Is Aetna a Medicare healthcare?

Asked by: Shaun O'Reilly  |  Last update: February 21, 2025
Score: 4.4/5 (44 votes)

Aetna® Medicare plans As part of America's largest health solutions company, Aetna designs Medicare plans that deliver a total approach to health care. We provide the resources, support and care options members need. And we do it affordably, so that more people in more communities have access to care.

What type of company is Aetna?

We're a health care company that's building a healthier world.

Is Aetna Medicaid or Medicare?

Aetna offers Medicaid insurance plans in many states. Aetna also runs Children's Health Insurance Plan (CHIP), Medicare Advantage, behavioral health and long-term care programs in some states.

Is Aetna considered Medicare?

Aetna Medicare is a HMO, PPO plan with a Medicare contract. Our D-SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. SilverScript is a Prescription Drug Plan with a Medicare contract marketed through Aetna Medicare.

What kind of healthcare is Aetna?

(/ˈɛtnə/ ET-nə) is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit ...

Aetna Plans Major Cut: 420,000 Medicare Advantage at Risk in 2025

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Is Aetna different than Blue Cross?

Aetna and Anthem are different health insurance companies. Aetna has broader availability, especially with Medicare Advantage plans. Aetna sells health insurance in 49 states plus Washington, D.C.. Anthem is a brand of the Blue Cross Blue Shield network. It only operates in 14 states.

What are the four types of Medicaid?

There are four types of Medicaid delivery systems:
  • State-operated fee-for-service (FFS)
  • Primary care case management (PCCM)
  • Comprehensive risk-based managed care (MCO model)
  • Limited-benefit plans.

How much does Aetna Medicare cost per month?

$0-premium offerings: In 2025, Aetna estimates that 83% of Medicare-eligible beneficiaries have access to a $0-monthly-premium Aetna Medicare Advantage plan. Broadly available: Aetna offers Medicare Advantage plans in 44 states and Washington, D.C.

Which is better, Medicaid or Medicare?

While Medicare is the primary payer for medical needs, Medicaid can cover costs that Medicare coverage does not. When you visit a provider that takes both Medicare and Medicaid, Medicare pays first for the cost of your care. Medicaid pays second, covering copays and other costs not covered.

Which is primary if you have Aetna and Medicare?

Medicare pays first, and the group health plan pays second.

If you have employer or union coverage and get Medicare drug coverage, you may lose your employer or union health and drug coverage (for you and your dependents).

What age is Aetna Medicare for?

As long as I did, I could keep my current coverage and wait to enroll in Medicare until any time after age 65. And, without paying a late-enrollment penalty.

What type of plan is Aetna Whole health?

Aetna Whole Health Southern California network HMO plans offer a coordinated health experience that can save members up to 25 percent compared to broad network Aetna® HMO plans*. It gives them wider access to a regional network of high-performing health care provider groups right in their neighborhood.

Which is better, PPO or HMO?

Generally speaking, an HMO might make sense if lower costs are most important and if you don't mind using a PCP to manage your care. A PPO may be better if you already have a doctor or medical team that you want to keep but doesn't belong to your plan network.

Is Aetna the same as Medicare?

Aetna Direct is not Medicare, but it works seamlessly with Medicare to coordinate your coverage. With Aetna Direct, you get money-saving features — low plan premiums, low out-of-pocket costs and a fund to help pay for prescriptions or Medicare Part B premiums.

Is Aetna a Medicaid or Medicare?

Aetna offers Medicaid insurance plans in many states. Aetna also runs Children's Health Insurance Plan (CHIP), Medicare Advantage, behavioral health and long-term care programs in some states. Our plans have different names in different states, but all offer the same high-quality care.

How do I know if my insurance is Medicare or Medicaid?

Medicare is federal health insurance for anyone age 65 and older, and some people under 65 with certain disabilities or conditions. Medicaid is a joint federal and state program that gives health coverage to some people with limited income and resources.

Why is Aetna so expensive?

Factors influencing Aetna insurance monthly costs

Plans with broader coverage and extensive benefits, such as lower deductibles, co-pays, and comprehensive services like dental and vision care, often come with higher monthly costs.

What is an Aetna copay?

Definitions: Out-of-pocket (OOP) max: The highest amount you could pay in a given year for services (excludes premium). Copay/coinsurance: The amount you pay per visit or prescription to treat an injury or illness. It typically counts toward your OOP max.

What pharmacies does Aetna use?

Our Aetna Medicare preferred pharmacy network
  • Albertsons®
  • Costco® Pharmacy.
  • CVS Pharmacy® stores.
  • Kroger®
  • Publix Super Markets.
  • Safeway.
  • Walmart.

Will I lose my Medicaid if I get Medicare?

People who have both Medicare and full Medicaid coverage are “dually eligible.” Medicare pays first when you're a dual eligible and you get Medicare-covered services. Medicaid pays last, after Medicare and any other health insurance you have.

What does Medicaid not cover?

Though Medicaid covers a wide range of services, there are limitations on certain types of care, such as infertility treatments, elective abortions, and some types of alternative medicine. For example, the federal government lists family planning as a mandatory service benefit, but states interpret this differently.

Is Aetna considered good insurance?

It also offers benefits like access to 24/7 virtual care at no or low costs, depending on your plan, and mental health coverage. Aetna is regarded as a good health insurance provider overall.