Learn about Medicare Advantage benefits
Want to know more about what’s covered? Take a look at each tab for more on dental, vision and hearing benefits with Aetna Medicare Advantage. Plans can vary. So, you should check your Evidence of Coverage (EOC) for details on your plan.
Dental benefit
Aetna has Medicare Advantage plans with a dental benefit. Many plans cover preventive care. Including oral exams, cleanings and X-rays. Some plans also offer a dental Optional Supplemental Benefit (OSB). A dental OSB gives you more dental coverage than what's included in your plan. It may help pay for services like fillings, crowns, dentures, and other dental care.
A dental OSB costs an additional monthly premium. Not all plans offer a dental OSB. What's available depends on your plan and where you live.
How it works
Most dental benefits use the Aetna Dental® PPO network. That stands for preferred provider organization. See if your dentist is in the Aetna network.
| Dental benefit | Coverage |
|---|---|
| Who you can see for dental care | See an in-network dentist* |
| Oral exams | Covered |
| Routine cleanings | Covered |
| X-rays | Covered |
| Fillings | Varies by plan* |
| Extractions | Varies by plan* |
| Teeth whitening | Teeth whitening is a cosmetic service. It's not covered. |
Check your Evidence of Coverage for more details on your plan’s benefits.
Vision benefit
Aetna has Medicare Advantage plans with a vision benefit. All plans cover a yearly eye exam. And some plans give you a benefit amount (allowance) for prescription eyewear.
How it works
With a network benefit, you can see any vision provider in your plan’s network. See if your provider is in the network.
| Vision benefit | Network |
|---|---|
| Who you can see for vision care | See an in-network vision provider.* |
| How vision coverage works | Network providers bill the plan directly. |
| Routine vision exam | Covered |
| Eyewear coverage (glasses/contacts) | Varies by plan.* |
Check your Evidence of Coverage for more details on your plan’s benefits.
Hearing benefit
Aetna Medicare has teamed up with NationsHearing® to provide hearing benefits. We have Medicare Advantage plans that cover one routine hearing exam per year, hearing aids and one hearing aid fitting per year.
How it works
We offer Medicare HMO and PPO plans. These are also known as health maintenance organization and preferred provider organization plans.
With an HMO plan: You can see any NationsHearing provider for a hearing exam.
With a PPO plan: You can see any licensed provider for a hearing exam.
Hearing aids are only covered through NationsHearing.
| Hearing benefit | HMO | PPO |
|---|---|---|
| Who you can see for hearing care | See any NationsHearing provider. | See any licensed provider. |
| How hearing coverage works | Contact NationsHearing to schedule your visit. | Contact your provider or NationsHearing to schedule your visit. |
| Routine hearing exam | Covered | Covered |
| Hearing aids | Covered through NationsHearing | Covered through NationsHearing |
| Hearing aid fitting | Covered | Covered |
Check the Evidence of Coverage for more details on each plan’s benefits.
Disclaimer
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