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AETNA ADVANTAGE PLANS IN MILWAUKEE

Medicare Advantage plansMedicare Advantage plans are co-coordinated care plans, provided by private organisations which are certified by Medicare. Medicare Advantage plans have a network of providers, and you pay much less if you use the providers which are covered by your plan. These plans coordinate your Original Medicare, both Part A as well as Part B, along with providing extra benefits like hearing services, dental coverage, chiropractic services, outpatient mental health services, prescription drug services etc. Aetna Medicare Advantage plans offered in Milwaukee are discussed below.

 

  1. Aetna Gold Plus H6622-034 (HMO)

With an overall rating of 4, the plan is offered at a monthly premium of $0. The plan has no annual deductible and a maximum out of pocket expense of $4900 for in-network providers. You do not have to pay any copay while visiting your primary health care provider and a copay of $50 while visiting a specialist. The plan also covers prescription drug services as well, with a deductible of $300. The deductible is applicable to non-preferred drug and specialty tier. For generic and brand name drugs, you have to pay a coinsurance of 25%. The plan covers all of your urgently needed services as well as emergency ambulance services as well. The plan covers medicare covered dental services, oral exams, eye exams, eyewear, glaucoma screening, hearing exams, hearing aids, transportation services, and over the counter benefits of $50 every three months.

 

  1. Aetna Choice R5361-001 (Regional PPO)

With an overall rating of 3.4, the plan is offered at a monthly premium of $0. The plan has an in as well as out of the network annual deductible of $100 and an out of pocket maximum of $6700. While visiting your primary doctor you have to pay a copay of $20 and for a specialist, you have to pay a copay of $50. The plan covers emergency room services at $90 copay, along with ambulance services. The plan also covers rehabilitation as well as speech and language therapy services. The plan does not cover prescription drug services. The plan does cover fitness programs, SilverSneakers program, chiropractic services, as well as up to 40 meals for 20 days.

 

  1. Aetna Choice H5216-178 (PPO)

With an overall rating of 4, this plan is offered by Aetna at a monthly premium of $0. With a $0 annual deductible, in as well as out of the network, it also limits your out of pocket expense at $6700. While visiting a primary doctor in this preferred provider organisation plan you need to pay a copay of $15, and for a specialist, a copay of $45 has to be paid. Prescription drugs are not covered in this plan. Along with providing various fitness program benefits, the plan also entitles you to the entry into the SilverSneakers program. With this, you have the benefit of working out at more than 14000 fitness centres all around the nation. The dental, and vision care services are also a part of the package. Outpatient rehabilitation services are provided at a copay of $40. The plan also covers the Skilled Nursing Facility at $0 copay for the first twenty days.

 

  1. Aetna Gold Plus H6622-040 (HMO)

With an overall rating of 4, the plan is offered at a monthly premium of $0. This plan has no annual deductible, and an out of pocket maximum of $6700. While visiting a primary care doctor you have to pay a copay of $20 and for a specialist a copay of $50. The plan covers prescription drug services as well and has a deductible of $315. The deductible is applicable to the preferred brand, non-preferred drug, or specialty tier. For generic or brand name drugs you have to pay a coinsurance of 25%. It provides Medicare-covered dental benefits, eye exams glaucoma screening, or hearing exams. Along with this it also provides various fitness benefits absolutely free of cost and covers your chiropractic services as well.

 

  1. Aetna Value Plus H5216-173 (PPO)

With an overall rating of 4, the plan is offered at a monthly premium of $26.70. The annual deductible for the plan is charged as per medicare defined part B amount, with an out of pocket maximum of $6700. While visiting your primary doctor you would have to pay a copay of $20, and for a specialist, a copay of $50 has to be paid. The plan covers prescription drug services as well, with a deductible of $410. The deductible is applicable to preferred brand, non-preferred drug, and specialty tier. For generic as well as brand name drugs you have to pay a 25% coinsurance. For the urgently needed services, you have to pay a maximum copay of $65. The plan also covers outpatient mental health, at 20% coinsurance.

 

  1. Aetna Gold Plus H6622-002 (HMO)

With an overall rating of 4, the plan is offered at a monthly premium of $44.  The plan does not have a monthly deductible, and an out of pocket maximum of $4900. While visiting a primary health care provider you do not have to pay any copay, and for a specialist, you have to pay a copay of $40. The plan also covers prescription drugs with a deductible amount of $200. This deductible amount is applicable to the non-preferred drug and specialty tier. For generic and brand name drugs, you have to pay a 25% coinsurance. The plan covers outpatient surgery cost and the cost of urgently needed services, including the ambulance service as well. The plan also covers skilled nursing facility at $0 copay for the first 20 days, along with dental care, hearing services and transportation services.

  1. Aetna Choice H5216-001 (PPO)

With an overall rating of 4, the plan is offered at a monthly premium of $86. The plan does not have an annual deductible and a maximum out of pocket expense of $6700. While visiting your primary doctor you have to pay a copay of $10, and a copay of $45 for a specialist. The plan also covers your prescription drugs, with a deductible of $325. The deductible is applicable to the non preferred drug and specialty tier. For generic and brand name you have to pay a coinsurance of 25%. The plan also provides cardiac and pulmonary rehabilitation services, occupational therapy services, as well as speech therapy services. The plan also covers up to 100 days of Skilled Nursing Facility.

 

  1. Aetna Gold Choice H8145-006 (PFFS)

With an overall rating of 3.4, the plan is offered at a monthly premium of $98. The plan has an annual deductible of $500 and an out of pocket maximum of $6700. While visiting your primary doctor you have to pay a copay of $20 and for a specialist, you have to pay a copay of $50. The plan includes prescription drug services as well with a deductible amount of $435. 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 provides in-network home healthcare as well as preventive care at $0 copay. The plan also covers oral exams, dental x-rays, and restorative services at 0% coinsurance. The plan also entitles you to SilverSneakers program, along with over the counter benefits and chiropractic care as well.

 

  1. Aetna Choice R5361-002 (Regional PPO)

With an overall rating of 3.4, the plan is offered at a monthly premium of $139. The plan has a medicare defined part B annual deductible and an out of pocket maximum of $6700. While visiting your primary doctor or a specialist you have to pay a 20% coinsurance. The plan covers prescription drug services as well and has a deductible of $420. The deductible is applicable to generic, preferred brand, non-preferred drug, or specialty tier. For generic or brand name drugs you have to pay a coinsurance of 25%. The plan also provides therapeutic services and radiology services, like a CT scan and MRI scan. You can also avail urgently needed services at a maximum copay of $65. The plan has a network of hospitals, doctors, nurses, and pharmacies. You would pay much less if you use in-network pharmacies and healthcare providers.