With our health maintenance organization (HMO) plans, you have access to a network of doctors and hospitals. These plans require you to use network providers for your medical care. Also, you may need a referral from your primary care provider (PCP) for hospital care and specialist visits. HMO plans offer limited out-of-network benefits.
Enroll in an Aetna® Medicare Advantage plan
Your health needs are unique. That’s why we have a range of Medicare Advantage plans to choose from. A Medicare Advantage plan gives you whole-health coverage, plus important benefits to help you stay on top of your health. We can guide you to a plan that fits your life and your budget.
What our members have to say
Since I’ve become a member with Aetna, I’ve been able to receive more focused benefits than any of the other insurance companies I’ve tried before. I’m so happy that I decided to take the call and give Aetna a chance for my health care needs.”*
— Aetna Medicare member
Learn more about your Medicare coverage choices
Medicare Advantage plans for every need
Explore our HMO, HMO-POS and PPO plan options to find the right plan for your health care needs.
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Aetna Medicare Advantage HMO plans
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Aetna Medicare Advantage HMO-POS plans
With our health maintenance organization with point of service (HMO-POS) plans, you can enjoy all the benefits of receiving medical care through a network provider. Our HMO-POS plans require you to use a network provider for medical care but provide you with flexibility to go to licensed dentists in or out of network for routine dental care.
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Aetna Medicare Advantage PPO plans
With our preferred provider organization (PPO) plans, you can get care from providers, in or out of network, who accept Medicare and Aetna plan terms. The freedom is yours.
Shop for Medicare Advantage plans
Aetna has many Medicare Advantage plans that take a total approach to health. We have plans that include prescription drug coverage and additional benefits, with plan premiums starting as low as $0 monthly.
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Medicare Advantage plans
We have Medicare Advantage plans that include dental, vision, hearing and prescription drug coverage, plus other valuable benefits and services tailored to meet your needs.
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Medicare Dual Special Needs Plans (D-SNPs)
D-SNPs work with your Medicare and Medicaid benefits. These plans give you Medicare Advantage benefits, plus additional flexible benefits that you decide how to use.
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Chronic Special Needs Plans (C-SNP)
C-SNPs are designed for people with diabetes, heart disease and other conditions. Enjoy access to a personalized care team, prescription savings and more to fit your health needs.
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Prescription drug plans (PDPs)
PDPs, or Medicare Part D plans, cover your medications but offer no medical coverage. Explore your options and find the Part D coverage that’s right for you.
Shop for Medicare plans
Explore our plan options to find the right one for your health care needs.
How to enroll in Medicare Advantage
If you want a Medicare Advantage (MA) plan or Medicare Advantage prescription drug (MAPD) plan, you’ll need to enroll in Original Medicare (Parts A and B) first if you haven’t already. You can choose these shopping options below if you’re eligible to enroll in a Part C or D plan right now:
Online
You can shop and compare coverage and prices for available Part C and D plans on our website. Simply choose the options that work best for you and enroll online.
Phone
Or enroll in an Aetna Medicare plan over the phone by calling a licensed agent at:
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Who can join a Medicare Advantage plan?
You must meet certain criteria to enroll in Medicare Advantage. Below are a few common examples of how people qualify. You may be eligible for Medicare if you’re:
- Entitled to Medicare Part A (hospital insurance)
- Enrolled in Medicare Part B (medical insurance)
- Live in an Aetna plan service area
There may be other eligibility requirements. Call to speak to a licensed agent.
You can enroll in a Medicare plan during one of the following four enrollment periods:
- Initial Enrollment Period (IEP), which begins when you’re first eligible for Medicare
- Annual Enrollment Period (AEP), which occurs from October 15 through December 7
- Open Enrollment Period (OEP), from January 1 through March 31
- Special Enrollment Period (SEP), during specific personal circumstances
Medicare’s Annual Enrollment Period begins October 15 and ends December 7 of each year. The choices you make generally take effect January 1 of the following year.
During AEP you may:
- Switch Medicare plans
- Join a new Medicare plan
- Cancel your Medicare plan
When you enter an enrollment period, there are a few steps you can take to enroll.
You can choose one of the following Medicare enrollment options:
- Enroll on AetnaMedicare.com
- Enroll using the plan’s paper enrollment form
- Enroll by calling a licensed Aetna agent at ${dynamicPhone} ${tty} ${hours}
What is Medicare Advantage (Part C)?
A Medicare Advantage (Part C) plan combines Original Medicare Part A (hospital insurance) and Part B (medical insurance) in one plan. It usually includes prescription drug coverage and may offer additional benefits such as dental, vision and fitness. There is often no additional premium charge.
Medicare can be complicated, so here’s a simple guide to understanding Medicare Parts A, B, C and D.
Medicare Parts A and B, also known as Original Medicare, are provided by the government. Part A is your hospital care. It covers things like inpatient care, home health and hospice care.
Part B is your medical care. It covers things like doctors visits, outpatient care and home health care, medical equipment, and more. Part B usually requires a premium that can often be deducted from your Social Security checks.
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. These benefits can include dental, hearing and vision care, and fitness memberships.
And finally, there’s Part D. Part D plans offer prescription drug coverage. You can get Part D on its own or by choosing a Medicare Advantage plan that includes Part D. A Medicare Advantage plan that includes Part C and Part D coverage can often give you extra savings. When you enroll into a Part D or Medicare Advantage plan, you may have an additional monthly premium.
To get a Medicare Advantage plan, you simply need to qualify for Original Medicare. To see these qualifications, visit medicare.gov.
Before enrolling in a specific plan, ensure your health care providers, pharmacies and hospitals are in that plans network. We recommend you verify this before receiving care.
Care and coverage that counts
Aetna Medicare Advantage plans go beyond Original Medicare to include hospital, medical and prescription drug coverage. We’re here to provide the guidance you need, so you can feel good about your choice. Plus, Medicare Advantage can help you manage costs with an annual limit on how much you’ll pay out of pocket for covered services. Other important Medicare Advantage plan benefits may include:*
$0 monthly plan premiums
Dental, vision, and hearing benefits
Predictable copays for primary care provider (PCP) and specialist visits
$0 preventive screenings
$0 copay on over 150 Tier 1 prescription drugs at preferred pharmacies
SilverSneakers® fitness and wellness resources
Getting back on your feet starts with the right support
After repeated falls, Carl needed more than quick fixes. He needed a path forward. With help from an Aetna Care Manager, he and his wife got the right care to get back on his feet and moving again.
Watch the story to see how it all came together.
Cheryl: At the very beginning of last year, well, Carl started having some back pain. And then, he fell on the deck. And then two days later he fell again and then a third time, and that was the point at which we rushed him to the hospital.
Carl: I had spent my whole life as an athlete. I played baseball professionally. I'm playing with my grandchildren, and now, now I couldn’t even stand up. It was devastating.
Cheryl: After Carl's first hospital stay, I received a call from an Aetna care manager. Her name was Julie. And you know, she was so warm, friendly and compassionate.
Julie: Carl was hurting. He was upset that he couldn't play with his grandkids, and this really bothered him.
Julie: I wanted to help get him back up and playing ball.
Cheryl: After months of appointments and treatment, his back was still bothering him, and I told Julie how important it was that Carl feel strong enough and healthy enough to play with his grandchildren. And she said, “How come Carl isn't in rehab?”
Julie: When I spoke with Carl, I helped him understand that rehab is a place where you get exercise and physical therapy more intensively than if you were in the home setting or if you went to outpatient therapy.
Carl: What Julie said to me really hit home.
Cheryl: Within 24 hours Carl was at the rehab of our choice.
Carl: And now, I feel as strong as I've ever felt in my life. I am so grateful for that conversation with Julie.
If your monthly Medicare premiums are increasing, we can help
Save money with an Aetna Medicare plan. Get important benefits that help you stay on top of your health and within your budget. Let’s find the best plan for your needs.
Cut your costs, not your care.
See plans in your area
Find out about your local Medicare plan options. Check if your doctor is in-network and your plan covers your prescription drugs. Start by entering your ZIP code.
Or give us a call at ${dynamicPhone} ${tty}.
Still have questions?
If you want to learn more before choosing a Medicare plan, you have options.
Disclaimer
*FOR MEMBER TESTIMONIAL: Member feedback has been edited for length and clarity; member not pictured.
Aetna Medicare is a HMO, PPO plan with a Medicare contract. Our DSNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal.
Plan features and availability may vary by service area.
The Aetna Medicare pharmacy network includes limited lower cost, preferred pharmacies in: Rural Nebraska, Rural North Dakota, Suburban West Virginia, Urban Kansas, Urban Missouri. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, members please call the number on your ID card, non-members please call 1-855-338-7027 (TTY: 711) or consult the online pharmacy directory at AetnaMedicare.com/pharmacyhelp.
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