Aetna Medicare Advantage HMO 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 several types of Medicare Advantage plans, including Aetna Medicare Advantage HMO plans.

With these plans, you are typically required to select an in-network primary care physician (PCP). Your PCP works with you to coordinate your health care so that you get the care you need at the time you need it.

Aetna Medicare Advantage HMO plans also often include prescription drug coverage and other additional benefits. And it’s all for a low  – and sometimes $0 – plan premium.

More than 1 out of every 3 Medicare beneficiaries is enrolled in a Medicare Advantage plan as of 2020.2

The Centers for Medicare and Medicaid Services releases annual Star ratings for 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.3

Aetna Medicare Advantage HMO plans
✓ Most plans include prescription drug coverage ✓ Premiums and deductibles vary by plan, as low as $0
✓ SilverSneakers® fitness program coverage ✓ Include an annual out-of-pocket spending max for covered medical services
✓ Some plans include coverage for select over-the-counter (OTC) items at no extra cost ✓ Most plans include routine dental, vision and hearing coverage

What is an Aetna Medicare Advantage HMO plan?

A health maintenance organization (HMO) plan lets you choose any doctor or hospital that is in the plan network. You’re typically required to receive care from an in-network provider, unless in the case of an emergency.

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

  • Aetna MedicareSM Plan (HMO)
  • Aetna Medicare Open Access Plan (HMO)
  • Aetna Medicare Prime Plan (HMO)

Do Aetna Medicare Advantage HMO plans require referrals?

Most HMO plans require you to get a referral from your primary care physician for a visit to a specialist and for hospital care.

Additional Aetna Medicare Advantage HMO plan benefits

Many Aetna Medicare Advantage HMO plans offer a variety of benefits that go beyond what Original Medicare (Part A and Part B) covers.

Many Aetna Medicare Advantage HMO plans also include:

  • Prescription drug coverage
  • Routine dental, vision and hearing benefits
  • SilverSneakers® fitness memberships
  • Non-emergency transportation for visits to the doctor’s office or trips to the pharmacy
  • Home meal delivery services after a hospital stay
  • An allowance for an over-the-counter (OTC) benefit that allows you to get certain items like vitamins and cold medicine
  • Prescription home delivery for plans that include prescription drug coverage
  • 24/7 nurse hotline

How do I enroll in an Aetna Medicare Advantage HMO plan?

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

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