Will my doctor accept an Aetna® Medicare plan?

The answer to whether your doctor will accept an Aetna Medicare Advantage (also called Medicare Part C) plan depends on the specific plan you’re enrolled in and whether your doctor is in the plan’s network.

Aetna networks include roughly 1.5 million health care professionals, including thousands of primary care providers, specialists and hospitals.²

11 percent of all Medicare Advantage enrollees are enrolled in an Aetna Medicare plan. This accounts for over 4 million Medicare Advantage plan beneficiaries.¹

Aetna Medicare Advantage plans

If you’re enrolled in an Aetna Medicare Advantage plan, you’re likely a member of an Aetna Medicare Advantage HMO or HMO-POS plan or a Medicare Advantage PPO plan.

Each type of plan has different network rules. No matter which Aetna Medicare Advantage plan you choose, be sure to check that your doctor or health care provider accepts the terms of the plan before seeking care.

• Aetna Medicare Advantage HMO Plans have a contracted provider network. These plans may require you to use providers from your local provider network, except for out-of-network renal dialysis, urgent care or emergency situations.
  
  
• Aetna Medicare Advantage PPO Plans give you the flexibility to visit providers that are both in-network and out-of-network, as long as they accept Medicare. Staying in-network may lower your out-of-pocket costs. 

Get help from a licensed insurance agent*

You can speak with a licensed insurance agent to find out what Aetna Medicare Advantage plans are offered in your area and to learn if your health care provider is in that plan’s network.

Speak with a licensed insurance agent by calling 1-877-890-1409 (TTY: 711) 24/7.

More Aetna articles

• Aetna
• Aetna Medicare plans
• Aetna Medicare plan reviews and ratings
• Does Aetna Medicare cover vision?
• Does Aetna Medicare cover dental?
• Aetna Medicare Advantage plans by state
• Aetna Medicare PPO
• Aetna Medicare HMO
• Aetna Medicare and SilverSneakers
• Aetna Medicare drug formulary 2027
• Aetna Medicare providers