2024 H5521 444 - You can find your Evidence of Coverage (EOC), Summary of Benefits, Star Ratings, Formulary — Prescription Drug Coverage, Over-the-counter (OTC) benefit catalog, and more. If you’re in a Medicare Advantage plan, your plan name is listed on your member ID card. If you’re in a plan with prescription drug coverage only (PDP), look at the “S ...

 
Urgent Care. Copayment for Urgent Care $50.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit. $120 If you are admitted to the hospital within 24 hours your cost share may be waived, for more information see the Evidence of Coverage.. H5521 444

In-Network: Copayment for Medicare-Covered Podiatry Services $35.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $50.00. Skilled Nursing Facility Care. $0 per day, days 1-20. $196 per day, days 21-100 in-network| 50% per stay. Out-of-Network: for more information see Evidence of Coverage.Basic Costs and Coverage. $350 per day, days 1-6; $0 per day, days 7-90 in-network | $450 per day, days 1-6; $0 per day, days 7-90 out-of-network. $100 If you are admitted to the hospital within 0 hours your cost share may be waived, for more information see the Evidence of Coverage.Basic Costs and Coverage. $325 per day, days 1-6; $0 per day, days 7-90 in-network | $425 per day, days 1-6; $0 per day, days 7-90 out-of-network. $100 If you are admitted to the hospital within 0 hours your cost share may be waived, for more information see the Evidence of Coverage. In-Network: Copayment for Medicare-Covered Podiatry Services $45.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $60.00. Skilled Nursing Facility Care. $0 per day, days 1-20. $196 per day, days 21-100 in-network| 35% per stay. Out-of-Network: for more information see Evidence of Coverage. 3.5 out of 5 stars. Aetna Medicare Eagle (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-440. Have Medicare questions? Talk to a licensed …It’s generally known as the Evidence of Coverage (EOC). The EOC is the legal contract between you and the Medicare plan. It’s generally available starting in September and describes costs and benefits of your plan that will take effect on January 1 of the following year. If you have questions about your Medicare plan, start here.Your OTC benefit helps you save money on a wide range of over-the-counter health and wellness products. You can use your benefit amount to purchase products such as pain relief, first aid, cold and allergy medicine, dental care items and more. Check your OTC catalog for the list of items covered by your benefit.Inpatient Hospital Care. $350 per day, days 1-6; $0 per day, days 7-90 in-network | $450 per day, days 1-6; $0 per day, days 7-90 out-of-network. Urgent Care. Copayment for Urgent Care $40.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit.With this plan, the monthly premium you pay to the SSA is reduced by $70. Plan deductible. $0. MOOP. $4,390 for in‐network services $8,000 for in‐ and out‐of‐network services combined. Once you reach the maximum out‐of‐pocket, our plan pays 100% of covered medical services. Your premium doesn’t count toward your MOOP.This is called prior authorization or pre‐certification. Benefit. Your in‐network costs Your out‐of‐network costs. Inpatient (unlimited number of days) $300 per day, days 1‐7; $0 per day, 50% per stay days 8‐90; $0 for additional days. Outpatient hospital observation services. $350 per stay 50% per stay. Outpatient hospital. $45 ...4.61. 2311 Cottman Ave, Suite 71, Philadelphia, PA 19149. Discover Medicare insurance plans accepted at our Roosevelt health center and find primary care doctors accepting Medicare near you.Specialty Doctor Visit. $30 in-network | 50% out-of-network. Inpatient Hospital Care. $300 per day, days 1-7; $0 per day, days 8-90 in-network | 50% per stay out-of-network. Urgent Care. Copayment for Urgent Care $40.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Emergency Room Visit.Aetna Medicare SmartFit Plan (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $10.00. Copayment for Routine Care $10.00. Maximum 12 Routine Care every year.Mental Health Inpatient Care. In-Network: Psychiatric Hospital Services: $385.00 per day for days 1 to 5. $0.00 per day for days 6 to 90. Prior Authorization Required for Psychiatric Hospital Services. Prior authorization required. Out-of-Network: Coinsurance for Psychiatric Hospital Services per Stay 50%.In-Network: Copayment for Medicare-Covered Podiatry Services $35.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $50.00. Skilled Nursing Facility Care. $0 per day, days 1-20. $196 per day, days 21-100 in-network| 50% per stay. Out-of-Network: for more information see Evidence of Coverage. Plan ID: H5521-424-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $20.00 Monthly Premium. Arizona Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A ... Inpatient Hospital Care. $350 per day, days 1-6; $0 per day, days 7-90 in-network | $450 per day, days 1-6; $0 per day, days 7-90 out-of-network. Urgent Care. Copayment for Urgent Care $40.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit.Specialty Doctor Visit. $50 in-network | 40% out-of-network. Inpatient Hospital Care. $255 per day, days 1-8; $0 per day, days 9-90 in-network | 40% per stay out-of-network. Urgent Care. Copayment for Urgent Care $50.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Emergency Room Visit. The Aetna Medicare SmartFit Plan (PPO) (H5521 - 444) currently has 7,207 members. , and 4,599 members in South Carolina. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4 stars. The detail CMS plan carrier ratings are as follows: Customer Service Rating of 4 out of 5 stars Basic Costs and Coverage. $325 per day, days 1-6; $0 per day, days 7-90 in-network | $425 per day, days 1-6; $0 per day, days 7-90 out-of-network. $100 If you are admitted to the hospital within 0 hours your cost share may be waived, for more information see the Evidence of Coverage. Specialty Doctor Visit. $30 in-network | 50% out-of-network. Inpatient Hospital Care. $300 per day, days 1-7; $0 per day, days 8-90 in-network | 50% per stay out-of-network. Urgent Care. Copayment for Urgent Care $40.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Emergency Room Visit. Y0001_H5521_245_PQ50_SB24_M. 2024 Summary of Benefits. Aetna Medicare Premier Plan (PPO) H5521 ‐ 245. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.In-Network: Psychiatric Hospital Services: $270.00 per day for days 1 to 8. $0.00 per day for days 9 to 90. Prior Authorization Required for Psychiatric Hospital Services. Prior authorization required. Out-of-Network: Coinsurance for Psychiatric Hospital Services per Stay 20%. Mental Health Outpatient Care.H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: ... H5521-227: Aetna Medicare Assure Premier (PPO D-SNP) 2024: H1608-062: Aetna Medicare Assure Premier (HMO D-SNP) 2024: H7149-006: Anthem View payer . Plan Name …4 2024 Evidence of Coverage for Aetna Medicare SmartFit Plan (PPO) Table of Contents SECTION 2 Fill your prescription at a network pharmacy or through the plan’s …Specialty Doctor Visit. $50 in-network | 40% out-of-network. Inpatient Hospital Care. $255 per day, days 1-8; $0 per day, days 9-90 in-network | 40% per stay out-of-network. Urgent Care. Copayment for Urgent Care $50.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Emergency Room Visit. Urgent care. Urgent Care: Copayment for Urgent Care $15.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Emergency room visit. $120 If you are admitted to the hospital within 24 hours your cost share may be waived, for more information see the Evidence of Coverage. Ambulance transportation. H5521 - 344 - 0 Click to see other plans: Member Services: 1-833-570-6670 TTY users 1-833-570-6670 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Specialty Doctor Visit. $30 in-network | 40% out-of-network. Inpatient Hospital Care. $550 per day, days 1-5; $0 per day, days 6-90 in-network | 45% per stay out-of-network. Urgent Care. Copayment for Urgent Care $35.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $135.00. Emergency Room Visit.In-Network: Psychiatric Hospital Services: $385.00 per day for days 1 to 5. $0.00 per day for days 6 to 90. Prior Authorization Required for Psychiatric Hospital Services. Prior authorization required. Out-of-Network: Coinsurance for Psychiatric Hospital Services per Stay 50%. Mental Health Outpatient Care.H5521 - 159 - 0 Click to see other plans: Member Services: 1-888-268-9800 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Oct 1, 2023 · Aetna Medicare Essential Plan (PPO) H5521-373. Includes: Medical; ... (PPO) H5521-444. Includes: Medical; Prescription; $0 Open tooltip for information about $0 premiums. Aetna Medicare Premier Plan (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $15.00. Copayment for Routine Care $15.00. Maximum 12 Routine Care every year. H5521 - 444 - 0 (4 / 5) Aetna Medicare SmartFit Plan (PPO) is a Medicare Advantage (Part C) Plan by Aetna Medicare. Premium: $0.00 Enroll Now This page features plan ... Enrolling in H5521-369-000 Medicare Advantage Plans in California Medicare beneficiaries from California may have access to Medicare Advantage plans from Aetna and other insurance companies. Get help comparing your local plan options by calling to speak with a licensed insurance agent who can help you find out if your doctor and prescription drugs …H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: H5521-447: ... H5521-227: Aetna Medicare MyMichigan Prime (HMO-POS) 2024: H3192-017: Blue Cross Blue Shield View payer . Plan Name Effective Year4 out of 5 stars* for plan year 2024. Aetna Medicare SmartFit (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-441-000. * Every year, … Specialty Doctor Visit. $35 in-network | $70 out-of-network. Inpatient Hospital Care. $290 per day, days 1-6; $0 per day, days 7-90 in-network | 50% per stay out-of-network. Urgent Care. Copayment for Urgent Care $25.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Emergency Room Visit. Y0001_D2_EOC24_C OMB Approval 0938-1051 (Expires: February 29, 2024) GRP_EOC_2024_D2_AE_ESA_MAPD January 1 – December 31, 2024 Evidence of Coverage:4 out of 5 stars* for plan year 2024. Aetna Medicare Value Plus Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-424-000. * Every …Plan ID: H5521-082-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $77.00 Monthly Premium. Virginia Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part ...Y0001_H5521_170_PQ20_SB24_M. 2024 Summary of Benefits. Aetna Medicare Premier Plus Plan (PPO) H5521 ‐ 170. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary. Specialty Doctor Visit. $30 in-network | 40% out-of-network. Inpatient Hospital Care. $550 per day, days 1-5; $0 per day, days 6-90 in-network | 45% per stay out-of-network. Urgent Care. Copayment for Urgent Care $35.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $135.00. Emergency Room Visit. Urgent Care. Copayment for Urgent Care $50.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit. $120 If you are admitted to the hospital within 24 hours your cost share may be waived, for more information see the Evidence of Coverage.H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: H5521-447: ... H5521-227: Aetna Medicare MyMichigan Prime (HMO-POS) 2024: H3192-017: Blue Cross Blue Shield View payer . Plan Name Effective YearY0001_H5521_444_NS99_SB24_M. 2024 Summary of Benefits. Aetna Medicare SmartFit Plan (PPO) H5521 ‐ 444. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.Aetna Medicare Eagle Plan (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $15.00. Prior Authorization Required for Chiropractic Services. Specialty Doctor Visit. $30 in-network | 40% out-of-network. Inpatient Hospital Care. $550 per day, days 1-5; $0 per day, days 6-90 in-network | 45% per stay out-of-network. Urgent Care. Copayment for Urgent Care $35.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $135.00. Emergency Room Visit. Y0001_H5521_243_PQ49_SB24_M. 2024 Summary of Benefits. Aetna Medicare Value Plan (PPO) H5521 ‐ 243. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.Your OTC benefit helps you save money on a wide range of over-the-counter health and wellness products. You can use your benefit amount to purchase products such as pain relief, first aid, cold and allergy medicine, dental care items and more. Check your OTC catalog for the list of items covered by your benefit.Plan ID: H5521-144-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $49.00 Monthly Premium. Maine Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A ...If you have any questions, you can call and speak to a customer service representative at 1‐833‐859‐6031 (TTY: 711). From October 1 to March 31, you can call us 7 days a week from 8 AM to 8 PM local time. From April 1 to September 30, we’re here Monday through Friday from 8 AM to 8 PM local time.Dec 1, 2023 · Y0001_H5521_444_NS99_SB24_M. 2024 Summary of Benefits. Aetna Medicare SmartFit Plan (PPO) H5521 ‐ 444. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary. Urgent care. Urgent Care: Copayment for Urgent Care $15.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Emergency room visit. $120 If you are admitted to the hospital within 24 hours your cost share may be waived, for more information see the Evidence of Coverage. Ambulance transportation. H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: H5521-447: ... H5521-227: Aetna Medicare MyMichigan Prime (HMO-POS) 2024: H3192-017: AmeriHealth Caritas VIP View payer . Plan Name Effective YearY0001_H5521_444_NS99_SB24_M. 2024 Summary of Benefits. Aetna Medicare SmartFit Plan (PPO) H5521 ‐ 444. Here’s a summary of the services we cover from January 1, …Basic Costs and Coverage. $350 per day, days 1-6; $0 per day, days 7-90 in-network | $450 per day, days 1-6; $0 per day, days 7-90 out-of-network. $100 If you are admitted to the hospital within 0 hours your cost share may be waived, for more information see the Evidence of Coverage.Allentown. 1539 Lehigh St, Allentown, PA 18103. Discover Medicare insurance plans accepted at our Allentown health center and find primary care doctors accepting Medicare near you. OFFICE OF CIVIL RIGHTS – CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES. You can also file a civil rights complaint with the California Department of Health Care Services, Ofice of Civil Rights by phone, in writing, or electronically: By phone: Call 916-440-7370. If you cannot speak or hear well, please call 711 (Telecommunications Relay ... With this plan, the monthly premium you pay to the SSA is reduced by $55. Plan deductible. $0. MOOP. $7,000 for in‐network services $9,500 for in‐ and out‐of‐network services combined. Once you reach the maximum out‐of‐pocket, our plan pays 100% of covered medical services. Your premium doesn’t count toward your MOOP.Medicare Plans. Aetna Medicare Premier Plan (PPO) 4 out of 5 stars* for plan year 2024. Aetna Medicare Premier Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered …To send a complaint to Aetna, call the Plan or the number on your member ID card. To send a complaint to Medicare, call 1‐800‐MEDICARE (TTY users should call 1‐877‐486‐2048), 24 hours a day/7 days a week. If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance.Nov 9, 2023 · The Aetna Medicare pharmacy network includes limited lower cost, preferred pharmacies in Suburban Arizona, Suburban Illinois, Urban Kansas, Rural Michigan, Urban Michigan, Urban Missouri, Rural North By clicking on “I Accept”, I acknowledge and accept that: The Applied Behavior Analysis (ABA) Medical Necessity Guide helps determine appropriate (medically necessary) levels and types of care for patients in need of evaluat The Aetna Medicare pharmacy network includes limited lower cost, preferred pharmacies in Suburban Arizona, Suburban Illinois, Urban Kansas, Rural Michigan, Urban Michigan, Urban Missouri, Rural NorthThis is called prior authorization or pre‐certification. Benefit. Your in‐network costs Your out‐of‐network costs. Inpatient (unlimited number of days) $356 per day, days 1‐8; $0 per day, 40% per stay days 9‐90; $0 for additional days. Outpatient hospital observation services. $275 per stay 40% per stay. Outpatient hospital. $25 ...Sep 27, 2022 · The most you pay for copays, coinsurance and other costs for medical services for the year. Once you reach the maximum out‐of‐pocket, our plan pays 100% of covered medical services. Your premium and prescription drugs don’t count toward the maximum out‐of‐pocket. $373 per day, days 1‐6; $0 per day, days 7‐90. Number of Members enrolled in this plan in (H5521 - 081): 27,086 members : Plan’s Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 4 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...Y0001_H5521_407_NT06_SB24_M. 2024 Summary of Benefits. Aetna Medicare SmartFit (PPO) H5521 ‐ 407. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.4 out of 5 stars* for plan year 2024. Aetna Medicare Value Plus Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-424-000. * Every … H5521 - 344 - 0 Click to see other plans: Member Services: 1-833-570-6670 TTY users 1-833-570-6670 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. You need to enable JavaScript to run this app. Find a Medicare plan. You need to enable JavaScript to run this app.Y0001_H5521_214_PQ31_SB24_M. 2024 Summary of Benefits. Aetna Medicare Value (PPO) H5521 ‐ 214. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary. Plan ID: H5521-344-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium In-Network: Copayment for Medicare-Covered Podiatry Services $35.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $60.00. Skilled Nursing Facility Care. $0 per day, days 1-20. $191 per day, days 21-100 in-network| 30% per stay. Out-of-Network: for more information see Evidence of Coverage. Inpatient Hospital Care. $350 per day, days 1-6; $0 per day, days 7-90 in-network | $450 per day, days 1-6; $0 per day, days 7-90 out-of-network. Urgent Care. Copayment for Urgent Care $40.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit. Plan ID: H5521-431-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Washington Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. ...Y0001_H5521_310_PQ91_SB24_M. 2024 Summary of Benefits. Aetna Medicare Elite Plan 3 (PPO) H5521 ‐ 310. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.Copayment for Urgent Care $50.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit. $120 If you are admitted to the hospital within 24 hours your cost share may be waived, for more information see the Evidence of Coverage.4.64. 951 N 6th Street, Suite 221, Reading, PA 19601. Discover Medicare insurance plans accepted at our Reading health center and find primary care doctors accepting Medicare near you.Aetna Medicare Eagle Plan (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $15.00. Prior Authorization Required for Chiropractic Services.Specialty Doctor Visit. $30 in-network | 40% out-of-network. Inpatient Hospital Care. $550 per day, days 1-5; $0 per day, days 6-90 in-network | 45% per stay out-of-network. Urgent Care. Copayment for Urgent Care $35.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $135.00. Emergency Room Visit.H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: ... H5521-224: Aetna Medicare Freedom (PPO) 2024: H5521-227: Anthem View payer . Plan Name Effective Year Benefit Package; Anthem MediBlue Access Basic (Regional PPO) 2024:Evidence of Coverage. January 1 - December 31, 2022. Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Aetna Medicare Plan (PPO) This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 - December 31, 2022.To send a complaint to Aetna, call the Plan or the number on your member ID card. To send a complaint to Medicare, call 1‐800‐MEDICARE (TTY users should call 1‐877‐486‐2048), 24 hours a day/7 days a week. If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance.Palm casual patio furniture, Anthony vince, Top villa, Comedyworks, Sam's club duluth mn, Queensborough university, Texas aggie baseball, United health centers, The brown hotel louisville ky, Clothing arts, Covenant healthcare, Sdc.cok, Unlock tool, Mercedes benz of south charlotte

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Health benefits and health insurance plans contain exclusions and limitations. Aetna offers health insurance, as well as dental, vision and other plans, to meet the .... Mackey mortuary

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This is called prior authorization or pre‐certification. Benefit. Your in‐network costs Your out‐of‐network costs. Inpatient (unlimited number of days) $395 per day, days 1‐5; $0 per day, 45% per stay days 6‐90; $0 for additional days. Outpatient hospital observation services. $335 per stay 45% per stay. Outpatient hospital. $40 ...4 out of 5 stars* for plan year 2024. Aetna Medicare Value Plus Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-424-000. * Every …Aetna Medicare Eagle Plan (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $15.00. Prior Authorization Required for Chiropractic Services.In-Network: Copayment for Medicare-Covered Podiatry Services $35.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $70.00. Skilled Nursing Facility Care. $0 per day, days 1-20. $178 per day, days 21-100 in-network| 50% per stay. Out-of-Network: for more information see Evidence of Coverage.H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: ... H5521-227: Anthem View payer . Plan Name Effective Year Benefit Package; Anthem MediBlue Plus (HMO) 2024: H4346-012: Anthem MediBlue Dual Advantage (HMO D-SNP) 2024: …Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Health benefits and health insurance plans contain exclusions and limitations. Aetna offers health insurance, as well as dental, vision and other plans, to meet the ...H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: H5521-447: ... H5521-227: Aetna Medicare MyMichigan Prime (HMO-POS) 2024: H3192-017: Blue Cross Blue Shield View payer . Plan Name Effective YearThe table below outlines some of the specific plan details for Aetna Inc. Medicare Advantage plans available in South Carolina in 2024. Plan Name. Plan Code. Monthly Premium. Deductible. Out of. Pocket Max. Prescription Drug Coverage. Medicare.In-Network: Copayment for Medicare-Covered Podiatry Services $35.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $60.00. Skilled Nursing Facility Care. $0 per day, days 1-20. $191 per day, days 21-100 in-network| 30% per stay. Out-of-Network: for more information see Evidence of Coverage.Aetna Medicare Eagle Plan (PPO) | H5521-241 | $0 Y0001_H5521_241_PA09_SB22_M Aetna Medicare Eagle Plan (PPO) is a PPO plan. This is a Medicare Advantage plan. You can use in-network and out-of-network providers. You will typically pay more for out-of-network care. The benefit information provided is a summary of what we cover and what …Y0001_H5521_424_NT31_SB24_M. 2024 Summary of Benefits. Aetna Medicare Value Plus Plan (PPO) H5521 ‐ 424. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.Mental health services. Inpatient hospital - psychiatric. In-Network: $385 per day for days 1 through 5 / $0 per day for days 6 through 90. Out-of-Network: 50% per stay. Outpatient group therapy ...You can find your Evidence of Coverage (EOC), Summary of Benefits, Star Ratings, Formulary — Prescription Drug Coverage, Over-the-counter (OTC) benefit catalog, and more. If you’re in a Medicare Advantage plan, your plan name is listed on your member ID card. If you’re in a plan with prescription drug coverage only (PDP), look at the “S ...H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: ... H5521-224: Aetna Medicare Freedom (PPO) 2024: H5521-227: Anthem View payer . Plan Name Effective Year Benefit Package; Anthem MediBlue + Kroger Access (PPO) 2024:Allentown. 1539 Lehigh St, Allentown, PA 18103. Discover Medicare insurance plans accepted at our Allentown health center and find primary care doctors accepting Medicare near you.In-Network: Copayment for Medicare-Covered Podiatry Services $35.00. Out-of-Network: Coinsurance for Medicare Covered Podiatry Services 45%. Skilled Nursing Facility Care. $10 per day, days 1-20. $203 per day, days 21-100 in-network| 45% per stay. Out-of-Network: for more information see Evidence of Coverage.TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Aetna Medicare Premier Plus (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 (see Plan Premium Details below) Annual Deductible: $150 (Tier 1 and 2 excluded from the Deductible.) Annual Initial Coverage Limit (ICL):This is called prior authorization or pre‐certification. Benefit. Your in‐network costs Your out‐of‐network costs. Inpatient (unlimited number of days) $295 per day, days 1‐7; $0 per day, 50% per stay days 8‐90; $0 for additional days. Outpatient hospital observation services. $325 per stay 50% per stay. Outpatient hospital. $40 ...Sep 13, 2023 · Y0001_H5521_243_PQ49_SB24_M. 2024 Summary of Benefits. Aetna Medicare Value Plan (PPO) H5521 ‐ 243. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary. Plan Overview. 2024 Aetna Medicare Explorer Premier (PPO) H5521 — 438— 0 is a Local PPO offered in Southwest by Aetna Medicare. It has a monthly premium of $0.00. Premium …4 2024 Evidence of Coverage for Aetna Medicare SmartFit Plan (PPO) Table of Contents SECTION 2 Fill your prescription at a network pharmacy or through the plan’s … H5521 - 344 - 0 Click to see other plans: Member Services: 1-833-570-6670 TTY users 1-833-570-6670 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. Plan Overview. 2024 Aetna Medicare Explorer Premier (PPO) H5521 — 438— 0 is a Local PPO offered in Southwest by Aetna Medicare. It has a monthly premium of $0.00. Premium …4 out of 5 stars* for plan year 2024. Aetna Medicare SmartFit (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-441-000. * Every year, …©2023 Aetna Inc. 2584953-01-01 (9/23) Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiaryThis page features plan details for 2024 Aetna Medicare SmartFit Plan (PPO) H5521 – 444 – 0 available in South Carolina. IMPORTANT : This page has been updated with plan and …2024 Aetna Medicare SmartFit Plan (PPO) H5521 — 444— 0 is a Local PPO offered in South Carolina by Aetna Medicare. It has a monthly premium of $0.00. Premium Breakdown. …H5521 - 344 - 0 Click to see other plans: Member Services: 1-833-570-6670 TTY users 1-833-570-6670 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Medicare Plans. Dental, Vision & Hearing Plans. Log In. Create Account. View the coverage and benefits provided in the Aetna Medicare SmartFit Plan (PPO) plan from Aetna. Alight Retiree …Medicare Plans. Aetna Medicare SmartFit Plan (PPO) 3.5 out of 5 stars. Aetna Medicare SmartFit Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan … By clicking on “I Accept”, I acknowledge and accept that: The Applied Behavior Analysis (ABA) Medical Necessity Guide helps determine appropriate (medically necessary) levels and types of care for patients in need of evaluat H5521 - 344 - 0 Click to see other plans: Member Services: 1-833-570-6670 TTY users 1-833-570-6670 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Plan ID: H5521-144-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $49.00 Monthly Premium. Maine Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A ...Urgent Care. Copayment for Urgent Care $50.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit. $120 If you are admitted to the hospital within 24 hours your cost share may be waived, for more information see the Evidence of Coverage.Oct 1, 2023 · Aetna Medicare Essential Plan (PPO) H5521-373. Includes: Medical; ... (PPO) H5521-444. Includes: Medical; Prescription; $0 Open tooltip for information about $0 premiums. If you have any questions, you can call and speak to a customer service representative at 1‐833‐859‐6031 (TTY: 711). From October 1 to March 31, you can call us 7 days a week from 8 AM to 8 PM local time. From April 1 to September 30, we’re here Monday through Friday from 8 AM to 8 PM local time. Plan ID: H5521-424-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $20.00 Monthly Premium. Arizona Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A ... Sep 27, 2022 · The most you pay for copays, coinsurance and other costs for medical services for the year. Once you reach the maximum out‐of‐pocket, our plan pays 100% of covered medical services. Your premium and prescription drugs don’t count toward the maximum out‐of‐pocket. $373 per day, days 1‐6; $0 per day, days 7‐90. Plan ID: H5521-441-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Ohio Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part …In-Network: Psychiatric Hospital Services: $315.00 per day for days 1 to 5. $0.00 per day for days 6 to 90. Prior Authorization Required for Psychiatric Hospital Services. Prior authorization required. Out-of-Network: Coinsurance for Psychiatric Hospital Services per Stay 50%. Mental Health Outpatient Care.Aetna Medicare SmartFit Plan (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $10.00. Copayment for Routine Care $10.00. Maximum 12 Routine Care every year.H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: ... H5521-224: Aetna Medicare Freedom (PPO) 2024: H5521-227: Anthem View payer . Plan Name Effective Year Benefit Package; Anthem MediBlue + Kroger Access (PPO) 2024:Aetna Medicare SmartFit Plan (PPO) H5521-444. Includes: Medical (Part C) Prescription (Part D) $0 Open tooltip for information about $0 premiums. Aetna is able to offer $0 monthly premium plans because the federal government covers the cost using your monthly Medicare Part B premium.View the coverage and benefits provided in the Aetna Medicare SmartFit (PPO) plan from Aetna. Alight Retiree Health Solutions represents Medicare plans from 59 insurers nationwide. In-Network: Copayment for Medicare-Covered Podiatry Services $35.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $60.00. Skilled Nursing Facility Care. $0 per day, days 1-20. $191 per day, days 21-100 in-network| 30% per stay. Out-of-Network: for more information see Evidence of Coverage. Sep 27, 2022 · The most you pay for copays, coinsurance and other costs for medical services for the year. Once you reach the maximum out‐of‐pocket, our plan pays 100% of covered medical services. Your premium and prescription drugs don’t count toward the maximum out‐of‐pocket. $373 per day, days 1‐6; $0 per day, days 7‐90. Mental Health Inpatient Care. In-Network: Psychiatric Hospital Services: $240.00 per day for days 1 to 6. $0.00 per day for days 7 to 90. Prior Authorization Required for Psychiatric Hospital Services. Prior authorization required. Out-of-Network: Coinsurance for Psychiatric Hospital Services per Stay 50%. H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: H5521-447: ... H5521-227: Aetna Medicare MyMichigan Prime (HMO-POS) 2024: H3192-017: AmeriHealth Caritas VIP View payer . Plan Name Effective YearEvidence of Coverage. January 1 - December 31, 2022. Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Aetna Medicare Plan (PPO) This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 - December 31, 2022.©2023 Aetna Inc. 2584953-01-01 (9/23) Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiaryThis page features plan details for 2024 Aetna Medicare SmartFit (PPO) H5521 – 441 – 0 available in Ohio. IMPORTANT: This page has been updated with plan and premium data for …Aetna Medicare SmartFit Plan (PPO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $6,500 In and Out-of-network $5,500 In-network.Oct 15, 2023 · The Aetna Medicare pharmacy network includes limited lower cost, preferred pharmacies in Suburban Arizona, Suburban Illinois, Urban Kansas, Rural Michigan, Urban Michigan, Urban Missouri, Rural North H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: ... H5521-227: Cigna View payer . Plan Name Effective Year Benefit Package; Cigna Rx Medicare (PDP) 2024: S5617-807: Cigna True Choice Medicare (PPO) 2024:Learn more about your plan. Watch this quick video to find out more about the benefits, programs and services your plan offers.. 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