It’s generally known as the Evidence of Coverage (EOC). The EOC is the legal contract between you and the Medicare plan. It’s generally available starting in September and describes costs and benefits of your plan that will take effect on January 1 of the following year. If you have questions about your Medicare plan, start here.You can find your Evidence of Coverage (EOC), Summary of Benefits, Star Ratings, Formulary — Prescription Drug Coverage, Over-the-counter (OTC) benefit catalog, and more. If you’re in a Medicare Advantage plan, your plan name is listed on your member ID card. If you’re in a plan with prescription drug coverage only (PDP), look at the “S ...Inpatient Hospital Care. $350 per day, days 1-6; $0 per day, days 7-90 in-network | $450 per day, days 1-6; $0 per day, days 7-90 out-of-network. Urgent Care. Copayment for Urgent Care $40.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit.Nov 9, 2023 · The Aetna Medicare pharmacy network includes limited lower cost, preferred pharmacies in Suburban Arizona, Suburban Illinois, Urban Kansas, Rural Michigan, Urban Michigan, Urban Missouri, Rural North Aetna-Medicare-SmartFit-Plan-PPO H5521:444-0 | Alight Retiree Health Solutions. Home. Medicare Plans. Dental, Vision & Hearing Plans. Log In. Create Account. View the coverage and benefits provided in the Aetna Medicare SmartFit Plan (PPO) plan from Aetna. Alight Retiree Health Solutions represents Medicare plans from 59 insurers nationwide. Sep 13, 2023 · 2024 Summary of Benefits. Aetna Medicare SmartFit Plan (PPO) H5521 ‐ 444. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Specialty Doctor Visit. $30 in-network | 40% out-of-network. Inpatient Hospital Care. $550 per day, days 1-5; $0 per day, days 6-90 in-network | 45% per stay out-of-network. Urgent Care. Copayment for Urgent Care $35.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $135.00. Emergency Room Visit.©2023 Aetna Inc. 2584953-01-01 (9/23) Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiaryH5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: ... H5521-227: Aetna Medicare Freedom Plan (PPO) 2024: H2293-016: Amerigroup View payer . Plan Name Effective Year Benefit Package; Amerivantage Dual Coordination (HMO D-SNP) …Medicare Plans. Dental, Vision & Hearing Plans. Log In. Create Account. View the coverage and benefits provided in the Aetna Medicare SmartFit Plan (PPO) plan from Aetna. Alight Retiree …This is called prior authorization or pre‐certification. Benefit. Your in‐network costs Your out‐of‐network costs. Inpatient (unlimited number of days) $295 per day, days 1‐7; $0 per day, 50% per stay days 8‐90; $0 for additional days. Outpatient hospital observation services. $325 per stay 50% per stay. Outpatient hospital. $40 ...Aetna Medicare Dual Choice (PPO D-SNP) | H5521-464 8 2024 Summary of Benefits for H5521-464. Hearing services Benefit Your in‑network costs Your out‑of‑network costs Diagnostic hearing exam $0 20% after your plan deductible Routine hearing exam $0 0% You get one routine hearing exam every year. You can visit a provider in the ...This is called prior authorization or pre‐certification. Benefit. Your in‐network costs Your out‐of‐network costs. Inpatient (unlimited number of days) $356 per day, days 1‐8; $0 per day, 40% per stay days 9‐90; $0 for additional days. Outpatient hospital observation services. $275 per stay 40% per stay. Outpatient hospital. $25 ...Get 2024 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCInpatient Hospital Care. $350 per day, days 1-6; $0 per day, days 7-90 in-network | $450 per day, days 1-6; $0 per day, days 7-90 out-of-network. Urgent Care. Copayment for Urgent Care $40.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit. H5521:247-0 Aetna Medicare Premier Plan (PPO) H5521:249-0 Aetna Medicare Premier Plan (PPO) H5521:251-0 Aetna Medicare Value Plan (PPO) H5521:279-0 Aetna Medicare Eagle Plan (PPO) H5521:319-0 Aetna Medicare Premier Plus Plan (PPO) H5521:373-0 Aetna Medicare Essential Plan (PPO) H5521:444-0 Aetna Medicare SmartFit Plan (PPO) The Aetna Medicare SmartFit Plan (PPO) (H5521 - 444) currently has 7,207 members. , and 4,599 members in South Carolina. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4 stars. The detail CMS plan carrier ratings are as follows: Customer Service Rating of 4 out of 5 stars This page features plan details for 2024 Aetna Medicare SmartFit (PPO) H5521 – 441 – 0 available in Ohio. IMPORTANT: This page has been updated with plan and premium data for …Mar 1, 2024 · Learn more about your plan. Watch this quick video to find out more about the benefits, programs and services your plan offers. By clicking on “I Accept”, I acknowledge and accept that: The Applied Behavior Analysis (ABA) Medical Necessity Guide helps determine appropriate (medically necessary) levels and types of care for patients in need of evaluat Inpatient Hospital Care. $350 per day, days 1-6; $0 per day, days 7-90 in-network | $450 per day, days 1-6; $0 per day, days 7-90 out-of-network. Urgent Care. Copayment for Urgent Care $40.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit. Plan Overview. 2024 Aetna Medicare Explorer Premier (PPO) H5521 — 438— 0 is a Local PPO offered in Southwest by Aetna Medicare. It has a monthly premium of $0.00. Premium …Call OTC Health Solutions at 1-833-331-1573 (TTY: 711). You can speak with an agent 9 AM to 8 PM local time, Monday through Friday. Call Member Services to order a printed copy of your …Podiatry services. Out-of-Network: Podiatry Services: Copayment for Medicare Covered Podiatry Services $65.00. Skilled Nursing Facility (SNF) care. $0 per day, days 1-20; $196 per day, days 21-100 in-network| 35% per stay out-of-network, for more information see Evidence of Coverage.Plan ID: H5521-214-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Michigan Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. ... Urgent care. Urgent Care: Copayment for Urgent Care $15.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Emergency room visit. $120 If you are admitted to the hospital within 24 hours your cost share may be waived, for more information see the Evidence of Coverage. Ambulance transportation. H5521 - 344 - 0 Click to see other plans: Member Services: 1-833-570-6670 TTY users 1-833-570-6670 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. Specialty Doctor Visit. $50 in-network | 50% out-of-network. Inpatient Hospital Care. $350 per day, days 1-6; $0 per day, days 7-90 in-network | 50% per stay out-of-network. Urgent Care. Copayment for Urgent Care $55.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Emergency Room Visit.H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: ... H5521-227: Anthem View payer . Plan Name Effective Year Benefit Package; Anthem MediBlue Plus (HMO) 2024: H4346-012: Anthem MediBlue Dual Advantage (HMO D-SNP) 2024: …H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: ... H5521-224: Aetna Medicare Freedom (PPO) 2024: H5521-227: Anthem View payer . Plan Name Effective Year Benefit Package; Anthem MediBlue Access Basic (Regional PPO) 2024:Aetna Medicare Discover Value Plan (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $15.00. Prior Authorization Required for Chiropractic Services.H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: H5521-447: ... H5521-227: Aetna Medicare MyMichigan Prime (HMO-POS) 2024: H3192-017: AmeriHealth Caritas VIP View payer . Plan Name Effective YearThis is called prior authorization or pre‐certification. Benefit. Your in‐network costs Your out‐of‐network costs. Inpatient (unlimited number of days) $295 per day, days 1‐7; $0 per day, 50% per stay days 8‐90; $0 for additional days. Outpatient hospital observation services. $325 per stay 50% per stay. Outpatient hospital. $40 ...Benefit. Your in‐network costs Your out‐of‐network costs. Inpatient psychiatric hospital stay. $374 per day, days 1‐5; $0 per day, 30% per stay after your plan days 6‐90 after your plan deductible deductible. Outpatient mental health therapy. $40 30% after your plan deductible. Outpatient psychiatric therapy.Specialty Doctor Visit. $50 in-network | 50% out-of-network. Inpatient Hospital Care. $350 per day, days 1-6; $0 per day, days 7-90 in-network | 50% per stay out-of-network. Urgent Care. Copayment for Urgent Care $55.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Emergency Room Visit.Sep 13, 2023 · Y0001_H5521_081_PP80_SB24_M. 2024 Summary of Benefits. Aetna Medicare Premier Plan (PPO) H5521 ‐ 081. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary. Inpatient Hospital Care. $375 per day, days 1-6; $0 per day, days 7-90 in-network | $475 per day, days 1-6; $0 per day, days 7-90 out-of-network. Urgent Care. Copayment for Urgent Care $35.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $250000.00. H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: H5521-447: ... H5521-227: Aetna Medicare MyMichigan Prime (HMO-POS) 2024: H3192-017: Blue Cross Blue Shield View payer . Plan Name Effective YearCall OTC Health Solutions at 1-833-331-1573 (TTY: 711). You can speak with an agent 9 AM to 8 PM local time, Monday through Friday. Call Member Services to order a printed copy of your …Medicare Plans. Dental, Vision & Hearing Plans. Log In. Create Account. View the coverage and benefits provided in the Aetna Medicare SmartFit Plan (PPO) plan from Aetna. Alight Retiree …Aetna Medicare SmartFit Plan (PPO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $6,500 In and Out-of-network $5,500 In-network.Y0001_H5521_243_PQ49_SB24_M. 2024 Summary of Benefits. Aetna Medicare Value Plan (PPO) H5521 ‐ 243. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.Aetna Medicare Dual Choice (PPO D-SNP) | H5521-464 8 2024 Summary of Benefits for H5521-464. Hearing services Benefit Your in‑network costs Your out‑of‑network costs Diagnostic hearing exam $0 20% after your plan deductible Routine hearing exam $0 0% You get one routine hearing exam every year. You can visit a provider in the ...Sep 13, 2023 · 2024 Summary of Benefits. Aetna Medicare SmartFit Plan (PPO) H5521 ‐ 444. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? The Aetna Medicare SmartFit Plan (PPO) (H5521 - 444) currently has 7,207 members. , and 4,599 members in South Carolina. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4 stars. The detail CMS plan carrier ratings are as follows: Customer Service Rating of 4 out of 5 stars H9431:019-0 Aetna Medicare SmartFit Plan (PPO) R6694:003-0 Aetna Medicare Premier Plus 1 (Regional PPO) R6694:005-0 Aetna Medicare Premier Plus 2 (Regional PPO) R6694:006-0 Aetna Medicare Premier (Regional PPO) Compare the 626 Medicare Advantage plans available from Aetna through Alight Retiree Health Solutions. Podiatry services. In-Network: Podiatry Services: Copayment for Medicare-Covered Podiatry Services $30.00. Skilled Nursing Facility (SNF) care. $10 per day, days 1-20; $196 per day, days 21-100 in-network| 35% per stay out-of-network, for …Y0001_H5521_310_PQ91_SB24_M. 2024 Summary of Benefits. Aetna Medicare Elite Plan 3 (PPO) H5521 ‐ 310. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.Y0001_H5521_157_PQ15_SB24_M. 2024 Summary of Benefits. Aetna Medicare Elite Plan (PPO) H5521 ‐ 157. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.Plan ID: H5521-272-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Florida Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part …Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Health benefits and health insurance plans contain exclusions and limitations. Aetna offers health insurance, as well as dental, vision and other plans, to meet the ... In-Network: Copayment for Medicare-Covered Podiatry Services $35.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $60.00. Skilled Nursing Facility Care. $0 per day, days 1-20. $191 per day, days 21-100 in-network| 30% per stay. Out-of-Network: for more information see Evidence of Coverage. Aetna Medicare Eagle Plan (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $15.00. Prior Authorization Required for Chiropractic Services. 4 out of 5 stars* for plan year 2024. Aetna Medicare Value Plus Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-424-000. * Every …Aetna Medicare SmartFit Plan (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $10.00. Copayment for Routine Care $10.00. Maximum 12 Routine Care every year.Plan ID: H5521-431-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Washington Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. ... H5521 - 444 - 0 (4 / 5) Aetna Medicare SmartFit Plan (PPO) is a Medicare Advantage (Part C) Plan by Aetna Medicare. Premium: $0.00 Enroll Now This page features plan ... H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: H5521-447: ... H5521-227: Aetna Medicare MyMichigan Prime (HMO-POS) 2024: H3192-017: Blue Cross Blue Shield View payer . Plan Name Effective Year The Aetna Medicare SmartFit Plan (PPO) (H5521 - 444) currently has 7,207 members. , and 4,599 members in South Carolina. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4 stars. The detail CMS plan carrier ratings are as follows: Customer Service Rating of 4 out of 5 stars H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: ... H5521-224: Aetna Medicare Freedom (PPO) 2024: H5521-227: Cigna View payer . Plan Name Effective Year Benefit Package; Cigna Fundamental Medicare (HMO) 2024:Inpatient Hospital Care. $350 per day, days 1-6; $0 per day, days 7-90 in-network | $450 per day, days 1-6; $0 per day, days 7-90 out-of-network. Urgent Care. Copayment for Urgent Care $40.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit.In-Network: Psychiatric Hospital Services: $270.00 per day for days 1 to 8. $0.00 per day for days 9 to 90. Prior Authorization Required for Psychiatric Hospital Services. Prior authorization required. Out-of-Network: Coinsurance for Psychiatric Hospital Services per Stay 20%. Mental Health Outpatient Care.H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: ... H5521-227: Cigna View payer . Plan Name Effective Year Benefit Package; Cigna Rx Medicare (PDP) 2024: S5617-807: Cigna True Choice Medicare (PPO) 2024:Plan ID: H5521-082-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $77.00 Monthly Premium. Virginia Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part ...4 out of 5 stars* for plan year 2024. Aetna Medicare Value Plus Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-424-000. * Every …H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: ... H5521-224: Aetna Medicare Freedom (PPO) 2024: H5521-227: Anthem View payer . Plan Name Effective Year Benefit Package; Anthem MediBlue Access Basic (Regional PPO) 2024: TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Aetna Medicare Premier Plan (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 (see Plan Premium Details below) Annual Deductible: $150 (Tier 1 and 2 excluded from the Deductible.) Annual Initial Coverage Limit (ICL): Plan ID: H5521-272-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Florida Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part …2023 Evidence of Coverage for Aetna Medicare Premier Plan (PPO) 7 Chapter 1 Getting started as a member SECTION 1 Introduction Section 1.1 You are enrolled in Aetna Medicare Premier Plan (PPO), which is a Medicare PPOWith this plan, the monthly premium you pay to the SSA is reduced by $70. Plan deductible. $0. MOOP. $4,390 for in‐network services $8,000 for in‐ and out‐of‐network services combined. Once you reach the maximum out‐of‐pocket, our plan pays 100% of covered medical services. Your premium doesn’t count toward your MOOP.Aetna Medicare SmartFit Plan (PPO) H5521-444. Includes: Medical (Part C) Prescription (Part D) $0 Open tooltip for information about $0 premiums. Aetna is able to offer $0 monthly premium plans because the federal government covers the cost using your monthly Medicare Part B premium. In-Network: Copayment for Medicare-Covered Podiatry Services $35.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $60.00. Skilled Nursing Facility Care. $0 per day, days 1-20. $191 per day, days 21-100 in-network| 30% per stay. Out-of-Network: for more information see Evidence of Coverage. 2024 Summary of Benefits. Aetna Medicare Value Plus Plan (PPO) H5521 ‐ 424. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. …Basic Costs and Coverage. $375 per day, days 1-6; $0 per day, days 7-90 in-network | $475 per day, days 1-6; $0 per day, days 7-90 out-of-network. $100 If you are admitted to the hospital within 0 hours your cost share may be waived, for more information see the Evidence of Coverage.H5521 - 159 - 0 Click to see other plans: Member Services: 1-888-268-9800 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Specialty Doctor Visit. $50 in-network | $50 out-of-network. Inpatient Hospital Care. $395 per day, days 1-4; $0 per day, days 5-90 in-network | 50% per stay out-of-network. Urgent Care. Copayment for Urgent Care $40.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $95.00. Emergency Room Visit.H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: ... H5521-227: Aetna Medicare Assure Plan (HMO D-SNP) 2024: H3312-070: Anthem View payer . Plan Name Effective Year Benefit Package; Empire MediBlue Plus (HMO) 2024: H8432 …Y0001_H5521_352_PR10_SB24_M. 2024 Summary of Benefits. Aetna Medicare Essential Elite Plan (PPO) H5521 ‐ 352. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in …Dec 1, 2023 · Y0001_H5521_444_NS99_SB24_M. 2024 Summary of Benefits. Aetna Medicare SmartFit Plan (PPO) H5521 ‐ 444. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary. Aetna Medicare SmartFit Plan (PPO) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in South Carolina and offered by the health insurance company …3.5 out of 5 stars. Aetna Medicare Explorer Premier (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-434. Have Medicare questions? …With this plan, the monthly premium you pay to the SSA is reduced by $70. Plan deductible. $0. MOOP. $4,390 for in‐network services $8,000 for in‐ and out‐of‐network services combined. Once you reach the maximum out‐of‐pocket, our plan pays 100% of covered medical services. Your premium doesn’t count toward your MOOP. Urgent Care: Copayment for Urgent Care $15.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Emergency room visit. $120 If you are admitted to the hospital within 24 hours your cost share may be waived, for more information see the Evidence of Coverage. Ambulance transportation. Aetna Medicare SmartFit Plan (PPO) H5521-444. Includes: Medical (Part C) Prescription (Part D) $0 Open tooltip for information about $0 premiums. Aetna is able to offer $0 monthly premium plans because the federal government covers the cost using your monthly Medicare Part B premium.2024 Summary of Benefits. Aetna Medicare Value Plus Plan (PPO) H5521 ‐ 424. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. …Robinhood pediatrics, Fleet farm owatonna mn, Tunnel2towers, John yancey inn, Giada chef, The gage hotel, Irondequoit animal hospital, Kickclusive, Jaypeak, Motorcycle mechanics institute, Break thru, Open and affordable dental, Fossil rim wildlife center glen rose tx, Wilton cake decorating
Urgent Care: Copayment for Urgent Care $15.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Emergency room visit. $120 If you are admitted to the hospital within 24 hours your cost share may be waived, for more information see the Evidence of Coverage. Ambulance transportation. . Truett
The most you pay for copays, coinsurance and other costs for medical services for the year. Once you reach the maximum out‐of‐pocket, our plan pays 100% of covered medical services. Your premium and prescription drugs don’t count toward the maximum out‐of‐pocket. $373 per day, days 1‐6; $0 per day, days 7‐90.Y0001_H5521_245_PQ50_SB24_M. 2024 Summary of Benefits. Aetna Medicare Premier Plan (PPO) H5521 ‐ 245. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.OFFICE OF CIVIL RIGHTS – CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES. You can also file a civil rights complaint with the California Department of Health Care Services, … Inpatient Hospital Care. $350 per day, days 1-6; $0 per day, days 7-90 in-network | $450 per day, days 1-6; $0 per day, days 7-90 out-of-network. Urgent Care. Copayment for Urgent Care $40.00Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00 Maximum Plan Benefit of $250000.00. Emergency Room Visit. In-Network: Copayment for Medicare-Covered Podiatry Services $35.00. Out-of-Network: Coinsurance for Medicare Covered Podiatry Services 45%. Skilled Nursing Facility Care. $10 per day, days 1-20. $203 per day, days 21-100 in-network| 45% per stay. Out-of-Network: for more information see Evidence of Coverage.Aetna Medicare SmartFit (PPO) H5521-441. Includes: Medical; Prescription; $0 Open tooltip for information about $0 premiums. Aetna is able to offer $0 monthly premium plans because the federal government covers the cost using your monthly Medicare Part B premium.View the coverage and benefits provided in the Aetna Medicare SmartFit (PPO) plan from Aetna. Alight Retiree Health Solutions represents Medicare plans from 59 insurers nationwide.Basic Costs and Coverage. $325 per day, days 1-6; $0 per day, days 7-90 in-network | $425 per day, days 1-6; $0 per day, days 7-90 out-of-network. $100 If you are admitted to the hospital within 0 hours your cost share may be waived, for more information see the Evidence of Coverage. Members with Aetna Medicare Advantage (MA) and Aetna Medicare Advantage with Prescription Drug (MAPD) plans can log in or register for an account below. This includes HMO, PPO or HMO-POS plans. Through your Aetna® member account you can manage claims, view plan details and more. Log in for MA/MAPD. Register my MA/MAPD. H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: H5521-447: ... H5521-227: Aetna Medicare MyMichigan Prime (HMO-POS) 2024: H3192-017: AmeriHealth Caritas VIP View payer . Plan Name Effective YearPodiatry services. Out-of-Network: Podiatry Services: Copayment for Medicare Covered Podiatry Services $65.00. Skilled Nursing Facility (SNF) care. $0 per day, days 1-20; $196 per day, days 21-100 in-network| 35% per stay out-of-network, for more information see Evidence of Coverage.Y0001_H5521_444_NS99_SB24_M. 2024 Summary of Benefits. Aetna Medicare SmartFit Plan (PPO) H5521 ‐ 444. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.Copayment for Urgent Care $50.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit. $120 If you are admitted to the hospital within 24 hours your cost share may be waived, for more information see the Evidence of Coverage.Call OTC Health Solutions at 1-833-331-1573 (TTY: 711). You can speak with an agent 9 AM to 8 PM local time, Monday through Friday. Call Member Services to order a printed copy of your …Specialty Doctor Visit. $30 in-network | 40% out-of-network. Inpatient Hospital Care. $550 per day, days 1-5; $0 per day, days 6-90 in-network | 45% per stay out-of-network. Urgent Care. Copayment for Urgent Care $35.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $135.00. Emergency Room Visit.Plan ID: H5521-086-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Illinois Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part …The Aetna Medicare pharmacy network includes limited lower cost, preferred pharmacies in Suburban Arizona, Suburban Illinois, Urban Kansas, Rural Michigan, Urban Michigan, Urban Missouri, Rural NorthY0001_H5521_214_PQ31_SB24_M. 2024 Summary of Benefits. Aetna Medicare Value (PPO) H5521 ‐ 214. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.Y0001_H5521_434_NS17_SB24_M. 2024 Summary of Benefits. Aetna Medicare Explorer Premier (PPO) H5521 ‐ 434. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.This is called prior authorization or pre‐certification. Benefit. Your in‐network costs Your out‐of‐network costs. Inpatient (unlimited number of days) $356 per day, days 1‐8; $0 per day, 40% per stay days 9‐90; $0 for additional days. Outpatient hospital observation services. $275 per stay 40% per stay. Outpatient hospital. $25 ...Specialty Doctor Visit. $35 in-network | 40% out-of-network. Inpatient Hospital Care. $265 per day, days 1-5; $0 per day, days 6-90 in-network | 40% per stay out-of-network. Urgent Care. Copayment for Urgent Care $50.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00.The table below outlines some of the specific plan details for Aetna Inc. Medicare Advantage plans available in South Carolina in 2024. Plan Name. Plan Code. Monthly Premium. Deductible. Out of. Pocket Max. Prescription Drug Coverage. Medicare.Podiatry services. Out-of-Network: Podiatry Services: Copayment for Medicare Covered Podiatry Services $65.00. Skilled Nursing Facility (SNF) care. $0 per day, days 1-20; $196 per day, days 21-100 in-network| 35% per stay out-of-network, for more information see Evidence of Coverage.This is called prior authorization or pre‐certification. Benefit. Your in‐network costs Your out‐of‐network costs. Inpatient (unlimited number of days) $356 per day, days 1‐8; $0 per day, 40% per stay days 9‐90; $0 for additional days. Outpatient hospital observation services. $275 per stay 40% per stay. Outpatient hospital. $25 ...Aetna Medicare SmartFit Plan (PPO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $6,500 In and Out-of-network $5,500 In-network.Sep 27, 2022 · The most you pay for copays, coinsurance and other costs for medical services for the year. Once you reach the maximum out‐of‐pocket, our plan pays 100% of covered medical services. Your premium and prescription drugs don’t count toward the maximum out‐of‐pocket. $373 per day, days 1‐6; $0 per day, days 7‐90. Specialty Doctor Visit. $35 in-network | 40% out-of-network. Inpatient Hospital Care. $265 per day, days 1-5; $0 per day, days 6-90 in-network | 40% per stay out-of-network. Urgent Care. Copayment for Urgent Care $50.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00.H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: ... H5521-224: Aetna Medicare Freedom (PPO) 2024: H5521-227: Cigna View payer . Plan Name Effective Year Benefit Package; Cigna Fundamental Medicare (HMO) 2024:In-Network: Copayment for Medicare-Covered Podiatry Services $45.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $60.00. Skilled Nursing Facility Care. $10 per day, days 1-20. $196 per day, days 21-100 in-network| 35% per stay. Out-of-Network: for more information see Evidence of Coverage.Aetna Medicare SmartFit Plan (PPO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $6,500 In and Out-of-network $5,500 In-network.4 2024 Evidence of Coverage for Aetna Medicare SmartFit Plan (PPO) Table of Contents SECTION 2 Fill your prescription at a network pharmacy or through the plan’s …Y0001_H5521_444_NS99_SB24_M. 2024 Summary of Benefits. Aetna Medicare SmartFit Plan (PPO) H5521 ‐ 444. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.Aetna Medicare Dual Choice (PPO D-SNP) | H5521-469 8 2024 Summary of Benefits for H5521-469. Hearing services Benefit Your in‑network costs Your out‑of‑network costs Diagnostic hearing exam $0 20% after your plan deductible Routine hearing exam $0 0% You get one routine hearing exam every year. You can visit a provider in the ...©2023 Aetna Inc. 2584953-01-01 (9/23) Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiaryThis page features plan details for 2024 Aetna Medicare SmartFit (PPO) H5521 – 441 – 0 available in Ohio. IMPORTANT: This page has been updated with plan and premium data for …H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: ... H5521-224: Aetna Medicare Freedom (PPO) 2024: H5521-227: Anthem View payer . Plan Name Effective Year Benefit Package; Anthem MediBlue + Kroger Access (PPO) 2024: Plan ID: H5521-082-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $77.00 Monthly Premium. Virginia Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part ... H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: ... H5521-224: Aetna Medicare Freedom (PPO) 2024: H5521-227: Anthem View payer . Plan Name Effective Year Benefit Package; Anthem MediBlue Access Basic (Regional PPO) 2024:H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: ... H5521-224: Aetna Medicare Freedom (PPO) 2024: H5521-227: Anthem View payer . Plan Name Effective Year Benefit Package; Anthem MediBlue Access Basic (Regional PPO) 2024:H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: ... H5521-224: Aetna Medicare Freedom (PPO) 2024: H5521-227: Cigna View payer . Plan Name Effective Year Benefit Package; Cigna Fundamental Medicare (HMO) 2024:Specialty Doctor Visit. $50 in-network | 50% out-of-network. Inpatient Hospital Care. $350 per day, days 1-6; $0 per day, days 7-90 in-network | 50% per stay out-of-network. Urgent Care. Copayment for Urgent Care $55.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Emergency Room Visit.With this plan, the monthly premium you pay to the SSA is reduced by $55. Plan deductible. $0. MOOP. $7,000 for in‐network services $9,500 for in‐ and out‐of‐network services combined. Once you reach the maximum out‐of‐pocket, our plan pays 100% of covered medical services. Your premium doesn’t count toward your MOOP.Inpatient Hospital Care. $350 per day, days 1-6; $0 per day, days 7-90 in-network | $450 per day, days 1-6; $0 per day, days 7-90 out-of-network. Urgent Care. Copayment for Urgent Care $40.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit.Specialty Doctor Visit. $30 in-network | 50% out-of-network. Inpatient Hospital Care. $300 per day, days 1-7; $0 per day, days 8-90 in-network | 50% per stay out-of-network. Urgent Care. Copayment for Urgent Care $40.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Emergency Room Visit.In-Network: Copayment for Medicare-Covered Podiatry Services $35.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $50.00. Skilled Nursing Facility Care. $0 per day, days 1-20. $196 per day, days 21-100 in-network| 50% per stay. Out-of-Network: for more information see Evidence of Coverage.2023 Evidence of Coverage for Aetna Medicare Premier Plan (PPO) 7 Chapter 1 Getting started as a member SECTION 1 Introduction Section 1.1 You are enrolled in Aetna Medicare Premier Plan (PPO), which is a Medicare PPOSep 13, 2023 · This is called prior authorization or pre‐certification. Benefit. Your in‐network costs Your out‐of‐network costs. Inpatient (unlimited number of days) $300 per day, days 1‐7; $0 per day, 50% per stay days 8‐90; $0 for additional days. Outpatient hospital observation services. $350 per stay 50% per stay. Outpatient hospital. $45 ... Aetna Medicare SmartFit Plan (PPO) H5521-444. Includes: Medical (Part C) Prescription (Part D) $0 Open tooltip for information about $0 premiums. Aetna is able to offer $0 monthly premium plans because the federal government covers the cost using your monthly Medicare Part B premium.Specialty Doctor Visit. $30 in-network | $45 out-of-network. Inpatient Hospital Care. $425 per day, days 1-4; $0 per day, days 5-90 in-network | 45% per stay out-of-network. Urgent Care. Copayment for Urgent Care $40.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Emergency Room Visit.3.5 out of 5 stars. Aetna Medicare Explorer Premier (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-434. Have Medicare questions? …Evidence of Coverage. January 1 - December 31, 2022. Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Aetna Medicare Plan (PPO) This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 - December 31, 2022.Podiatry services. Out-of-Network: Podiatry Services: Copayment for Medicare Covered Podiatry Services $65.00. Skilled Nursing Facility (SNF) care. $0 per day, days 1-20; $196 per day, days 21-100 in-network| 35% per stay out-of-network, for more information see Evidence of Coverage.Y0001_H5521_424_NT31_SB24_M. 2024 Summary of Benefits. Aetna Medicare Value Plus Plan (PPO) H5521 ‐ 424. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary. 2024 Aetna Medicare SmartFit Plan (PPO) H5521 — 444— 0 is a Local PPO offered in South Carolina by Aetna Medicare. It has a monthly premium of $0.00. Premium Breakdown. Standard Part B Premium. $174.80. Part B premium reduction. $0. Part C Premium. $0. Part D Basic Premium. $0. Part D Supplemental Premium. $0. Part D Total. $0.00. Internal Medicine. 5050 Parkside Ave, Suite 2, Philadelphia, PA 19131. Discover Medicare insurance plans accepted by Sundeep Katepalli, MD and find primary care doctors accepting Medicare near you.Aetna Medicare SmartFit Plan (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $10.00. Copayment for Routine Care $10.00. Maximum 12 Routine Care every year.4 out of 5 stars* for plan year 2024. Aetna Medicare SmartFit (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-441-000. * Every year, … Urgent care. Urgent Care: Copayment for Urgent Care $15.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Emergency room visit. $120 If you are admitted to the hospital within 24 hours your cost share may be waived, for more information see the Evidence of Coverage. Ambulance transportation. 2023 Evidence of Coverage for Aetna Medicare Premier Plan (PPO) 7 Chapter 1 Getting started as a member SECTION 1 Introduction Section 1.1 You are enrolled in Aetna Medicare Premier Plan (PPO), which is a Medicare PPO Plan ID: H5521-082-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $77.00 Monthly Premium. Virginia Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part ... 4 out of 5 stars* for plan year 2024. Aetna Medicare SmartFit (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-441-000. * Every year, … Specialty Doctor Visit. $30 in-network | 50% out-of-network. Inpatient Hospital Care. $300 per day, days 1-7; $0 per day, days 8-90 in-network | 50% per stay out-of-network. Urgent Care. Copayment for Urgent Care $40.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Emergency Room Visit. Aetna Medicare Eagle Plan (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $15.00. Prior Authorization Required for Chiropractic Services. It’s generally known as the Evidence of Coverage (EOC). The EOC is the legal contract between you and the Medicare plan. It’s generally available starting in September and describes costs and benefits of your plan that will take effect on January 1 of the following year. If you have questions about your Medicare plan, start here.Y0001_H5521_269_PQ65_SB24_M. 2024 Summary of Benefits. Aetna Medicare Premier (PPO) H5521 ‐ 269. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary. Inpatient Hospital Care. $350 per day, days 1-6; $0 per day, days 7-90 in-network | $450 per day, days 1-6; $0 per day, days 7-90 out-of-network. Urgent Care. Copayment for Urgent Care $40.00Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00 Maximum Plan Benefit of $250000.00. Emergency Room Visit. Specialty Doctor Visit. $50 in-network | 40% out-of-network. Inpatient Hospital Care. $255 per day, days 1-8; $0 per day, days 9-90 in-network | 40% per stay out-of-network. Urgent Care. Copayment for Urgent Care $50.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Emergency Room Visit.Medicare Plans. Aetna Medicare SmartFit Plan (PPO) 3.5 out of 5 stars. Aetna Medicare SmartFit Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan …This page features plan details for 2024 Aetna Medicare SmartFit (PPO) H5521 – 441 – 0 available in Ohio. IMPORTANT: This page has been updated with plan and premium data for …Y0001_H5521_245_PQ50_SB24_M. 2024 Summary of Benefits. Aetna Medicare Premier Plan (PPO) H5521 ‐ 245. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.Sep 13, 2023 · 2024 Summary of Benefits. Aetna Medicare SmartFit Plan (PPO) H5521 ‐ 444. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Aetna Medicare Dual Choice (PPO D-SNP) | H5521-469 8 2024 Summary of Benefits for H5521-469. Hearing services Benefit Your in‑network costs Your out‑of‑network costs Diagnostic hearing exam $0 20% after your plan deductible Routine hearing exam $0 0% You get one routine hearing exam every year. You can visit a provider in the ...Aetna Medicare Eagle Plan (PPO) | H5521-241 | $0 Y0001_H5521_241_PA09_SB22_M Aetna Medicare Eagle Plan (PPO) is a PPO plan. This is a Medicare Advantage plan. You can use in-network and out-of-network providers. You will typically pay more for out-of-network care. The benefit information provided is a summary of what we cover and what …Inpatient Hospital Care. $350 per day, days 1-6; $0 per day, days 7-90 in-network | 50% per stay out-of-network. Urgent Care. Copayment for Urgent Care $55.00Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Emergency Room Visit.Aetna Medicare SmartFit (PPO) H5521-441. Includes: Medical; Prescription; $0 Open tooltip for information about $0 premiums. Aetna is able to offer $0 monthly premium plans because the federal government covers the cost using your monthly Medicare Part B premium.Podiatry services. In-Network: Podiatry Services: Copayment for Medicare-Covered Podiatry Services $30.00. Skilled Nursing Facility (SNF) care. $10 per day, days 1-20; $196 per day, days 21-100 in-network| 35% per stay out-of-network, for …H5521-444: Aetna Medicare SmartFit Plan (PPO) 2024: H5521-445: Aetna Medicare Discover Plan (PPO) 2024: H5521-446: Aetna Medicare Value Plus (PPO) 2024: ... H5521-227: Aetna Medicare Freedom Plan (PPO) 2024: H2293-016: Aetna Medicare Eagle Plan (PPO) 2024: H3288-050: Amerigroup View payer . Plan Name Effective YearAetna’s mailing address: Aetna Inc. P.O. Box 14088. Lexington, KY 40512. Page last updated: January 04, 2024. Aetna Medicare members, contact us with questions about your Medicare plan.Specialty Doctor Visit. $30 in-network | 50% out-of-network. Inpatient Hospital Care. $300 per day, days 1-7; $0 per day, days 8-90 in-network | 50% per stay out-of-network. Urgent Care. Copayment for Urgent Care $40.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Emergency Room Visit.. Little cake, Sky high trampoline, Nailzone, Wholly guacamole, Castle noel medina, Grittys, Neon dayton, Renningers mt dora, Redding rodeo.