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A Health Maintenance Organization (HMO) plan requires you to receive medical treatment from specific hospitals and doctors within a certain network. HMO plans are required to provide you with Original Medicare benefits, just like any other Advantage plan. HMO plans are limited when it comes to out-of-network treatment, though that care is still available. In cases of emergency, you can visit an out-of-network doctor or hospital to take care of your health needs.
There are also Health Maintenance Organization Point-of-Service (HMO-POS) plans that give you more flexibility in choosing a doctor or hospital, as they allow out of network options in certain circumstances. Although rates usually go up for these HMO-POS plans, the convenience of having a more extensive network may be worth it for your situation. If you’re not sure how large of a health network you need, call one of our Licensed agents and they’ll walk you through the process.
An Aetna Medicare HMO plan may be exactly what you’re looking for. If that’s the case, call to see if you’re eligible to enroll now! There is value in understanding all of your options, though, and Medicare Advantage has plenty of choices. Some HMO, DSNP, and PPO plans are available with a $0 monthly premium, and each plan has its own specific benefits.
| Aetna Medicare PPO | Aetna Medicare HMO | Aetna Medicare DNSP | |
| Use of provider network required | No | * | No |
| Primary care physician required | No | No | |
| Monthly premiums | Varies by plan | Varies by plan | Varies by plan |
| Prescription drug coverage included | in most plans | in most plans | ** |
| Dental, vision, and hearing coverage | in most plans | in most plans | in most plans |
| Fitness benefit | through Silversneakers ® | through Silversneakers ® | through Silversneakers ® |
| Medicaid enrollment required | No | No |
*Use of provider network is required by an HMO plan unless there’s an emergency.
**DSNP is a special type of a Medicare Advantage Prescription Drug plan.
Is the Medicare HMO plan right for you? Then get started by tapping or clicking the button below. If you need help during the enrollment process, contact a friendly Licensed agent at 1-855-200-9401.
Need more info before you apply? No problem. Request a FREE Medicare HMO quote by entering your zip code below.
We do not offer every plan available in your area. Currently we represent 7 organizations which offer 275 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
Plan features and availability may vary by service area.
Out-of-network/non-contracted providers are under no obligation to treat plan members, except in emergency situations. Please call the plan’s customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
Aetna Medicare is a HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal.
See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.
The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
Aetna is the brand name for insurance products issued by the subsidiary insurance companies controlled by Aetna, Inc. The Medicare Supplement Insurance plans are insured by Aetna Health and Life Insurance Company, Aetna Life Insurance Company, American Continental Insurance Company or Continental Life Insurance Company of Brentwood, Tennessee, all Aetna Companies. Not connected with or endorsed by the U.S. Government or the Federal Medicare Program.
This site is licensed to sell Aetna products but is not the official Aetna Medicare website. Owned and operated by ClearLink Insurance Agency. © 2024 Clear Link Insurance Agency, all rights reserved.
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