Aetna Medicare Advantage plans

At a glance

  • $0 premium plans available in some areas
  • Many plans offer prescription drug coverage and routine vision and dental benefits
  • About 2.6 million people are enrolled in an Aetna Medicare Advantage Plan1

Aetna offers five Medicare Advantage plan options. Learn more about each type of plan below.

Not all plans are available in all locations. Speak with a licensed insurance agent to compare plans in your area by calling TTY users: 711 24 hours a day, 7 days a week.

Aetna Medicare Advantage Plan options

Medicare Advantage plans (also called Medicare Part C) are sold by private health insurance companies and provide Medicare Part A and Part B coverage in one plan.

Some Aetna Medicare Advantage plans include additional benefits, such as:

  • Coverage for prescription drugs
  • Vision care
  • Dental care
  • Fitness benefits and wellness programs

Some of Aetna’s plans also include the following benefits:

  • $0 comprehensive annual physical exam
  • Fitness facility membership available at no extra cost2
  • 24-hour toll-free nursing hotline
  • Blood-pressure cuff and support at no added cost3

Aetna offers several different types of Medicare Advantage plan options, which include:

Aetna MedicareSM  Plan (HMO)

Aetna Health Maintenance Organization (HMO) plans have a contracted provider network, which can help keep costs down for approved care. If you enroll in an Aetna Medicare Plan (HMO), you have access to tens of thousands of network providers across the nation, which may include in-network coverage when you travel.

An HMO plan from Aetna may require you to designate a primary care physician and to get a referral to see a specialist.

Aetna Medicare Open Access Plan (HMO)

This plan also gives you access to a network of tens of thousands of health care providers nationwide and the flexibility to see a specialist without a referral from your primary care provider.

Aetna Medicare Prime Plan (HMO)

An Aetna Medicare Prime Plan (HMO) gives you access to a local provider network. In most situations, you must use network providers, except in the case of receiving out-of-network renal dialysis, urgent care or emergencies.

Aetna Medicare PlanSM (PPO)

Aetna Preferred Provider Organization (PPO) plans give you the benefits of an HMO plan along with the added flexibility to visit in-network and out-of-network providers.

Aetna Medicare Prime Plan (PPO)

This plan is similar to the Aetna Medicare Plan (PPO) and gives you the flexibility to visit both providers and hospitals that are in and out of the preferred plan network.

Why choose an Aetna Medicare Advantage Plan?

Each year, the Centers for Medicare and Medicaid Services (CMS) release Star Ratings that measure the performance of Medicare Advantage plans.

For 2020, Aetna Medicare Advantage Prescription Drug (MAPD) plans earned an overall weighted average rating of 4.3 out of 5 stars. The majority of Aetna Medicare plan members are in a plan rated 4.5 stars or higher out of 5 stars.4

Over eleven percent of all Medicare Advantage enrollees in 2020 are enrolled in an Aetna Medicare plan. This accounts for over 2.6 million Medicare Advantage plan beneficiaries.5

How do I enroll in an Aetna Medicare Advantage Plan?

Aetna Medicare Advantage plan availability may vary by location. We suggest speaking with a licensed insurance agent for more information about the plans available in your area.

To learn more about your Aetna Medicare options or to enroll in a Medicare Advantage plan, speak with a licensed insurance agent by calling TTY users: 711 24 hours a day, 7 days a week.

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