What are the changes for Aetna 2025?

Asked by: Ms. Reina Walsh II  |  Last update: November 22, 2025
Score: 4.9/5 (48 votes)

* All 2025 Aetna Medicare Eagle plans will feature a $0 monthly plan premium, $0 primary care copay (including walk-in clinics), dental, vision, hearing, OTC allowance and a SilverSneakers fitness benefit. These plans also offer $0 copays for labs, colonoscopies and routine eye and hearing exams.

What is the Aetna benefit card 2025?

The 2025 Aetna Medicare Extra Benefits Card gives qualifying members “wallets” or spending allowances – like the Extra Supports Wallet, OTC Wallet, CVS OTC Wallet, Medical Expense Wallet and Healthy Foods Wallet – to use on certain categories of items.

What are the changes in Medicare in 2025?

Medicare Part B Premium and Deductible

The standard monthly premium for Medicare Part B enrollees will be $185.00 for 2025, an increase of $10.30 from $174.70 in 2024. The annual deductible for all Medicare Part B beneficiaries will be $257 in 2025, an increase of $17 from the annual deductible of $240 in 2024.

What is happening to Aetna?

CVS is removing Brian Kane, the head of Aetna, citing the division's poor performance and outlook. CEO Karen Lynch, who was the president of Aetna from 2015 to 2021, will now lead the business, while CFO Tom Cowhey will help oversee its day-to-day operations.

Is the Aetna Extra Support Wallet changing in 2025?

Starting in 2025, Aetna Medicare members enrolled in certain plans could have access to our Medical Expense Wallet, which holds a quarterly benefit allowance accessible via the Aetna Medicare Extra Benefits Card.

AETNA Plan Changes Coming Your Way In 2025!

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What are the changes for Aetna for 2025 for seniors?

You'll lose your current Aetna Medicare Advantage coverage. Beginning January 1, 2025, you'll only be covered by Original Medicare, which doesn't include additional benefits. That's why we encourage you to enroll in a new Aetna Medicare Advantage plan by December 31.

Who bought out Aetna?

2017: On December 3, 2017, CVS Health announced the acquisition of Aetna for $69 billion. Larry Merlo became chief executive of the two brands. Aetna CEO Mark Bertolini resigned and Aetna President Karen S.

Why is Aetna struggling?

Aetna majorly miscalculated utilization trends in pricing Medicare Advantage plans for this year, causing hundreds of thousands of seniors to flock to its generous coverage and saddling the insurer with an unexpectedly steep price tag for their care.

What are the changes for Aetna Part D in 2025?

Lower out-of-pocket limit for Part D plans

In 2025, your maximum prescription out-of-pocket costs will be lowered to $2,000 for covered Part D drugs. Your out-of-pocket costs include your: Part D deductible.

Is Aetna in financial trouble?

Aetna's revenues hit $33 billion in Q3, up from $26.3 billion in Q3 2023. But it posted an adjusted operating income loss of $924 million this year. Its Medical Benefits Ratio was 95.2% in the quarter, compared to 85.7% in the same period last year.

What is the income limit for extra help in 2025?

Extra Help eligibility

If your monthly income is up to $1,976 in 2025 ($2,664 for couples) and your assets are below specified limits, you may be eligible for Extra Help (see the Extra Help income and asset limit chart for details).

Why are hospitals refusing Medicare Advantage plans?

Among the most commonly cited reasons are excessive prior authorization denial rates and slow payments from insurers. In 2023, Becker's began reporting on hospitals and health systems nationwide that dropped some or all of their Medicare Advantage contracts.

What are the changes in the act 2025?

ACT Format Changes (2025)

The key changes include a reduction in test length, a shift to optional sections, and new digital testing options at certain locations.

Does Aetna give money for groceries?

It's included in the Aetna D-SNP plan. Buying fresh, healthy foods can sometimes be pricey. That's why Aetna D-SNP provides this pre-paid debit card to many members. It can help you stock up on approved foods at the grocery store.

Is Aetna good insurance for seniors?

Aetna is an established health insurance company with a long history of providing coverage and support to millions of seniors across the country. Their Medigap plans offer a variety of benefits and options to make sure that older adults have the quality care they need and deserve.

Why did Aetna send me a card?

The Aetna Medicare Payment Card is a preloaded debit card that Aetna Medicare members received on or before January 1, 2023. The purpose of this card is to make it easier for members to pay for medical services or, for certain plans, medical services and over-the-counter (OTC) expenses.

What are the benefits of Aetna 2025?

* All 2025 Aetna Medicare Eagle plans will feature a $0 monthly plan premium, $0 primary care copay (including walk-in clinics), dental, vision, hearing, OTC allowance and a SilverSneakers fitness benefit. These plans also offer $0 copays for labs, colonoscopies and routine eye and hearing exams.

Will the donut hole go away in 2025 Medicare Part?

The Medicare Part D coverage gap explained. Good news for 2025: In 2025, the Medicare Part D coverage gap, also known as the “donut hole,” will be eliminated under the Inflation Reduction Act (IRA). Part D plan members will also enjoy the security of an annual maximum out-of-pocket cost for prescription drugs.

Will Part D premiums increase in 2025?

More than half of non-LIS Part D PDP enrollees (7.0 million out of 13.1 million) will see a reduction or no change in their monthly premium in 2025 if they make no changes during open enrollment, but 1 in 5 non-LIS PDP enrollees (2.6 million) will see their monthly premium increase by $35 if they stay in their same ...

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.

Who is buying Aetna?

CVS Health Completes Acquisition of Aetna, Marking Start of Transforming Consumer Health Experience. WOONSOCKET, R.I., Nov.

Why is Aetna not paying claims?

If you've had a health treatment or disability claim denied by Aetna, it could be because: The procedure is considered cosmetic (not medically necessary) Your doctor is out of network or doesn't participate in the plan. Your plan doesn't cover your medical condition.

Is Aetna merging with Humana?

Our mutual respect for our companies' capabilities has grown throughout this process, and we remain committed to a shared goal of helping drive the shift to a consumer-centric health care system.” Aetna will pay Humana $1 billion as a result of the termination of the merger agreement.

Does CVS still own Aetna?

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

Is CVS in financial trouble?

Over the last few years, CVS has struggled with declining profit margins at its retail pharmacies, as well as rising costs of patient care through its insurance unit Aetna, which generates around a third of the company's revenue. So far, CVS has cut its 2024 earnings forecast for three straight quarters.