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AETNA ADVANTAGE PLANS IN MAINE

Medicare insurance plans provided by the US government covers both Part A (hospital insurance) and Part B (medicare insurance) of the medicare. However, more and more people are switching from Original Medicare to Medicare Advantage plans. Medicare Advantage is plans offered by private companies which have been verified by medicare. These companies along with taking care of Part A and Part B of your Medicare also covers Part C and at times the Part D of your medicare as well. One such well established private company which is one of the biggest health insurance providers in the whole of the US is Aetna Health care. They provide several plans for you to choose from according to your needs. Aetna Medicare Advantage plans offered in Maine are discussed below.

 

  1. Aetna Gold Plus H5619-001 (HMO)

With an overall rating of 4, this plan is offered at a monthly premium of $0. The plan has no annual deductible and a maximum out of pocket expense of $6700. For visiting your primary care provider you have to pay a $0 copay and a $50 copay for a specialist doctor. The plan also covers prescription drug services, and provide a deductible amount of $400. The deductible amount applies to preferred brand, non preferred drug, and specialty tier. For generic and brand name drugs you have to pay a coinsurance of 25%. Along with this it also provides vision services, dental services, over the counter benefits, fitness benefits, hearing services, transportation services as well as SilverSneakers program, also providing the skilled nursing facility at a $0 copay for the first twenty days.

 

  1. Aetna Gold Plus H5619-066 (HMO)

With an overall rating of 4.2, the plan is offered at a monthly premium of $0. The plan has an annual deductible of $500, and an out of pocket maximum of $6700 for in-network providers. You do not have to pay any copay while visiting your primary health care provider and a copay of $50 for a specialist. The plan covers prescription drug coverage with a deductible of $355. The deductible amount is applicable to preferred brand, non preferred drug and specialty tier. For generic and brand name drugs you have to pay a 25% coinsurance. The plan also covers cardiac and pulmonary rehabilitation services, occupational therapy services, physical therapy services as well as speech therapy services. Along with covering up to 40 meals over a span of 20 days, chiropractic care is also included in the plan, along with transportation services.

 

  1. Aetna Choice H5216-059 (PPO)

With an overall rating of 4, the Aetna Medicare Advantage  is offered at a monthly premium of $0. The plan has no annual deductible, and a maximum out of pocket expense of $4500, for in-network services, and $10000 for providers out of the network. While visiting your health care provider you have to pay $0 copay and a $40 copay for a specialist, inside your network. The plan does not pay for your prescription drug coverage, and you have to take a part D plan separately. The plan covers your emergency room services at a copay of $90. This plan also covers additional services like dental, vision, hearing services, fitness benefits, over the counter benefits, as well as transportation costs. The plan provides in-network preventive and home health care at $0 copay.

 

  1. Aetna Choice H5216-175 (PPO)

With an overall rating of 4, the plan is offered at a monthly premium of $0. The plan does not have an annual deductible, and an out of pocket maximum of $5900. While visiting your primary health care provider you have to pay a $0 copay and for a specialist, a copay of $35 has to be paid. The plan covers prescription drug coverage, with a deductible amount of $250. The deductible amount is applicable to the non-preferred drug and specialty tier. For generic and brand name drugs, you have to pay a coinsurance of 5%. The plan also covers urgently needed services at a maximum of a copay of $65, along with cardiac and pulmonary rehabilitation services. The plan also covers all of your transportation costs at a $0 copay, providing 24 trips a year.

 

  1. Aetna Choice H5216-177 (PPO)

With an overall rating of 4, the plan is offered at a monthly premium of $38. The plan has no annual deductible and an out of pocket maximum of $4900. While visiting your primary doctor you have to pay a copay of $0 and for a specialist, you have to pay a copay of $30. The plan includes prescription drug services as well with no deductible amount. For generic as well as brand name drugs you have to pay a 5% coinsurance. The emergency services are also covered in this plan at a copay of $90. The plan also provides skilled nursing facility for up to 100 days, with a $0 copay for the first twenty days. The plan covers preventive care and home health care services as well. The plan also covers fitness benefits as well as over the counter benefits without paying any copay or coinsurance. Transportation costs are also covered under this plan.

 

  1. Aetna Gold Plus SNP-DE H5619-003 (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.