Aetna Medicare Value (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.
Plan ID: H5521-099-000
Indiana Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A and Part B) benefits into a single plan.
Most Medicare Advantage plans cover prescription drugs, and many plans may offer other extra benefits Original Medicare doesn’t cover.
Learn more about Indiana Medicare Advantage plans like the one below and find a plan that offers the benefits you want at an affordable price.
|Monthly plan premium||$0.00|
|Initial drug coverage limit||$0.00|
|Catastrophic drug coverage limit||$8,000.00|
|Primary care doctor visit||$0 in-network | $25 out-of-network|
|Specialty doctor visit||$35 in-network | $55 out-of-network|
|Inpatient hospital care||$275 per day, days 1-7; $0 per day, days 8-90 in-network | 50% per stay out-of-network|
Copayment for Urgent Care $40.00
Copayment for Worldwide Urgent Coverage $100.00
|Emergency room visit||$100 If you are admitted to the hospital within 0 hours your cost share may be waived, for more information see the Evidence of Coverage|
|Ambulance transportation||$280 in-network | $280 out-of-network|
Aetna Medicare Value (PPO) covers a range of additional benefits. Learn more about Aetna Medicare Value (PPO) benefits, some of which may not be covered by Original Medicare (Part A and Part B).
Coinsurance for Medicare Covered Chiropractic Services 50%
|Diabetes supplies, training, nutrition therapy and monitoring||0% - 20% Higher cost-share applies to non-OneTouch/LifeScan diabetic supplies.|
|Durable medical equipment (DME)||20% in-network | 30% out-of-network|
|Diagnostic tests, lab and radiology services, and X-rays||Lab Services: Lab Services: $5 in-network| $20 out-of-network, for more information see Evidence of Coverage|
Diagnostic Procedures: Diagnostic Procedures/Tests: $75 in-network| 50% out-of-network, for more information see Evidence of Coverage
Imaging: Xray: $20 in-network | CT Scans: $250 in-network | Diagnostic Radiology other than CT Scans: $250 in-network | Diagnostic Radiology Mammogram: $0 in-network | 50% out-of-network, for more information see Evidence of Coverage
|Home health care||$0 in-network | 50% out-of-network|
|Mental health inpatient care||In-Network:|
Psychiatric Hospital Services:
$275.00 per day for days 1 to 7
$0.00 per day for days 8 to 90
Prior Authorization Required for Psychiatric Hospital Services
|Mental health outpatient care||Mental Health - Group Sessions: $40 in-network| Mental Health - Individual Sessions: $40 in-network| 50% out-of-network, for more information see Evidence of Coverage |Psychiatric Services - Group Sessions: $40 in-network| Psychiatric Services - Individual Sessions: $40 in-network| 50% out-of-network, for more information see Evidence of Coverage|
|Outpatient services/surgery||Ambulatory Surgical Center: $0 in network for preventive and diagnostic colonoscopy | $325 All other in network ASC services | 50% out-of-network, for more information see Evidence of Coverage|
|Outpatient substance abuse care|
Outpatient Substance Abuse Services:
Coinsurance for Medicare Covered Individual or Group Sessions 50%
|Over-the-counter items||In Network: |Over-the-counter (OTC) items:|$90 quarterly amount (allowance) to purchase approved OTC health and wellness products like first aid supplies, cold and allergy medicine, pain relievers and more. Approved items can be purchased online, in store, or by phone. |Be sure to use the full benefit amount quarterly, because any unused amount will not rollover.|Nicotine Replacement Therapy(NRT) offered as a Part C OTC benefit.|Medium over-the-counter (OTC) kit of preselected OTC items mailed once a year, for more information see Evidence of Coverage|
Copayment for Medicare-Covered Podiatry Services $35.00
|Skilled Nursing Facility (SNF) care||$10 per day, days 1-20; $196 per day, days 21-100 in-network| 50% per stay out-of-network, for more information see Evidence of Coverage|
The following dental services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
|Dental care||In Network Dental Coverage|For covered services: ADA recognized dental services are covered excluding only cosmetic services, those considered medical in nature, and administrative changes.|Preventive dental services: |Oral exams: $0 copay |Cleanings: $0 copay |Fluoride treatment: $0 copay |Bitewing x-rays: $0 copay |Comprehensive dental services:|Non-routine services: $0 copay |Diagnostic services: $0 copay |Restorative services: $0 copay |Endodontics: $0 copay |Periodontics: $0 copay |Extractions: $0 copay |Prosthodontics and maxillofacial services: $0 copay |Out Of Network Dental Coverage|Preventive dental services:| 20% coinsurance |Comprehensive dental services:| 20% coinsurance |$1,450 maximum benefit for preventive and comprehensive dental services combined - see Evidence of Coverage.|
The following vision services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
|Vision benefits||In-Network:|Eye Exams:|Copayment for Medicare Covered Benefits $0-$35|Copayment for Routine Eye Exams $0 |(Maximum one exam every year)|Eyewear:|Copayment for Medicare Covered Benefits $0|Copayment for Contacts $0|Copayment for Eyeglasses $0|Copayment for Eyeglass Frames $0|Copayment for Eyeglass Lenses $0|Copayment for Upgrades $0|Out-of-Network:|Eye Exams: |Copayment for Medicare-Covered Benefits $55|Copayment for Routine Eye Exams $55|Eyewear:|Coinsurance for Medicare-Covered Benefits 50%|Copayment for Non-Medicare covered Benefits $0|Maximum Plan Allowance for all Non-Medicare covered Eyewear $165 every year. See the Evidence of Coverage|
The following hearing services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
|Hearing benefits||In-Network:|Hearing Exams:|Copayment for Medicare Covered Benefits $35|Copayment for Routine hearing Exams $0|(Maximum one exam every year)|Copayment for Fitting/Evaluation for Hearing Aid $0|(Maximum one hearing aid fitting/evaluation every year)|Hearing Aids:|Copayment for Hearing Aids $0|(Maximum two hearing aids every year) |Out-of-Network:|Copayment for Medicare Covered Hearing Exams $55|Copayment for Non-Medicare Covered Hearing Exams $55 |Member must purchase hearing aids through NationsHearing|$500 per ear every year, for more information see the Evidence of Coverage|
The following services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
|Preventive services and health/wellness education programs||$0 copay for all preventive services covered under Original Medicare at zero cost sharing|
When reviewing Indiana Medicare plans, be sure to find out if your doctors are part of the plan network. If a Medicare Advantage plan covers prescription drugs, make sure the plan formulary (list of drugs covered by the plan) includes your drugs.
You may be able to find plans in your part of Indiana that offer similar benefits at similar or lower prices than the plan above. Call 1-877-890-1409 TTY 711, 24/7 to speak with a licensed insurance agent who can help you compare plans.
|Links to plan documents|
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