Is Aetna Medicare or medical?

Asked by: Pascale Heidenreich  |  Last update: April 3, 2025
Score: 4.1/5 (6 votes)

Aetna Medicare is an HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs.

Is Aetna considered Medicare?

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.

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.

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 ...

What type of company is Aetna?

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

What’s an Aetna Medicare Chronic Conditions Special Needs Plan (CSNP)?

23 related questions found

Is Aetna Medicare or commercial?

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.

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.

How do I know what type of insurance I have Aetna?

The best place to find details about your coverage and benefits is your Aetna member website. It takes only a few minutes to register. And you only need your member number, which is on your member ID card. You can still get benefits and coverage information by calling the number on your member ID card.

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.

What is the best medical insurance?

Investopedia's analysis ranks Kaiser Permanente as the best health insurance company for 2025 because of its blend of affordability and low customer complaints. UnitedHealthcare and Aetna also earned top marks. We evaluated nine insurers using dozens of criteria, such as customer satisfaction, plan types, and costs.

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.

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.

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.

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 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 is the difference between medical and Medicaid?

Medi-Cal is California's Medicaid program. This is a public health insurance program that provides free or low cost medical services for children and adults with limited income and resources.

Is medical the same as Medicare?

Medi-Cal is California's Medicaid health care program. Medi-Cal pays for a variety of medical services for children and adults with limited income and resources. Medicare is a federally funded insurance program for eligible participants 65 or over.

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.

Is Aetna Medicare or private insurance?

Part C plans, also known as Medicare Advantage plans, are run by private insurance companies, like Aetna® Medicare. Medicare Advantage plans are a lot like Original Medicare. But they can include valuable extra benefits that Original Medicare doesn't.

What group is Aetna?

Aetna® group of companies. Aetna is proud to be a part of the CVS Health® family of companies.

Why are people leaving Medicare Advantage plans?

Key takeaways: People leave Medicare Advantage plans because out-of-pocket costs vary between plans, network restrictions can cause frustration, prior authorization requests can delay care, and it can be difficult to use the additional benefits they provide.

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.

Does Aetna deny a lot of claims?

In the same year, Medicare denied 6.85% of its claims. One year later, AMA reported that all the surveyed insurers were denying fewer claims: Aetna's denial rate was down to 1.81%, Anthem BCBS reduced its rate to 4.34%, and private insurers overall were down to 2.79%, while Medicare denied only 4% of claims.

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.