Aetna is the third largest health insurance provider in the United States. Founded in 1853, Aetna has an estimated membership of nearly 24 million people, including its Medicare members. It offers many products and services to members, including health and dental insurance, pharmacy insurance, disability insurance, and group life insurance. They have a large customer base and offers Medicare insurance policies in all 50 states.
Aetna Medicare Insurance Options
Medicare Advantage Plans
Aetna offers a variety of Medicare Advantage Plans to suit your needs. Though their website is relatively easy to use, it doesn’t provide the best specific plan overviews. Not to worry — we’ve done that for you!
- Aetna Medicare Value Plan (HMO)
- This plan offers an affordable option for those who do not have a preferred healthcare provider. With this plan, you can pick a primary care physician, but be sure this person is either an in-network provider or facility to avoid unwanted out-of-pocket costs. This plan provides all of Original Medicare’s Part A and Part B services. Prescription drug coverage is also available with this plan for an extra monthly premium.
- Aetna Medicare Standard Plan (PPO)
- With this plan, you can visit out-of-network healthcare providers and facilities, but you may have to pay additional costs. As an Aetna PPO member, you don’t have to select a primary care physician — any in-network physician will be covered. This PPO has the same benefits as the HMO mentioned above but includes some extras such as dental, vision, and hearing benefits are not part of the HMO plan.
Stand-Alone Prescription Drug Plans (PDP)
If it’s simply a prescription drug plan you seek, Aetna can help. These drug plans are ideal for people who already have Original Medicare Parts A and B plans but need drug coverage to help pay for prescriptions. Be aware that if you sign up for this plan alone, you may pay a high monthly premium.
- Aetna CVS/Pharmacy Prescription Drug Plan
- This plan is designed for individuals with Original Medicare who require a number of different, generic drugs each month and can get them at CVS pharmacies.
- Aetna Medicare Rx Premier Plan
- With this particular drug plan, you don’t have to pay an annual deductible. You’re also not limited to any one particular pharmacy — you can visit any, as long as it’s within the Aetna network.
Why Choose Aetna Medicare Insurance?
As far as variety of options and customer satisfaction goes, Aetna is leading the pack compared to its competitors in the Medicare insurance field. Its user-friendly website and customer interface makes it easy to learn about and enroll in their plans, all from the comfort of your couch.
As with all Medicare Advantage plans, Aetna offers the same coverage as Original Medicare Part A and Part B. However, there are with a few restrictions and some extra benefits sprinkled in. It’s important to remember that some of these plans may restrict your access to doctors and health facilities that are out-of-network. Many of Aetna’s plans also include dental, vision, and hearing services, but you’ll want to check if they are available in your area before purchasing a plan.
Aetna Medicare Insurance Pros and Cons
Let’s take a look at some pros and cons of Aetna Medicare plans.
- Plenty of experience
- Aetna’s been around since 1853, making it older than all of us; and Aetna has been paying Medicare claims since the late 1960s. Aetna is knowledgeable about health insurance in the United States. Their longevity goes a long way in providing stellar customer service.
- Available across the country
- Aetna provides Medicare Advantage and Medicare Advantage Drug Plans throughout most of the United States. With such a large network, chances are you’ll find an Aetna plan where you live.
- They care about your wellness and fitness
- All of Aetna’s Advantage plans include access to fitness programs (particularly for older adults). This is to help you maintain an active and healthy lifestyle. As an Aetna member, you’ll also have access to a nurse via telephone for answers to any of your health questions. These telephonic nurse services are available 24 hours a day, 7 days a week.
- Highly rated
- Everyone loves a good review. Aetna has more 5-star ratings compared to competitors, particularly when it comes to their various plan offerings. The company boasts “the highest percentage of Medicare members enrolled in plans rated 4 or higher overall stars among publicly traded companies.”
- Lack of specialized plans
- Based on our research, it looks like Aetna doesn’t currently offer any Special Needs Plans or Private Fee for Service plans. That may change over time and be location dependent in the future. But for now, those aren’t services they provide.
- Hearing aid plans are more expensive
- Aetna does sell some plans that include hearing aid coverage, but the benefit doesn’t come on its lowest premium. You’ll need Aetna Medicare Premier or Aetna Medicare Choice to pay less for your hearing aid.
Overall, Aetna is a leading provider of health insurance. They have a large network of over 1 million healthcare professionals across the United States in nearly 6,000 hospitals. Therefore, if you chose the HMO plan, you most likely would be able to pick the doctor of your choice and go to a variety of facilities for care. With excellent customer service and a plan finder that tailors plans based on your age and health, Aetna gives personalized attention to their members. They make each of their members feel valued, heard, and listened to, which is a treasure to behold in the customer service world.