely on Aetna for insurance options. Aetna offers a wide range of health care coverage, including Medicare Advantage plans.

About Aetna

Aetna offers a broad range of traditional, voluntary and consumer directed health insurance products and related services. These include:

  • Medical, pharmacy and dental plans
  • Behavioral health services
  • Group life and disability plans

Aetna serves a range of customers who include employer groups, individuals, college students, part-time and hourly workers, health plans, governmental units, government-sponsored plans, labor groups and expatriates.

What Do Aetna Medicare Advantage Plans Cover?

Medicare Advantage plans are one coverage option Medicare beneficiaries can consider. Medicare Advantage plans include all of the benefits and services covered by Medicare Part A (inpatient care) and Part B (outpatient care and durable medical equipment) and are run by private insurance companies, like Aetna, who are approved by Medicare.

Some Medicare Advantage plans may offer coverage for additional benefits and services that Original Medicare doesn’t cover. Prescription drug coverage is sometimes included as part of a Medicare Advantage plan.

Some of the other extra benefits available may include some of the following. It's important to keep in mind that plan availability and benefits may vary, and not all benefits are available with every plan. A licensed insurance agent can help you review the benefits that are available where you live.

Dental Care

Most Aetna Medicare Advantage plans cover routine dental care like exams, teeth cleanings and X-rays. Some plans may cover more advanced care such as fillings and extractions.

Aetna Medicare dental benefits may be covered when using an Aetna network provider in some cases, or through a direct member reimbursement (DMR) offers a pre-paid allowance to pay for approved care out-of-pocket costs. 

Vision Benefits

Some Aetna Medicare Advantage plans may cover routine eye exams and prescription eyewear, typically through network coverage or with an out-of-pocket reimbursement.

Hearing Services 

Some Aetna Medicare Advantage plans may cover hearing exams, hearing aids and hearing aid fittings through NationsHearing.  

Prescription Drug Coverage

Many Aetna Medicare Advantage plans cover prescription drug costs. You may even be able to get mail order prescriptions delivered to your home. 

Gym Membership

Many Aetna Medicare Advantage plans include a membership to SilverSneakers.

This fitness reimbursement program is specifically designed for older adults and features classes led by trained instructors at more than 17,000 participating locations. You can even work out on your own or at home with on-demand workout videos and live virtual classes.

Telehealth Benefits

You can use your computer, tablet or smartphone to meet with doctors virtually and receive services covered by your Aetna Medicare Advantage plan. 

Concierge Services

Aetna Medicare Advantage plan members have access to a concierge service that can connect you with health care and lifestyle services in your area.

Aetna concierge services can connect you to caregivers, recreational activities and senior centers, transportation, food and meal services, cleaning companies and more. 

Healthy Home Visit Program

Some Aetna Medicare Advantage plans may include access to the Aetna Healthy Home Visit program, which covers qualified visits to your home by medical professionals.

Over-The-Counter Health Items

Over-the-counter health items such as cold medicine may be covered by some Medicare Advantage plans sold by Aetna. 

Home-Delivered Meals

Some Aetna Medicare Advantage plans may cover home-delivered meals following a qualified inpatient hospital or skilled nursing facility stay. 

Acupuncture

If you suffer from lower back pain, you can have acupuncture treatments covered by your Aetna Medicare Advantage plan. 

Aetna Medicare Reviews and Ratings

Each year, the Centers for Medicare & Medicaid Services (CMS) evaluates Medicare Advantage plans using a five-star rating scale. Aetna Medicare Advantage Prescription Drug (MA-PD) plans earned an overall rating of 4.29 stars out of five for 2022, placing it “above average” versus the competition. 

In 2021, Aetna Medicare Advantage plans scored 795 out of 1,000 on J.D. Power’s Medicare Advantage customer satisfaction index rating.

Not all types of plans are available in all areas. You can speak with a licensed insurance agent to find out what plans are offered in your area.

For more information, please visit www.aetna-medicareadvantage.com.

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