H5521-169.

2023-H5521.169.1 H5521-169 Aetna Medicare Value Plan (PPO) H5521 ‑ 169 Here's a summary of the services we cover from January 1, 2023 through December 31, 2023. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Just visitUrgent Care: Copayment for Urgent Care $35.00. 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.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.To send a complaint to Aetna, call the Plan or the number on your member ID card. To send a complaint to Medicare, call 1‐800‐MEDICARE (TTY users should call 1‐877‐486‐2048), 24 hours a day/7 days a week. If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance.

Mental Health Inpatient Care. In-Network: Psychiatric Hospital Services: $360.00 per day for days 1 to 6. $0.00 per day for days 7 to 90. Prior Authorization Required for Psychiatric Hospital Services. Out of Network Mental Health Inpatient Care. Out-of-Network: Coinsurance for Psychiatric Hospital Services per Stay 45%.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 ... Copayment for Medicare-Covered Podiatry Services $45.00. Copayment for Routine Foot Care $45.00. Maximum 6 visits every year. Out-of-Network: Coinsurance for Medicare Covered Podiatry Services 50% Coinsurance for Non-Medicare Covered Podiatry Services 50%. Skilled Nursing Facility Care. $0 per day, days 1-20.

4 out of 5 stars* for plan year 2024. Aetna Medicare Discover Value Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-318-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $19.00 Monthly Premium.

The copay amount is based on the level of hearing aid selected and will need to be paid at the time of purchase. Level 1 (Standard): $0 per ear, per year. Level 2 (Select): $475 per ear, per year. Level 3 (Superior Plus): $650 per ear, per year. Level 4 (Advanced): $895 per ear, per year.Looking for ways to get the most out of your plan? You've come to the right place. Want to see a different plan? Find other options hereH5521 ‑ 469 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? Just visit AetnaMedicare.com/H5521-469 where you’ll find the plan’s Evidence of Coverage (EOC). You may call us to request a copy.4 out of 5 stars* for plan year 2024. Aetna Medicare Preferred Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-380-000. * 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 ...

Specialty doctor visit. $35 in-network | $70 out-of-network. Inpatient hospital care. $290 per day, days 1-6; $0 per day, days 7-90 in-network | 50% per stay out-of-network. Urgent care. Urgent Care: Copayment for Urgent Care $25.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00.

This is called prior authorization or pre‐certification. Benefit. Your in‐network costs Your out‐of‐network costs. Inpatient (unlimited number of days) $425 per day, days 1‐4; $0 per day, 45% per stay days 5‐90; $0 for additional days. Outpatient hospital observation services. $325 per stay 45% per stay. Outpatient hospital. $325 45%.

Sep 13, 2023 · 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. Aetna Medicare Dual Choice (PPO D-SNP) 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 $0.00. Copayment for Routine Care $0.00. Maximum 12 Routine Care every year.With this plan, the monthly premium you pay to the SSA is reduced by $35. Plan deductible. $0. MOOP. $6,700 for in‐network services $7,700 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 and prescription drug costs don't count ...Y0001_H5521_250_PQ54_SB24_M. 2024 Summary of Benefits. Aetna Medicare Premier Plus 1 (PPO) H5521 ‐ 250. 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.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

View the coverage and benefits provided in the Aetna Medicare Value Plus Plan (PPO) plan from Aetna. Alight Retiree Health Solutions represents Medicare plans from 59 insurers nationwide.In-Network: Copayment for Medicare-Covered Podiatry Services $15.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $20.00. Skilled Nursing Facility Care. $0 per day, days 1-20. $203 per day, days 21-100 in-network| 35% per stay. Out-of-Network: for more information see Evidence of Coverage.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):Specialty Doctor Visit. $40 in-network | $60 out-of-network. Inpatient Hospital Care. $800 per stay in-network | $500 per day, days 1-20; $0 per day, days 21-90 out-of-network. Urgent Care. Copayment for Urgent Care $50.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Emergency Room Visit.Aetna H5521-081 EOC.pdf; Aetna H5521-139 EOC.pdf; Aetna H5521-168 EOC.pdf; Aetna H5521-169 EOC.pdf; Aetna H5521-170 EOC.pdf; Aetna H5521-236 EOC.pdf; Aetna H5521-239 EOC.pdf; Aetna H5521-241 EOC.pdf; Aetna H5521-243 EOC.pdf; Alignment Health Plan H5296-001 EOC.pdf; Alignment Health Plan H5296-002 EOC.pdf; Alignment Health Plan H5296-003 EOC.pdf ...Sep 13, 2023 · Aetna Medicare Value Plus Plan (PPO) | H5521-169 | $18 2 2024 Summary of Benefits for H5521-169 Are you eligible to enroll? To join Aetna Medicare Value Plus Plan (PPO), you must: • Be entitled to Medicare Part A • Have Medicare Part B Live in the plan’s service area, which includes the following counties:

4 out of 5 stars* for plan year 2024. Aetna Medicare Choice Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-333-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $77.00 Monthly Premium. California Medicare beneficiaries may ...

Sep 13, 2023 · 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. In-Network: Psychiatric Hospital Services: $385.00 per day for days 1 to 5. $0.00 per day for days 6 to 90. Prior Authorization Required for Psychiatric Hospital Services. Prior authorization required. Out-of-Network: Coinsurance for Psychiatric Hospital Services per Stay 50%. Mental Health Outpatient Care.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. $10 per day, days 1-20. $196 per day, days 21-100 in-network| 40% per stay. Out-of-Network: for more information see Evidence of Coverage.The Aetna Medicare Premier Plan (PPO) (H5521 - 081) currently has 32,193 members. There are 108 members enrolled in this plan in Stokes, North Carolina, and 31,893 members in North Carolina. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4.5 stars.Copayment for Medicare-Covered Podiatry Services $45.00. Copayment for Routine Foot Care $45.00. Maximum 6 visits every year. Out-of-Network: Coinsurance for Medicare Covered Podiatry Services 50% Coinsurance for Non-Medicare Covered Podiatry Services 50%. Skilled Nursing Facility Care. $0 per day, days 1-20. View the coverage and benefits provided in the Aetna Medicare Value Plus Plan (PPO) plan from Aetna. Alight Retiree Health Solutions represents Medicare plans from 59 insurers nationwide. Harnett Aetna Medicare Aetna Medicare Value Plus Plan (PPO) Local PPO $18.00 $150.00 Enhanced Yes H5521 169 0 $4,950.00 Harnett BCBS of North Carolina Blue Medicare Enhanced (HMO-POS) Local HMO $34.00 $0.00 Enhanced Yes H3449 024 2 $3,150.00

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. $0 per day, days 1-20. $203 per day, days 21-100 in-network| 30% per stay. Out-of-Network: for more information see Evidence of Coverage.

Copayment for Medicare-Covered Podiatry Services $45.00. Copayment for Routine Foot Care $45.00. Maximum 6 visits every year. Out-of-Network: Coinsurance for Medicare Covered Podiatry Services 50% Coinsurance for Non-Medicare Covered Podiatry Services 50%. Skilled Nursing Facility Care. $0 per day, days 1-20.

4. H5521-169 . Primary benefits Your costs for in‑network care Your costs for out‑of‑network care Hospital coverage* Inpatient hospital coverage $350 per day, days 1‑5; $0 per day, days 6‑90. You pay $0 for days 91 and beyond. 50% per stay Our plan covers an unlimited number of days, subject to medical necessity.Y0001_H5521_236_PQ48_SB24_M. 2024 Summary of Benefits. Aetna Medicare Premier Plan (PPO) H5521 ‐ 236. 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.Urgent Care: 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.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.H5521 - 374 - 0 (4 / 5) Aetna Medicare Explorer Plan (PPO) is a Medicare Advantage (Part C) Plan by Aetna Medicare. Premium: $0.00 Enroll Now This page features plan details for 2024 Aetna Medicare Explorer Plan (PPO) H5521 - 374 - 0 available in New Hampshire.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 …Aetna Medicare Signature (PPO) | H5521-360 | $0 6 2024 Summary of Benefits for H5521-360. Hearing services Benefit Your in‑network costs Your out‑of‑network costs Diagnostic hearing exam $25 40% Routine hearing exam $0 40% You get one routine hearing exam every year. You can visit a provider in the NationsHearing …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.Urgent Care: 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.2023 Summary of Benefits. 1. 2023-H5521.360.1. H5521-360 . Aetna Medicare Signature Plan (PPO) H5521 ‑ 360. Here's a summary of the services we cover from January 1, 2023 through December 31, 2023. Keep in mind: This is just a summary.

4.5 out of 5 stars* for plan year 2023. Aetna Medicare Value Plus (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5522-021-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $45.00 Monthly Premium.Aetna Medicare Value Plan (PPO) | H5521-089 | $0 Compare our plan to Medicare To learn more about the coverage and costs of Original Medicare, look in your "Medicare & You" handbook. View it online at www.medicare.gov or get a copy by calling 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.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. ...Specialty Doctor Visit. $35 in-network | $70 out-of-network. Inpatient Hospital Care. $290 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 $25.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Emergency Room Visit.Instagram:https://instagram. hacks for cookie clicker namescalhoun county alabama clerk of courtfleet farm locations iowaasu holiday calendar 2023 Plan ID: H5521-169-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $18.00 Monthly Premium. North Carolina Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. ... dunkin donuts silver hill roadjulie roy's 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.January 1 - December 31, 2021. Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of . Aetna Medicare Value Plan (PPO) gas prices in mitchell indiana Copayment for Medicare-Covered Podiatry Services $45.00. Copayment for Routine Foot Care $45.00. Maximum 6 visits every year. Out-of-Network: Coinsurance for Medicare Covered Podiatry Services 50% Coinsurance for Non-Medicare Covered Podiatry Services 50%. Skilled Nursing Facility Care. $0 per day, days 1-20.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. $275 per day, days 1‐6; $0 per day, days 7‐90.Aetna Medicare Premier Plan (PPO) | H5521-344 | $0 2024 Summary of Benefits for H5521-344 9. Vision services Benefit Your in‑network costs Your out‑of‑network costs Diagnostic eye exam (includes diabetic eye exams) $0 ‑ $50. $0 for diabetic eye exams $50 for all other Medicare‑covered eye exams 50% after your plan deductible Glaucoma ...