What type of insurance is Aetna Medicare?
Asked by: Mr. Janick Murazik MD | Last update: January 13, 2026Score: 4.3/5 (69 votes)
What type of plan is Aetna Medicare?
Aetna offers Medicare Advantage targeted SNP plans for those who have specific chronic health conditions, are dual eligible with Medicaid or are in an institution. These plans are designed with benefits that provide members with the care that fits them best.
Is Aetna an HMO or a PPO?
The Aetna Open Access plan is a health maintenance organization (HMO) plan that gives members more freedom. Members can visit any in-network provider, like a primary care physician (PCP) or specialist, for covered services without a referral. * You can find Aetna® network providers by using our provider search.
Is Aetna Medicare PPO primary or secondary?
The Aetna Medicare Advantage plan will take the place of Original Medicare and become your primary coverage for all of your Part A & B benefits.
Is Aetna Medicare a 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.
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Is Aetna under Medicare or Medicaid?
Aetna Medicare is an HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. Every year, Medicare evaluates plans based on a 5-star rating system.
Is Aetna public or private insurance?
Yes, Aetna is a private insurer.
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.
How can you tell if Medicare is primary or secondary?
- Medicare is the primary payer if the employer you work for has less than 20 employees. Your employer health insurance pays second.
- Medicare is the secondary payer if your company has more than 20 employees. Your employer plan would pay first.
What does Aetna Medicare ppo mean?
Preferred provider organization (PPO) plans let you choose any provider who accepts Medicare and our plan terms. You don't need a referral from a primary care provider for specialist or hospital visits.
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 group is Aetna?
Aetna® group of companies. Aetna is proud to be a part of the CVS Health® family of companies.
Who is Aetna 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 Medicare better than Medicare?
Aetna Medicare Advantage provides the same coverage as Original Medicare but with extra benefits like $0 deductibles and prescription benefits. You'll also get access to programs that may help you reach your health goals. These include SilverSneakers® fitness membership and more.
What does HMO mean for Aetna Medicare?
With an HMO, or health maintenance organization plan, you pick one PCP under your plan's network who provides routine care and refers you to in network specialists for additional care. HMOs will not cover out of network care.
Is it better to have Medicare as primary or secondary?
Important facts to know include: The primary payer pays up to the limits of its coverage. The secondary payer only pays if there are costs the first payer didn't cover. The secondary payer (which could be Medicare) might not pay all of the uncovered cost.
How do you determine which insurance is primary and which is secondary?
The insurance that pays first is called the primary payer. The primary payer pays up to the limits of its coverage. The insurance that pays second is called the secondary payer. The secondary payer only pays if there are costs the primary insurer didn't cover.
What happens to my younger wife when I go on Medicare?
Medicare is individual insurance, so spouses cannot be on the same Medicare plan together. Now, if your spouse is eligible for Medicare, then he or she can get their own Medicare plan.
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.
Is Aetna a good Medicare part D plan?
The best Medicare Part D provider is Aetna. It has top ratings from the Centers for Medicare & Medicaid Services and affordable premiums. Other great providers include Wellcare and UnitedHealthcare. Medicare Part D is a government program that helps people with Original Medicare pay for prescription drugs.
Is Aetna Medicare a Medicaid plan?
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.
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 Blue Cross Blue Shield?
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.