Aetna Medicare Insurance Plans
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About Aetna Medicare Insurance Plans
Aetna Medicare Synopsis
Review Summary: Aetna offers a wide range of Medicare products, including Medicare Advantage, Medicare Supplement, and prescription drug plans, in addition to other non-Medicare benefits.
Recommended for: Aetna is a good choice for those looking for a wide variety of options for their Medicare needs, along with some added benefits such as the SilverSneakers program and a 24/7 nurse hotline. If you’re in the market for an affordable drug plan, Aetna has one of the cheapest drug plans on the market. While Aetna’s Medicare Advantage plans are available in all states except Alaska, its Medicare Supplement plans are only available in 43 states. (See below.) If you are interested in a Medicare Supplement plan and Aetna doesn’t operate in your state, we recommend looking at Mutual of Omaha and Humana for supplement insurance, as both are available in more states than Aetna.
| Medicare Basics |
|---|
| Medicare is medical insurance sponsored by the federal government that is available to those who are 65 or older. Medicare provides Part A, which covers hospital expenses, and Part B, which covers doctor visits. However, it does not cover all expenses. (Part A and Part B are also known as Original Medicare.) That’s where Medicare Supplement insurance and Medicare Advantage plans come into play. Medicare Supplement insurance, also called Medigap, and Medicare Advantage, also called Part C, are designed to supplement Medicare Parts A and B. Medicare patients do not need both Medicare Supplement and Medicare Advantage. They are both purchased through insurance companies. Medicare Advantage plans typically have low premiums, require copays, and come with network restrictions. Supplement insurance policies typically come with higher premiums, have lower costs when receiving care, and do not come with network restrictions. |
Pros and Cons of Aetna Medicare
Pros
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Offers Medicare Advantage, Medicare Supplement & Dual Eligible Special Needs Plans (D-SNP), Prescription Drug Plans
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Affordable prescription drug plans
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Medicare Advantage available in all states except Alaska
Cons
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Medicare Supplement (Medigap) plans only available in 43 states
Aetna Medicare Reviews
| Customer Review Platform | Rating |
|---|---|
| American Customer Satisfaction Index | 77/100 Satisfaction Benchmarks (all Aetna health insurance products) |
| Investopedia | 4.5/5 Stars for Medicare |
| SeniorLiving.org | 4.0/5 Stars for Medicare Advantage |
| ValuePenguin.com | 3.5/5 Stars for Medicare Supplement |
Aetna Medicare Coverage Overview
Aetna offers both Medicare Advantage and Medicare Supplement insurance plans in addition to prescription drug plans and Dual Eligible Special Needs Plans. However, not all plans are available in all states. See below for a list of where its plans are available.
Aetna offers the following Medicare plans:
- Medicare Advantage. Aetna offers both Medicare Advantage HMO, HMO-POS, and PPO plans.
- Medicare Supplement Insurance (Medigap). Aetna provides a wide range of Medicare supplement plans, but the availability of each plan will depend on what state you live in. See more details below.
- Prescription drug plans. Aetna offers three main prescription drug plans with premiums that range from $5.92 per month to $75.58 per month. See more details below.
- Dual Eligible Special Needs Plans (D-SNP): D-SNP plans are for those who qualify for both Medicare and Medicaid. These plans come with original Medicare and additional benefits for groceries, dental care, $0 copay on prescription drugs, eyeglasses, and hearing aids.
Aetna Medicare Advantage Plan Rates
For 2024, the Centers for Medicare & Medicaid Services (CMS) gave 87 percent of its Medicare Advantage Prescription Drug plans a rating of 4 stars are greater, according to an Aetna press release.
| Plan Name | Rates and Fees |
|---|---|
| Medicare Advantage HMO Plans | $0 Premium (plus Part B premium) $0 for primary care physician visits $30 for specialists $0 Deductible $2,800 max out of pocket costs per year |
| Medicare Advantage HMO-POS Plans | $0 Premium (plus Part B premium) $0 for primary care physician visits $30 for specialists $0 Deductible $2,800 max out-of-pocket costs per year |
| Medicare Advantage PPO Plans | $32 Premium (plus Part B premium) $5 for primary care physician visits $45 for specialists $0 Deductible $6,000 max out-of-pocket costs per year |
Aetna Medicare Supplement Insurance Plans
Medicare Supplement plans, also known as Medigap plans, are designed to provide additional coverage in addition to Original Medicare. They are designed to limit how much you pay out-of-pocket each year.
Not all of Aetna’s Medicare Supplement plans are offered in every state. To find out which plans are offered in your state, go here and select your state.
Aetna offers the following Medicare Supplement plans:
- Plan A. Plan A provides Part A coinsurance and hospital coverage, Part B coinsurance or copayment, and Part A hospice care coinsurance or copayment.
- Plan B. Plan B provides Part A coinsurance and hospital coverage, Part B coinsurance or copayment, Part A hospice care coinsurance or copayment, and Medicare Part A deductible.
- Plan C. (Only available to those who were eligible before 2020.) Plan C provides Part A coinsurance and hospital coverage, Part B coinsurance or copayment, Part A hospice care coinsurance or copayment, skilled nursing facility coinsurance, Medicare Part A deductible, and Medicare Part B deductible.
- Plan D. Plan D provides Part A coinsurance and hospital coverage, Part B coinsurance or copayment, Part A hospice care coinsurance or copayment, skilled nursing facility coinsurance, and Medicare Part A deductible.
- Plan F. (Only available to those who were eligible before 2020.) Plan F provides Part A coinsurance and hospital coverage, Part B coinsurance or copayment, Part A hospice care coinsurance or copayment, skilled nursing facility coinsurance, Medicare Part A deductible, Medicare Part B deductible, and Part B excess charges.
- Plan G. Plan G provides Part A coinsurance and hospital coverage, Part B coinsurance or copayment, Part A hospice care coinsurance or copayment, skilled nursing facility coinsurance, Medicare Part A deductible, and Medicare Part B excess charges.
- Plan K. Plan K provides Part A coinsurance and hospital coverage, 50% of Part B coinsurance or copayment, 50% of Part A hospice care coinsurance or copayment, 50% of skilled nursing facility coinsurance, and 50% of Medicare Part A deductible.
- Plan L. Plan L provides Part A coinsurance and hospital coverage, 75% of Part B coinsurance or copayment, 75% of Part A hospice care coinsurance or copayment, 75% of skilled nursing facility coinsurance, and 75% of Medicare Part A deductible.
- Plan M. Plan M provides Part A coinsurance and hospital coverage, Part B coinsurance or copayment, Part A hospice care coinsurance or copayment, skilled nursing facility coinsurance, and Medicare Part A deductible. Plan N is almost identical to Plan D ER visits, and the copayments do not count toward the Part B deductible.
- Plan N. Plan N provides Part A coinsurance and hospital coverage, Part B coinsurance or copayment, Part A hospice care coinsurance or copayment, skilled nursing facility coinsurance, and 50% of Medicare Part A deductible.
Aetna Medigap Plan Premiums
The cost for Aetna Medigap plans varies depending on the state where you live and your age.
| Plan | Premium Range |
|---|---|
| Plan A | $147 – $784 |
| Plan B | $202 – $726 |
| Plan C | $239 – $573 |
| Plan D | $221 – $515 |
| Plan F | $221 – $544 |
| Plan G | $199 – $473 |
| Plan K | $62 – $135 |
| Plan L | $119 – $301 |
| Plan M | $201 – $430 |
| Plan N | $146 – $289 |
Aetna Prescription Drug Plans (Medicare Part D)
Aetna offers three Part D prescription drug plans. Aetna claims that its SilverScript SmartSaver is the lowest average premium for a Medicare prescription drug plan in the country.
| Part D Plans | Details | Average Monthly Premium |
|---|---|---|
| SilverScript SmartSaver (PDP) | $0 deductible and $2 copays for Tier 1 drugs $15 copays for Tier 2 drugs Savings on select insulins for no more than a $10 copay at preferred pharmacies No gap coverage | $5.95 |
| SilverScript Choice (PDP) | $2 copays for Tier 1 drugs $7 copays for Tier 2 drugs $505 deductible (applies to all tiers) Formulary insulins on all tiers for no more than a $35 copay No gap coverage | $33.60 |
| SilverScript Plus (PDP) | $0 deductible on all tiers $0 copays on Tier 1 and 2 drugs Formulary insulins on all tiers for no more than a $35 copay Also includes prescription vitamins, minerals, and erectile dysfunction drugs Gap coverage for Tier 1 and Tier 2 drugs | $75.58 |
How to Enroll in Medicare Plans with Aetna
For most people, you will be eligible to sign up for Medicare during your Initial Enrollment Period (IEP). The IEP lasts seven months. It includes the three months before your 65th birthday, your birthday month, and the three months following your 65th birthday. Failure to sign up during this period may result in a late-enrollment penalty.
Some people are automatically enrolled if they have been receiving disability benefits through Social Security or the Railroad Retirement Board.
“If you’re getting benefits from Social Security (or the Railroad Retirement Board) at least 4 months before you turn 65, you’ll automatically get Part A coverage. You’ll also be signed up for Part B,” according to Medicare.gov.
To learn more about enrolling in Medicare, go to Medicare.gov.
To get started with Aetna Medicare plans, start by going to AetnaMedicare.com and explore the available plans. Aetna requires you to enter your zip code in order to provide a list of the plans and expected premiums available in your area.
About Aetna
Aetna Insurance Company started out in 1850 as an annuity fund for the purpose of selling life insurance. It first entered the health insurance industry in 1899 and paid its first Medicare claim in 1966.
Additional Benefits
Aetna also offers the following additional benefits and services:
- Resources For Living. This is a concierge service that assists seniors in finding local resources.
- SilverSneakers. Aetna’s SilverSneakers membership gives seniors access to more than 15,000 health clubs.
- 24-Hour Nurse Line. Aetna Medicare plans also include a nurse hotline where you can talk to a registered nurse 24 hours a day.
- Prescription home delivery. Receive your prescription drugs at your door with Aetna’s prescription home delivery service.
Where Plans are Offered
Medicare Advantage: Aetna MA plans are available in 49 states and the District of Columbia. The only state where MA plans are not available is Alaska. [Source: MedicareAdvantage.com]
Medicare Supplement: Available in 43 states. Aetna Medicare Supplement is not available in Alaska, Connecticut, Hawaii, Maine, Massachusetts, New York, Washington State, and the District of Columbia. [Source: AetnaMedicare.com]
Medicare Part-D: Medicare Advantage Part D is available in 46 states and the District of Columbia. Aetna offers standalone Part-D plans that are available in all 50 states and the District of Columbia.
Dual Eligible Special Needs Plan (D-SNP): Available in the following 30 states: Alabama, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Mississippi, Missouri, North Carolina, Nebraska, Nevada, New Jersey, New York, Ohio, Pennsylvania, South Carolina, South Dakota, Texas, Utah, Virginia, West Virginia
Note: Medicare plans may not be available in all counties even if they are available in your state.
Our Methodology
We independently identify Medicare insurance companies. Medicare Insurance companies are evaluated based on five factors that we believe are important for consumers: years in business, number of products offered, customer service availability, state licensing footprint, and Better Business Bureau (BBB) Ratings. Please find a full description of our rating system here.
Reviews last updated: 4/2/24. (Reviews typically updated monthly.)
Ratings last updated: 12/4/23. (Ratings are typically updated quarterly.)
Address: PO Box 7405 London, KY 40742
Reviews for Aetna Medicare Insurance Plans
5.0 out of 5 stars (based on 1 review)
Healthcare with heartfelt help
My first appointment was so gratifying . I was impressed by the staffs professional
introduction to clinical treatment services.
March 14, 2024