Aetna Medicare providers

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

Health care providers who accept Aetna Medicare Advantage (also called Medicare Part C) plans can be found in many areas of the country. Aetna Medicare Advantage plans even offer global coverage for emergency care.

Do you want to find Medicare providers who accept Aetna Medicare Advantage plans? One way to do so is to compare specific plans offered in your area and search for providers who are in those plan networks.

You can also speak with a licensed insurance agent by calling TTY Users: 711. They’re available 24 hours a day, 7 days a week. They can help you find a doctor, pharmacist or other health care provider near you who accepts an Aetna Medicare Advantage plan.

Aetna provider networks

Aetna networks include close to 1.2 million health care professionals, more than 700,000 primary care doctors and specialists and over 5,700 hospitals.2

Whether or not your provider will accept your Aetna Medicare Advantage plan depends on the specific plan you enroll in. Each type of plan has different network rules.

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

  • Aetna MedicareSM Plan (HMO)
  • Aetna Medicare Open Access Plan (HMO)
  • Aetna Medicare Prime Plan (HMO)
  • Aetna MedicareSM Plan (PPO)
  • Aetna Medicare Prime Plan (PPO)
  • Aetna Medicare Advantage Dual Special Needs plans (DNSP)

Be sure to ask your health care provider if they accept the terms of your plan before you seek care.

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

How do I find an Aetna Medicare provider near me?

You can speak with a licensed insurance agent to find out what Aetna Medicare Advantage plans are offered in your area. The agent can also tell you whether your health care provider is in that plan’s network.

To speak with a licensed insurance agent call  TTY Users: 711 24 hours a day, 7 days a week.

More Aetna articles

Every 5 minutes on average, we help someone enroll in a Medicare Advantage plan.4

Ready to find your plan?

Or call a licensed insurance agent

1-877-890-1409

TTY 711, 24/7