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Aetna

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2.4

Overall Score

LAST UPDATED: March 10th, 2024

Aetna offers Medicare Advantage, Part D, Medigap, and combined Medicare Advantage and Medicaid plans. It does not offer Original Medicare because those plans are administered by the federal government. Original Medicare is also referred to as traditional Medicare. Those purchasing Medicare insurance can choose between a private option (Medicare Advantage) and a public option (Original Medicare).

In addition to health insurance coverage, Aetna offers case management support services, help finding community activities and volunteer opportunities, and support for caregivers. With these additional services, the insurance carrier offers its members more than just health insurance.

Aetna also offers a mail delivery service for prescriptions, which makes it convenient for people to get the medication they need.

Read Aetna Medicare Reviews

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The Good

  • Medicare Plan Offerings
  • Medicare Advantage Plan Perks
  • Online Tools and Resources
  • Support for Health Challenges and Healthy Living
  • Employer-Sponsored Medicare Options

Medicare Plan Offerings

Aetna offers Medicare Advantage, Medicare Advantage Dual Special Needs (Medicare with Medicaid), Medicare Part D (prescription drug plans), and Medigap insurance plans. 

Prescription drug plans and Medicare supplement insurance (Medigap) plans can be purchased with Original Medicare (Parts A and B). A Part D plan offers coverage for your medications. Medigap policies help control your out-of-pocket expenses from Original Medicare.

Medicare Advantage plans offer hospital insurance (coverage for hospital stays) and medical insurance (coverage for primary care visits and other medical treatment). Aetna's Medicare Advantage plans include HMO, HMO-POS, and PPO network and payment structure options.

Some Aetna Medicare Advantage plans include dental, eye glasses, and hearing aids benefits. Review the coverage and costs of each plan to fully understand the value of the Medicare benefits offered.

The Medicare Advantage Dual Special Needs plans depend on state contracts, so the availability year to year may change. If you qualify for both Medicaid services and Medicare coverage, a Dual Special Needs plan may be the best fit for you.

Aetna offers three types of Part D plans:

  • Aetna Medicare Rx® Select
  • Aetna Medicare Rx® Saver
  • Aetna Medicare Rx® Value Plus

Each drug plan has different premiums, deductibles, and cost-sharing rules. However, each plan has low copays when purchasing medicine from certain pharmacies or through CVS Caremark® Mail Service. It's convenient to have medications shipped directly to your home. You should carefully review the plans available in your area to ensure that you purchase the prescription drug coverage you need.

If you have Original Medicare, purchasing Medicare supplement coverage can help lower your out-of-pocket expenses. A Medigap policy is supplemental insurance that offers help paying out-of-pocket expenses for Original Medicare.

The Aetna Medicare Supplement plan options vary by service area, so be sure to review the Aetna Medigap plan options available in your state.

Medicare Advantage Plan Perks

Most of Aetna’s Medicare Advantage plans include the following perks:

  • Resources for Living®
  • SilverSneakers®
  • 24/7 Nurse Access

The Resources for Living® program offers support for home maintenance and help finding community activities or volunteer opportunities. It also offers support to caregivers through support groups and child care.

The SilverSneakers® program offers access to fitness facilities and classes. If an Aetna Medicare member doesn't live close to a facility, he or she can receive a home exercise kit.

A nurse is available via phone 24/7. Members can contact the nurse regarding medical questions. The nurses can help patients understand their treatment options and manage their care.

You'll benefit from these additional perks when you choose an Aetna Medicare Advantage plan.

Online Tools and Resources

As an Aetna Medicare plan member, you'll have access to great resources for understanding Medicare and their health.

The Healthwise® Knowledgebase offers information on health, fitness, and prescription drug information. It also has health decision tools to help members make choices about their health care. There is also a Symptom Checker that members can use.

Support for Health Challenges and Healthy Living

Aetna also offers support services for managing health, like disease management, transplants, blood pressure and cholesterol monitoring, and hospice support.

Some employer-sponsored Medicare plans also include a lifestyle coaching program to support healthy habits.

Employer-Sponsored Medicare Options

Aetna also offers Medicare plans that employers can offer their employees. These plans include Medicare Advantage and prescription drug plans. Aetna also offers two kinds of Medigap insurance plans Supplemental Retiree Medical plan and an Aetna Traditional Choice® plan.

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The Bad

  • Limited Customer Insight
  • No Medicare Part A or Part B

Limited Customer Insight

Aetna Medicare has not recieved many customer reviews on Best Company. Some reviews are also unclear as to whether they had Medicare or other health insurance through Aetna.

Since there are so few reviews, a full recommendation based on the customer experience is not available.

Unfortunately, most of Aetna Medicare reviews are negative. Complaints include difficulty with customer service, claims, provider network size, and coverage.

No Medicare Part A or Part B

Medicare Part A and Part B are managed by Centers for Medicare & Medicaid Services, a federal agency. Medicare Part A covers care received in hospitals or care facilities. Medicare Part B covers other medical treatment, like medical tests and doctor visits. To enroll in these programs, Medicare beneficiaries work through the Social Security office.

Medicare Part C (or Medicare Advantage plans) combine the coverage offered by Part A and Part B. While Aetna does not offer Part A or Part B, its Medicare Advantage plans offer coverage for the same things.

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The Bottom Line

While Aetna does not offer Medicare Part A or Part B, it is still a great choice when choosing a Medicare provider.

It offers a nice selection Medicare Advantage and Part D plans. Its Medigap and combined Medicare and Medicaid plan availability varies by state. While specific costs and availability vary, Aetna is worth considering.

Medicare Advantage plans cover the same things that Part A and Part B do. Most also include qualifying prescription drug coverage, which means you don't have to buy a separate prescription drug plan to cover medications.

Aetna offers a fitness program, 24/7 nurse access, and support for social and home life with most of its Medicare Advantage plans. These services help members find opportunities to engage with the community and stay healthy.

Aetna also offers case management services for a variety of circumstances from blood pressure and cholesterol monitoring to disease support.

All of Aetna's additional services make it worth considering for those seeking a Medicare Advantage plan. Be sure to carefully review the plans available in your area to be sure that the network of providers, covered services and medicine and costs meet your needs.

A full recommendation based on the customer experience is not availabel due to a small number of customer reviews. If you explore Aetna Medicare further, keep customer reviews in mind.

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Star Rating

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2.3

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35 Reviews

Review Breakdown

5 grade

20%

4 grade

9%

3 grade

9%

2 grade

3%

1 grade

60%

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Review Source

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Wendy Liu Bethesda, MD

Aetna is a highly recommended health insurance provider. Not only is its health care plan selection very large, it also provides willing and able customer service. Consumers looking to purchase a private health insurance plan, a Medicaid, Medicare, or Medigap plan will find good options from Aetna.

4 years ago

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Review Source

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Sade b Oklahoma City, OK

I used Aetna when I lived in Texas. I liked this company. It helped me with my medical and was not overly costly.

2 years ago

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Review Source

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John E Leadore, ID

We have had good service for a fair price though we have not required to use it there is value there

3 years ago