Aetna Medicare - What is Medicare?
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Overview


What is Medicare?

Medicare is the nation's largest health insurance program. It's funded by the United States government. It provides high-quality health care to people 65 and over, as well as to people under 65 with certain disabilities.  

Will Medicare cover all of my health care costs?  

There are some costs that Medicare doesn't cover. That's why private insurance companies like Aetna offer plans with broader coverage. These plans help manage your costs.  

How do I decide which plan is right for me?  

You should think about your answers to the three questions below.  

Want more information about Aetna Medicare?  

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Step 1: Does Original Medicare (Parts A & B) provide enough coverage for me?

Original Medicare:

  • Helps cover medical and hospital benefits (inpatient and outpatient)
  • Gives you your choice of doctors
  • Helps cover skilled nursing facility care, home health agency services and hospice benefits
  • Pays a percentage of health care expenses after Part A and B deductibles are met
  • Doesn't include prescription drug coverage

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Step 2: What kind of additional coverage is available?

Medicare Advantage plans (Part C):

  • Cover the same services as Original Medicare, but hospice is still covered by Original Medicare
  • Are offered by private companies, such as Aetna
  • Provide more complete coverage, including medical, often prescription drugs, and may include eyeglasses, hearing aids, fitness club membership and optional dental plan
  • May require you to see doctors in their network
  • Usually have a monthly plan premium and/or a copayment for covered services
  • Require you to have Original Medicare (Part A and Part B) to choose this plan
 

Medicare Supplement plans (Medigap):

  • Help to pay for some health care costs not covered by Original Medicare, including Medicare deductibles and coinsurance payments
  • Allow you to use any doctor, specialist or hospital that accepts Medicare patients without needing a referral or precertification
  • Are standardized plans provided by private insurance companies, such as Aetna
  • Aren't needed or combined with Medicare Advantage plans
  • A separate premium required
  • Let you take your coverage with you if you move or travel anywhere in the U.S
  • Require you to have Original Medicare (Part A and Part B) to choose this plan


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Step 3: Do I need extra coverage for prescription drugs?

Prescription drug coverage (Part D):

  • Provides prescription drug coverage at a network of contracted pharmacies
  • Is provided by private companies, such as Aetna
  • Usually has a monthly premium
  • May be included as part of a Medicare Advantage plan. Can be added to Original Medicare, Medicare Supplement plans, a Private Fee-for-Service (PFFS) plan without prescription drug coverage, some Medicare Cost Plans, or Medicare Medical Savings Account (MSA) Plans
  • Requires you to have Original Medicare Part A and/or Part B to choose this plan

When am I eligible?




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Choose the plan that's right for you.

Aetna Medicare
Advantage
Plan
(MA/MAPD)

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Aetna Individual
Medicare
Supplement
Plan (Medigap)

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Aetna Medicare
Rx Plan
(PDP)

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Easy Answers

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Page Last Updated: May 7, 2013
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