Aetna Medicare Advantage Review For 2024

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Aetna Medicare Advantage Review For 2024

Table of Contents

Our Verdict

Aetna Medicare Advantage offers a wide range of Medicare health care plans and a variety of additional benefits aimed toward further convenience.

Key Features

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Compare Top Medicare Plans From Aetna

Compare Top Medicare Plans From Aetna

On Medicare Enrollment's Website

Aetna was founded in 1853 in Hartford, Connecticut. The company paid its first Medicare claim in 1966 and began offering HMO and PPO plans in the 1970s and 1980s. Aetna is a subsidiary of the CVS Health Corporation and serves about 39 million people currently.

In addition to Medicare Advantage plans, Aetna offers individual and family health, employer sponsored, dental, vision, supplemental, Medicaid and pharmacy insurance plans.

Aetna Medicare Advantage at a Glance

How Does Aetna Medicare Advantage Work?

Aetna’s four main types of Medicare Advantage plans include HMO, PPO, HMO-POS and D-SNP plans. Additional benefits of most these plans also include the following resources:

Medicare Advantage HMO Plans. Most Aetna HMO plans require you to choose an in-network primary care physician (PCP). Specialists and hospitals you visit must also be in-network, although you may have access to limited out-of-network benefits. Hospital or specialist care likely requires a PCP referral.

Medicare Advantage HMO-POS Plans. If using an HMO-POS plan, you’ll likely be required to have an in-network PCP, visit in-network care providers and acquire specialist referrals, but this isn’t always the case. However, out-of-network visits will typically cost more. HMO-POS plans do allow you to visit out-of-network dentists.

Medicare Advantage PPO Plans. These plans don’t limit you to visit in-network providers, though out-of-network services may cost more. PPO plans don’t require a PCP or referrals for specialist or hospital care.

Aetna Dual Eligible Special Needs Plan. D-SNP plans may be available to individuals who are eligible for both Medicare and Medicaid. These plans offer extra resources, including a personal care team to coordinate visits to providers, ​develop a care plan with your doctor and help you understand other parts of your plan, such as medications.

Other D-SNP benefits may include: prescription drugs, an allowance for over-the-counter products, eyeglasses and hearing aids and routine dental services.

Aetna’s D-SNP plans are limited to individuals in Alabama, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Mississippi, Missouri, Nebraska, North Carolina, Nevada, New Jersey, New York, Ohio, Pennsylvania, South Carolina, South Dakota, Texas, Utah, Virginia and West Virginia, though not all counties are eligible.

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Partner Offers feature brands who paid Forbes Health to appear at the top of our list. While this may influence where their products or services appear on our site, it in no way affects our ratings, which are based on thorough research, solid methodologies and expert advice. Our partners cannot pay us to guarantee favorable reviews of their products or services

Find Top Medicare Supplement Plans to Fit your Needs at Healthcare.com