Aetna medicare prime plan hmo

But there are options to go out of network for dental care. That gives you more choice and flexibility. And, these plans provide you with flexibility to go to licensed dentists either in or out of our network for routine dental care.

Your Medicare Advantage plan comparison is just one step away! Compare Medicare Advantage plans and benefits in your local area. Our licensed insurance agents can help you compare plans and keep your current doctor. Learn more about Rhode Island Medicare Advantage plans like the one below and find a plan that offers the benefits you want at an affordable price. The following dental services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.

Aetna medicare prime plan hmo

Aetna Medicare Advantage health maintenance organization HMO plans can help you get the personalized health care you need at the right time. Your PCP helps coordinate most of your medical care. If more specialized treatment is necessary, your primary care provider will give you a referral to visit a specialist or hospital in the Aetna plan network. In some limited instances — such as in an emergency — you may be able to receive out-of-network care. However, you are typically required to visit a provider in the network. The plan may also include in-network coverage when you travel in the U. Plan availability, costs and benefits vary by location. A licensed agent can help you compare the plans that are available in your area. Contact a licensed insurance agent to learn about more about your plan options. Speak with a licensed agent directly by calling , TTY: By entering my contact information and clicking "Get started" above, I consent to receive e-mails, telephone calls, text messages, and artificial or pre-recorded messages from licensed insurance agents with TZ Insurance Solutions LLC on behalf of Aetna , regarding their products and services, at the e-mail address and telephone number provided above, including my wireless number if provided , and regardless of whether it is on any do not call list, using an automated telephone dialing system.

Over-the-counter OTC benefit. If there is a discrepancy between a Clinical Policy Bulletin CPB and a member's plan of benefits, the benefits plan will govern.

Our Health Maintenance Organization HMO benefits plans offer a nice choice of providers with the comfort of guided care to help members reach their best heath, at the best costs possible. The HMO plan is ideal for employers in urban locations who want to offer simple, convenient care with fixed, predictable costs. You get both: the cost advantages of a network-only plan and the freedom of no referrals or PCP required. Add whole health to your benefits plan with our range of dental, vision and other ancillary benefits. Explore quoting, enrollment and reporting tools to ease administration for plan sponsors and brokers.

Aetna Medicare Advantage plans take a total approach to health. With our Medicare Advantage HMO plans, you choose a primary care provider who helps coordinate your care within a network of doctors and hospitals. For medical care, our HMO-POS plans require you to choose a primary care provider from a group of participating providers. For routine dental care, our HMO-POS plans provide you with flexibility to go to licensed dental providers either in or out of our network. You may pay more when you go out of network. We can help you find out if you qualify. Aetna Medicare Advantage plans include benefits and services that focus on your total health. We want to help you get the coverage, resources and care you need.

Aetna medicare prime plan hmo

Your PCP works with you to help you get the right care at the right time so you can achieve your best health. A health maintenance organization HMO gives you access to a network of doctors and hospitals. Your plan requires you to use these network providers. There are limited out-of-network benefits with an HMO plan. Varies by plan. Seeing out-of-network providers generally costs more. But most allow non-network dental providers.

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Continue online. Go to the American Medical Association Web site. We could not find a state with that ZIP code. This site has its own log in. The plan may also include in-network coverage when you travel in the U. The information you will be accessing is provided by another organization or vendor. View plans for another state Want to see options for a different location? Varies by plan. Requires referral to see a specialist. You are leaving AetnaMedicare. The member's benefit plan determines coverage.

Aetna Medicare Advantage plans provide your Medicare coverage and other optional benefits in one simple plan.

Options for whole health Add whole health to your benefits plan with our range of dental, vision and other ancillary benefits. However, applicable state mandates will take precedence with respect to fully insured plans and self-funded non-ERISA e. You can also look forward to informative email updates about Medicare and Medicare Advantage. Limits what you pay out-of-pocket for covered medical care each year. Requires you to use a network provider. Varies by plan, check your ZIP code for details. You are leaving AetnaMedicare. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins CPBs. Enter ZIP code Compare plans now. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered i.