Is an Aetna Medicare Advantage Plan a good fit for you?
|Aetna offers a wide range of health care plans for older adults, including popular Medicare Advantage Preferred Provider Organization (PPO) plans and Health Maintenance Organization (HMO) plans, at competitive monthly rates.|
|Medicare rating: 4.29 stars||A.M. Best financial strength rating: A||BBB rating: A+||NCQA rating: 2.5 to 4.5 stars||Consumer Affairs rating: 3.8||J.D. Power ranking: 7th out of 10|
Aetna, an award-winning health insurance company, was founded in 1853 in Hartford, Connecticut, and is a subsidiary of CVS Health Corporation. It’s the third-largest health insurance provider in the nation, with approximately 22.1 million members. It offers affordable monthly premiums and low copays, and it has consistently positive customer feedback. By reviewing Aetna’s available plans and assessing its benefits and drawbacks, you can determine whether Aetna is right for you.
Aetna Medicare Advantage Plans are comparable in their scope of coverage to other Medicare Advantage Plans, offering all the benefits of Original Medicare, along with coverage for additional health services. Medicare Advantage Plans, also called Medicare Part C, often include prescription drugs, vision, and dental coverage, and wellness programs. Your out-of-pocket costs depend on the plan you choose, as do rules for how you get services, such as whether you have to choose a primary care doctor or get a referral to see a specialist.
Your hospital and medical insurance are covered and you’ll get prescription drug coverage with most plans. Additional benefits from Aetna Medicare Advantage Plans may include, depending on your plan:
Aetna has four types of Medicare Advantage Plans, although the options available to you may vary based on your location. One type is PPOs, and the others are HMOs. HMO plans include HMO-POS (point of service) and D-SNP (dual-eligible special needs plan). With HMOs, you’re required to choose a primary care physician and get health care services from in-network providers. Because these plans are limited in their coverage, the premiums are typically affordable. In general, PPO plans offer greater flexibility, allowing you to see out-of-network providers and specialists without obtaining referrals. These plans may have higher premiums.
Aetna’s Medicare Advantage Plans out of pocket and deductible costs vary, depending on your area. Costs for office visits and specialists have decreased from 2021 to 2022.
Compare these Aetna Medicare Advantage Plan options (all plans include drug coverage):
|Plan Name||Monthly premium||Annual deductible||Office visits||Annual maximum out-of-pocket cost|
|Aetna Medicare Prime (HMO-POS)||$0||$0||$0 primary / $20 specialist||$3,950 in and out of network combined|
|Aetna Medicare Value Plan (PPO)||$0||$0||$10 primary / $35 specialist||$3,950 in network
$8,250 in and out of network combined
|Aetna Medicare Premier Plus (PPO)||$39||$0||$0 primary / $25 specialist||$3,475 in network
$5,950 in and out of network combined
*Based on pricing in Cook County, IL in 2022
|What we like about Aetna Medicare Advantage Plans:||The drawbacks of Aetna Medicare Advantage Plans:|
Overall, Aetna’s customers give positive feedback regarding their experience with the company and the claims process. Aetna scores consistently well across various consumer review sites.
Trusted ratings and reviews can help you understand how an insurer’s plans stack up against the competition. See how Medicare, A.M. Best, the Better Business Bureau and more rate Aetna’s Medicare Advantage Plans.
|Medicare rating: 4.29 stars||For 2022, Aetna’s Medicare Advantage plans with drug coverage received an overall average rating of 4.29 stars from the Centers for Medicare & Medicaid Services. Aetna reports that the majority of their members are enrolled in plans with star ratings of 4.5 or higher.|
|A.M. Best financial strength rating: A||A.M. Best sets credit ratings for insurers. In December 2020, A.M. Best affirmed it’s A Financial Strength Rating (FSR) for Aetna, Inc. and Aetna Health and Life Group, wholly owned subsidiaries of CVS Corp. An A rating indicates Aetna has an excellent ability to meet financial obligations.|
|BBB rating: A+||Aetna, Inc. has an A+ rating with the Better Business Bureau, but is not accredited. In the last three years, the company has closed 687 customer complaints.|
|NCQA rating: 2.5 to 4.5 stars||The National Committee for Quality Assurance gives Aetna plans ratings that range between 2.5 and 4.5. Most plans were rated in the mid-to-high performance range across three categories, which include customer satisfaction, how well the plan covers preventative treatments, and the plan’s performance for covering chronic or acute conditions. The majority of plans are accredited through the NCQA.|
|Consumer Affairs rating: 3.8||According to Consumer Affairs, Aetna has an overall satisfaction rating of 3.8 out of five stars. This score is based on 1,138 ratings posted within the last year. Consumer reviews range from very positive for excellent coverage and customer service to very negative for high copays and difficulty with prior authorizations and claims.|
|J.D. Power ranking: 7th out of 10||In its 2021 Medicare Advantage Study, J.D. Power measured Medicare Advantage Plan satisfaction based on coverage and benefits, provider choice, cost, customer service, information and communication, and billing and payment. Aetna scored 795 points out of 1,000 and came in seventh out of the top 10 Medicare Advantage providers.|
LeRon Moore has guided Medicare beneficiaries and their families as a Medicare professional since 2007. First as a Medicare provider enrollment specialist and now a Medicare account executive, Moore works directly with Medicare beneficiaries to ensure they understand Medicare and Medicare Advantage Plans.
Moore holds a bachelor’s degree from Southern New Hampshire University and is A+ Certified with a Medical Records Clerk Certification and Medical Terminology Certification from Midlands Technical College.
He’s passionate about educating, informing, and resolving issues concerning Medicare and Medicare Advantage Plans, and considers it imperative that he does all he can to educate and inform the senior community as much as possible about Medicare.