AETNA ADVANTAGE PLANS IN MISSOURI

Medicare Advantage Medicare Advantage plans are co-coordinated care plans, provided by private organisations which are certified by Medicare. Medicare Advantage plans have a network of providers, and you pay much less if you use the providers which are covered by your plan. These plans coordinate your Original Medicare, both Part A as well as Part B, along with providing extra benefits like hearing services, dental coverage, chiropractic services, outpatient mental health services, prescription drug services etc. Aetna Medicare Advantage plans offered in Missouri are discussed below.

 

  1. Aetna Choice H5216-033 (PPO)

With an overall rating of 4, this plan is offered by Aetna at a monthly premium of $0. The plan has an annual deductible of $1000, and it also limits your out of pocket expense at $3600. While visiting a primary doctor in this preferred provider organisation plan you need to pay a copay of $10, and a copay of $45 while visiting a specialist. Prescription drugs are also covered in these plans, and you do not have to pay a deductible. For generic and brand name drugs you have to pay a 25% coinsurance. Along with providing various fitness program benefits, the plan also entitles you to the entry into the SilverSneakers program. With this, you have the benefit of working out at more than 14000 fitness centres all around the nation. The dental, and vision care services are also a part of the package. Outpatient rehabilitation services and Skilled Nursing Facility are also covered under this plan at $0 copay for the first twenty days.

 

  1. Aetna Gold Plus H0028-014 (HMO)

With an overall rating of 4.3, Aetna Gold plus plan offers a monthly premium of $0. This Health Maintenance Organisation plan requires you to have a primary care provider, who would have the overall picture of your health at all given times. You can choose any doctor to be your primary care provider, provided he lies in the network of the plan. The plan does not have an annual deductible and provides an out of pocket maximum expense of $2900. You do not have to pay any co-pay while visiting your primary provider, and a copay of $35 has to be paid while visiting a specialist. It also provides prescription drug coverage, dental care, vision care, and over the counter benefits as well.

 

  1. Aetna Honor (PPO)

With an overall rating of 4, the Aetna honor plan has a monthly premium of $0. It is a preferred provider organisation plan, which lets you choose a healthcare provider of your choice. In this plan, you don’t even have to get a referral to see any special doctor. The plan has no annual deductible, and an out of pocket maximum of $4900. Under this plan, you have to pay a $0 copay for visiting your primary doctor, and a copay of $35 for specialist. Aetna Honor plan provides added services like dental coverage, oral exams, vision care, hearing services, and chiropractic care. You are also entitled to fitness, and over the counter benefits. However, the plan does not cover prescription drug services and you have to enrol in a Part D plan separately.

 

  1. Aetna Gold Choice H8145-120 (PFFS)

With an overall rating of 3.4, the plan is offered at a monthly premium of $59. This Private fee for service plan enables you to visit any doctor, provided that he agrees to the PFFS terms and conditions of payment. The plan has an annual deductible of $150 and an out of pocket maximum of $6700. While visiting your primary doctor you have to pay a copay of $20 and for a specialist, you have to pay a copay of $50 The plan does not cover prescription drugs. For any emergency ambulance or air ambulance services, you would have to pay just 20% coinsurance. CT scans, MRI scans, or diagnostic procedures are also covered under this PFFS plan.

 

  1. Aetna Gold Choice H8145-125 (PFFS)

With an overall rating of 3.4, the plan is offered at a monthly premium of $80. The plan has no annual deductible and an out of pocket maximum of $6700. While visiting your primary doctor you have to pay a copay of $15 and for a specialist, you have to pay a copay of $45. The plan includes prescription drug services as well with a deductible amount of $195. The deductible amount is applicable to preferred brand, non-preferred drug, and specialty tier. The plan also provides in-network home healthcare as well as preventive care at $0 copay. The plan also covers oral exams, prophylaxis, dental x-rays, and restorative services at 0% coinsurance. The plan also entitles you to SilverSneakers program, along with over the counter benefits and chiropractic care as well.

 

  1. Aetna Choice H5216-032 (PPO)

With an overall rating of 4, the plan is offered at a monthly premium of $82. The plan has an annual deductible of $500, with an out of pocket maximum of $6700. While visiting your primary doctor you would have to pay a copay of $20, and a copay of $50 for a specialist. The plan covers prescription drug services as well, with a deductible of $195. The deductible is applicable to non-preferred drug and specialty tier. For generic as well as brand name drugs you have to pay a 25% coinsurance. For the urgently needed services, you have to pay a maximum copay of $65. The plan also covers outpatient mental health, at 20% coinsurance.

 

  1. Aetna Gold Plus SNP-DE H0028-015 (HMO D-SNP)

With an overall rating of 4 stars, this plan is offered at a monthly premium of $0. This gold plus plan is Special needs Plan which is specially added for people with particular chronic diseases. Not everybody is allowed to enrol in such plans. If you have a chronic disease like heart failure or end-stage renal disease, you can enrol in this plan. The special needs plan is specifically designed to cater to your needs depending on your particular situation. You have to pay a $0 copay while visiting your primary or specialty doctor. The plan also covers in-hospital stay and several chiropractic services as well. Along with covering the transportation costs, dental services, vision services, hearing services, over-the-counter benefits and fitness benefits are also covered in this plan. The plan also covers all of your prescription drug cost as well, provided you use the in-network pharmacies. The plan also provides preventive and home health care services at $0 copay.