Benefit. Your in‐network costs Your out‐of‐network costs. Inpatient psychiatric hospital stay. $374 per day, days 1‐5; $0 per day, 30% per stay after your plan days 6‐90 after your plan deductible deductible. Outpatient mental health therapy. $40 30% after your plan deductible. Outpatient psychiatric therapy.Benefit. Your in‐network costs Your out‐of‐network costs. Inpatient psychiatric hospital stay. $374 per day, days 1‐5; $0 per day, 30% per stay after your plan days 6‐90 after your plan deductible deductible. Outpatient mental health therapy. $40 30% after your plan deductible. Outpatient psychiatric therapy.Aetna Medicare SmartFit Plan (PPO) | H5521-444 | $0 | Y0001_H5521_444_NS99_SB24_M 2024-H5521.444.1 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. Need a complete list of what …Plan ID: H5521-404-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Michigan Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. ...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.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.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. $10 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.Get 2024 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCY0001_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.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. 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 Year Aetna Medicare Dual Choice (PPO D-SNP) 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 $0.00. Copayment for Routine Care $0.00. Maximum 12 Routine Care every year. 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.It has received a 4-out-of-5 star rating from CMS for 2024. Learn more about Aetna Medicare Explorer Premier (PPO) H5521 - 438 - 0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a licensed insurance agent for help now. Get personalized help from a licensed insurance agent 1-877-649-2073 TTY 711 ...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 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. 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 ...For mail-order, you can get prescription drugs shipped to your home through the network mail-order delivery program. Typically, mail-order drugs arrive within 10 days. You can call 1-833-570-6670 (TTY: 711), 8 AM to 8 PM, 7 days a week, if you do not receive your mail-order drugs within this timeframe.This 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 …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 YearOct 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 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.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. 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 YearInpatient hospital care. $295 per day, days 1-6; $0 per day, days 7-90 in-network | $395 per day, days 1-6; $0 per day, days 7-90 out-of-network. Urgent care. Urgent Care: Copayment for Urgent Care $20.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $250000.00.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 …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.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. … 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 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 ...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 …Plan ID: H5521-423-000 * 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. ...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.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: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.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.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 YearMental 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 ...2023 Evidence of Coverage for Aetna Medicare Premier Plan (PPO) 7 Chapter 1 Getting started as a member SECTION 1 Introduction Section 1.1 You are enrolled in Aetna Medicare Premier Plan (PPO), which is a Medicare PPOYou need to enable JavaScript to run this app. Find a Medicare plan. You need to enable JavaScript to run this app.Aetna Medicare SmartFit Plan (PPO) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in South Carolina and offered by the health insurance company …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. In-Network: Copayment for Medicare-Covered Podiatry Services $40.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $65.00. 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. 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 ...3.5 out of 5 stars. Aetna Medicare Premier Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-344. Have Medicare questions? Talk to a …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.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 Plan (HMO D-SNP) 2024: H3312-070: Cigna View payer . Plan Name Effective Year Benefit Package; Cigna True Choice Medicare (PPO) 2024: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. 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. 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. 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.Specialty Doctor Visit. $30 in-network | $45 out-of-network. Inpatient Hospital Care. $425 per day, days 1-4; $0 per day, days 5-90 in-network | 45% 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. 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 Internal Medicine. 5050 Parkside Ave, Suite 2, Philadelphia, PA 19131. Discover Medicare insurance plans accepted by Sundeep Katepalli, MD and find primary care doctors accepting Medicare near you.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 …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.H5521-444: 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: …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. …Aetna Medicare Dual Choice (PPO D-SNP) | H5521-469 8 2024 Summary of Benefits for H5521-469. Hearing services Benefit Your in‑network costs Your out‑of‑network costs Diagnostic hearing exam $0 20% after your plan deductible Routine hearing exam $0 0% You get one routine hearing exam every year. You can visit a provider in 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: ... H5521-227: Aetna Medicare Assure Plan (HMO D-SNP) 2024: H3312-070: Cigna View payer . Plan Name Effective Year Benefit Package; Cigna True Choice Medicare (PPO) 2024: 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. 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. …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, 50% per stay days 6‐90; $0 for additional days. Outpatient hospital observation services. $250 per stay 50% per stay. Outpatient hospital. $65 ... In-Network: Copayment for Medicare-Covered Podiatry Services $40.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $65.00. 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. Aetna Medicare Dual Choice (PPO D-SNP) | H5521-469 8 2024 Summary of Benefits for H5521-469. Hearing services Benefit Your in‑network costs Your out‑of‑network costs Diagnostic hearing exam $0 20% after your plan deductible Routine hearing exam $0 0% You get one routine hearing exam every year. You can visit a provider in the ...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: H5521-086-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Illinois Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part …Aetna Medicare Discover Value 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.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 Year2023 Evidence of Coverage for Aetna Medicare Premier Plan (PPO) 7 Chapter 1 Getting started as a member SECTION 1 Introduction Section 1.1 You are enrolled in Aetna Medicare Premier Plan (PPO), which is a Medicare PPO 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. 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. 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 ...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 …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 ...Aetna Medicare SmartFit Plan (PPO) | H5521-444 | $0 | Y0001_H5521_444_NS99_SB24_M 2024-H5521.444.1 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. Need a complete list of what …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.3.5 out of 5 stars. Aetna Medicare Premier Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-344. Have Medicare questions? Talk to a …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 …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.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.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.Urgent Care: Copayment for Urgent Care $55.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Emergency room visit. $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. 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 Year. Ny spine and wellness
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 Plan ID: H5521-121-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $49.00 Monthly Premium. New York Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part ... Aetna Medicare Discover Value 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.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 ...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 YearPlan 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. ...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.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, …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.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.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. 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 Podiatry services. In-Network: Podiatry Services: Copayment for Medicare-Covered Podiatry Services $30.00. Skilled Nursing Facility (SNF) care. $10 per day, days 1-20; $196 per day, days 21-100 in-network| 35% per stay out-of-network, for …Learn more about your plan. Watch this quick video to find out more about the benefits, programs and services your plan offers.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, …H5521 - 374 - 0 (4 / 5) Aetna Medicare Explorer Plan (PPO) is a Medicare Advantage (Part C) Plan by Aetna Medicare. Premium: $0.00 Enroll Now This page features plan details for 2024 Aetna Medicare Explorer Plan (PPO) H5521 – 374 – 0 available in New Hampshire.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 ...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 Year You may also contact us at 1-866-241-0356 (TTY: 711) Monday through Friday, 8 AM to 9 PM ET. Aetna Medicare is a HMO, PPO plan with a Medicare contract. Enrollment in our plans depends on contract renewal. Y0001_GRP_2022_H5521_M_VZN. 1/1. .