Aetna Medicare Advantage PPO plans

At a glance

  • $0 premium plans available in some areas
  • Many plans offer prescription drug coverage and routine vision and dental benefits
  • About 1.75 million people are enrolled in an Aetna Medicare Advantage Plan1

Aetna offers several types of Medicare Advantage plans, including Aetna Medicare Advantage PPO plans. These plans give you the freedom to choose your health care providers.

Aetna Medicare Advantage PPO 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 2018.2

The Centers for Medicare and Medicaid Services releases annual Star ratings for Medicare Advantage plans. For 2019, Aetna Medicare Advantage Prescription Drug (MAPD) plans earned an overall weighted average rating of 4 out of 5 stars. The majority of Aetna Medicare plan members are in a plan rated 4 stars or higher out of 5 stars.3

Aetna Medicare Advantage PPO plans
✓ Freedom to choose your providers and no requirement to choose a primary care physician (PCP) ✓ Premiums and deductibles vary by plan, as low as $0
✓ SilverSneakers® fitness program coverage ✓ Includes an annual out-of-pocket spending max
✓ Coverage for select over-the-counter (OTC) items at no extra cost ✓ Most plans include routine dental, vision and hearing coverage
✓ Most plans include prescription drug coverage ✓ No referral required to see a specialist

What is an Aetna Medicare Advantage PPO plan?

A preferred provider organization (PPO) plan gives you more options. You have the ability to choose any doctor, specialist, hospital or other health care provider who accepts Medicare and the Aetna plan terms.

Your out-of-pocket costs may be lower if you visit providers in your plan’s network, however.

If you’re enrolled in an Aetna Medicare Advantage PPO plan, you’re likely a member of an:

  • Aetna MedicareSM Plan (PPO)
  • Aetna Medicare Prime Plan (PPO)

Do Aetna Medicare Advantage PPO plans require referrals?

As a member of an Aetna Medicare Advantage PPO plan, you don’t need a referral from a PCP before visiting a hospital or a specialist.

Aetna Medicare Advantage PPO plans put you in control of your care.

Additional Aetna Medicare Advantage PPO plan benefits

Aetna Medicare Advantage PPO plans give you the freedom to choose providers. And many of these plans offer a variety of benefits that go beyond what Original Medicare (Part A and Part B) covers.

Many Aetna Medicare Advantage PPO plans also include:

  • Prescription drug coverage
  • Routine dental, vision and hearing benefits
  • Worldwide emergency care coverage
  • 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 certain over-the-counter (OTC) benefit that allows you to get 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 PPO 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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Every 5 minutes on average, we help someone enroll in a Medicare Advantage plan.4

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