Aetna Medicare Advantage PPO plans

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

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 may also include prescription drug coverage and other additional benefits.

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

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

Aetna Medicare Advantage PPO plans may also include:

  • Prescription drug coverage
  • Routine 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 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.

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

The Centers for Medicare & 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.3

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