Aetna Medicare Advantage plans are broadly handy and provide a range of greater benefits. Member trip ratings are additionally high, and megastar rankings land simply above the enterprise average.
Pros
In addition to dental, imaginative prescient, and hearing, many plans provide perks like an over-the-counter allowance, meal shipping, and in-home fitness visits.
More than eight in 10 Medicare-eligible beneficiaries have gotten entry to a $0-premium Aetna plan.
Available in forty-six states and Washington, D.C.
Cons
Customer pleasure lands beneath enterprise common in some important Medicare markets.
Aetna is the fourth-largest issuer of Medicare Advantage plans.
A CVS Health organization considering that 2018, Aetna presents a sturdy array of benefits. Every Aetna Medicare Advantage layout consists of dental, imaginative prescient, and listening to benefits, and many plans provide extra (and valuable) perks. The plans are additionally generally low cost, with an estimated 84% of Medicare beneficiaries having get admission to to a $0-premium Aetna plan.
The company’s choices are notable, and Aetna’s Medicare Advantage plans rating is above common for member journey rankings with the Centers for Medicare & Medicaid Services (CMS), together with fitness care satisfaction and consumer service.
Here’s what you have to be aware of about Aetna Medicare Advantage.
Aetna Medicare Advantage professionals and cons
Aetna’s choices have blessings and disadvantages.
Pros
Aetna affords more than one benefit: In addition to dental, imaginative prescient, and hearing, Aetna Medicare beneficiaries in many plans have admission to advantages such as an over-the-counter allowance, meal shipping offerings, and in-home fitness visits
$0-premium choices are plentiful: In 2024, Aetna estimates that 84% of Medicare-eligible beneficiaries in the U.S. have gotten admission to a $0-monthly-premium Aetna Medicare Advantage plan.
Plans are extensively available: Aetna presents Medicare Advantage plans in forty-six states and Washington, D.C., as nicely as stand-alone drug plans in all 50 states plus Washington, D.C.
Drug prices are low: All Aetna Medicare Advantage prescription drug plans come with a $0 deductible for all Tier 1 and Tier 2 drugs, as properly as a $0 copay on Tier 1 drugs.
Cons
Member love is mediocre: Aetna consumer delight numbers landed beneath the enterprise common in some most important Medicare markets, by J.D. Power’s state-of-the-art survey.
What is the famous person ranking for Aetna Medicare Advantage?
Average famous person rating, weighted via enrollment: 4.14
Aetna Medicare Advantage plans are rated barely above the enterprise average, receiving a common ranking of 4.14 stars out of five from CMS for 2024, weighted by using enrollment. For comparison, the common weighted megastar ranking for all plans is 4.04
Of Aetna individuals who are in contracts with a Medicare celebrity rating, 87% are in contracts rated four stars or above as of March 2024
CMS continues its database of megastar ratings, which rank every diagram from pleasant (5 stars) to worst (1 star). The business enterprise bases these scores on plans’ high-quality care and measurements of consumer satisfaction, and scores can also alternate from 12 months to year.
All Medicare Advantage plans are evaluated on fitness diagram measures, and Medicare Advantage plans that encompass prescription drug insurance are additionally evaluated on drug design measures.
What Is Medicare Advantage?
Medicare Advantage is an all-in-one sketch preference choice for receiving Medicare benefits. You may additionally additionally hear it referred to as Medicare Part C. This diagram is bundled with Medicare Part A and Part B and typically consists of Part D, which gives prescription drug coverage.
How Do Medicare Advantage Plans Work?
Medicare will pay personal insurance plan groups to administer the advantages of Medicare Advantage plans they sell. These plans then characterized the identical way Original Medicare (Part A and Part B) does, with the addition of advantages the personal insurance plan company elects to consist of in a given plan.
Depending on the issuer and graph you choose, Medicare Advantage insurance works similarly to an employer-sponsored fitness insurance plan with which you may also be familiar. For a month-to-month top class in addition to the Medicare Part B premium, an MA sketch offers set copays, coinsurance quotes, and deductibles for a range of elements of care, as nicely as extra insurance advantages and perks.
What Do Medicare Advantage Plans Cover?
All Medicare Advantage plans are required to provide all insurance furnished by using Original Medicare (Part A and Part B), which usually includes:
Hospital inpatient care
Skilled nursing facility care
Hospice care
Home fitness care
Clinical research
Ambulance services
Durable clinical gear (DME)
Inpatient and outpatient intellectual fitness services
Limited outpatient prescription drugs
Some Medicare Advantage plans provide precious extra benefits, such as:
Prescription drug coverage
Vision coverage
Dental coverage
Hearing coverage
Fitness software coverage (including fitness center memberships or discounts)
Transportation to health practitioner visits
Over-the-counter drug coverage
Other offerings that promote health and wellness
Who Should Get a Medicare Advantage Plan?
Individuals who choose a bundled fitness insurance plan format that consists of insurance for advantages like vision, listening to, and dental offerings might also pick Medicare Advantage. Additionally, most Medicare Advantage plans encompass Part D coverage, which may also be attractive to people who take prescription medications.
Medicare Advantage may also no longer be the fine alternative for folks who choose to manipulate their fitness advantages individually. Instead, these beneficiaries might also decide to save for supplemental insurance by way of a Medigap plan. Individuals who keep fitness insurance plan insurance from a former company or through Medicaid may also no longer want the extra advantages Medicare Advantage offers.
How Much Does Medicare Advantage Cost?
Some Medicare Advantage plans may additionally have decreased out-of-pocket charges than Original Medicare, and some have a $0 month-to-month premium. Here are a few questions to think about earlier than buying a plan.
Does the layout have a month-to-month premium?
Most have a $0 premium.
Some pay your Part B premium.
If you pick out a layout with a premium, that top class is paid one by one from your Part B premium.
Does the sketch have an annual or extra deductible?
How lots is the copayment for every go-to or service?
What kind of fitness care offerings do you need, and how regularly do you get them?
Does your provider issuer receive Medicare?
What is the plan’s annual restriction on out-of-pocket expenses?
Once you’re enrolled in a Medicare Advantage plan, it will become your predominant insurance. The company handles paying all your claims, and the value of your diagram is probably to alternate every year. The layout company (rather than Medicare) units the quantities charged for premiums, deductibles, and services. An Annual Notice of Change (ANOC) is mailed to you every September, which goes into impact the following January 1.
Factors like vicinity play an important role in finding out the value of a Medicare Advantage plan. Costs normally decrease when you use vendors in your plan’s community and carrier area. To discover the unique price of a Medicare Advantage layout in your zip code, go to Medicare.gov.
