Aetna Medicare Advantage HMO plans

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At a glance

• $0 premium plans available in some areas
• Plans may offer prescription drug coverage and routine vision and dental benefits
• Over 3.1 million people are enrolled in an Aetna Medicare Advantage Plan¹

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Aetna^® offers several types of Medicare Advantage plans, including Aetna Medicare Advantage HMO plans.

With these plans, you are typically – but not always – 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 may also include prescription drug coverage and other benefits.

More than 28 million people are enrolled in a Medicare Advantage plan.¹

The Centers for Medicare and Medicaid Services releases annual Star ratings for Medicare Advantage plans. For 2022, Aetna Medicare Advantage Prescription Drug (MAPD) plans earned an overall weighted average rating of 4.29 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.²

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.

Some Aetna Medicare Advantage HMO plan options are:

• Aetna Medicare^SM Plan (HMO)
• Aetna Medicare Open Access Plan (HMO)
• Aetna Medicare Prime Plan (HMO)

Do Aetna Medicare Advantage HMO plans require referrals?

HMO plans usually 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

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

Aetna Medicare Advantage HMO plans also include:

• Prescription drug coverage
• Dental, vision and hearing benefits
• SilverSneakers^® fitness memberships
• 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 1-877-890-14091-877-890-1409 TTY Users: 711 24 hours a day, 7 days a week.

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