H5521 444 - 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

 
H5521 444H5521 444 - 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.

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.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. 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. Inpatient Hospital Care. $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. Urgent Care. Copayment for Urgent Care $35.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit.Mental Health Inpatient Care. In-Network: Psychiatric Hospital Services: $240.00 per day for days 1 to 6. $0.00 per day for days 7 to 90. Prior Authorization Required for Psychiatric Hospital Services. Prior authorization required. Out-of-Network: Coinsurance for Psychiatric Hospital Services per Stay 50%.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. 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 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.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. 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. 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.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 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 ...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.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.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: …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.Sep 13, 2023 · 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. 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) Sep 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 ... 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 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.For mail-order, you can get prescription drugs shipped to your home through the network mail-order delivery program. Typically, mail-order drugs arrive within 10 days. You can call 1-833-570-6670 (TTY: 711), 8 AM to 8 PM, 7 days a week, if you do not receive your mail-order drugs within this timeframe. 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 H5521:444-0 Aetna Medicare SmartFit Plan (PPO) H5521:445-0 Aetna Medicare SmartFit Plan (PPO) H5521:446-0 Aetna Medicare Discover Plan ... H5521:474-0 Aetna Medicare Value Plus Signature (PPO) H5521:475-0 Aetna Medicare Giveback Choice (PPO) H5521:476-0 Aetna Medicare Giveback Choice (PPO) 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. 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. 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. $196 per day, days 21-100 in-network| 35% per stay. Out-of-Network: for more information see Evidence of Coverage. 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. Plan ID: H5521-344-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium 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, …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 ...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 ...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.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 YearSep 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. 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) $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 ...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.Learn more about your plan. Watch this quick video to find out more about the benefits, programs and services your plan offers.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 YearAetna 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.Aetna Medicare Premier Plus (PPO) | H5521-016 | $34 | Y0001_H5521_016_PP68_SB24_M 2024-H5521.016.1 Aetna Medicare Premier Plus (PPO) H5521 ‑ 016 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 …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 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.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.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.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 …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. 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. 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 YearPlan 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 … 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. Plan ID: H5521-449-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $28.00 Monthly Premium. Rhode Island Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare ... 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. $196 per day, days 21-100 in-network| 35% per stay. Out-of-Network: for more information see Evidence of Coverage. 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 ...If you have any questions, you can call and speak to a customer service representative at 1‐833‐859‐6031 (TTY: 711). From October 1 to March 31, you can call us 7 days a week from 8 AM to 8 PM local time. From April 1 to September 30, we’re here Monday through Friday from 8 AM to 8 PM local time.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 Year4 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, …Plan ID: H5521-449-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $28.00 Monthly Premium. Rhode Island Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare ...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.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 …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: Amerigroup View payer . Plan Name Effective Year Benefit Package; Amerivantage Dual Coordination (HMO D-SNP) …This page features plan details for 2024 Aetna Medicare SmartFit Plan (PPO) H5521 – 444 – 0 available in South Carolina. IMPORTANT : This page has been updated with plan and … Copayment for Urgent Care $35.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $135.00. Emergency room visit. $135 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. 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.Y0001_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.Number of Members enrolled in this plan in (H5521 - 081): 27,086 members : Plan’s Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 4 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...This is called prior authorization or pre‐certification. Benefit. Your in‐network costs Your out‐of‐network costs. Inpatient (unlimited number of days) $395 per day, days 1‐5; $0 per day, 45% per stay days 6‐90; $0 for additional days. Outpatient hospital observation services. $335 per stay 45% per stay. Outpatient hospital. $40 ...H5521:444-0 Aetna Medicare SmartFit Plan (PPO) H5521:445-0 Aetna Medicare SmartFit Plan (PPO) H5521:446-0 Aetna Medicare Discover Plan ... H5521:474-0 Aetna Medicare Value Plus Signature (PPO) H5521:475-0 Aetna Medicare Giveback Choice (PPO) H5521:476-0 Aetna Medicare Giveback Choice (PPO)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. Plan ID: H5521-121-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $49.00 Monthly Premium. New York Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part ... H5521:247-0 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)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 …Y0001_D2_EOC24_C OMB Approval 0938-1051 (Expires: February 29, 2024) GRP_EOC_2024_D2_AE_ESA_MAPD January 1 – December 31, 2024 Evidence of Coverage: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. Plan ID: H5521-344-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium 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. $196 per day, days 21-100 in-network| 35% per stay. Out-of-Network: for more information see Evidence of Coverage. In-Network: Copayment for Medicare-Covered Podiatry Services $30.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $70.00. Skilled Nursing Facility Care. $0 per day, days 1-20. $178 per day, days 21-100 in-network| 50% per stay. Out-of-Network: for more information see Evidence of Coverage. 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.4.64. 951 N 6th Street, Suite 221, Reading, PA 19601. Discover Medicare insurance plans accepted at our Reading health center and find primary care doctors accepting Medicare near you.Medicare Plans. Aetna Medicare Premier Plan (PPO) 4 out of 5 stars* for plan year 2024. Aetna Medicare Premier Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered …4.64. 951 N 6th Street, Suite 221, Reading, PA 19601. Discover Medicare insurance plans accepted at our Reading health center and find primary care doctors accepting Medicare near you.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.H5521-444: 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 YearY0001_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. Mental Health Inpatient Care. In-Network: Psychiatric Hospital Services: $240.00 per day for days 1 to 6. $0.00 per day for days 7 to 90. Prior Authorization Required for Psychiatric Hospital Services. Prior authorization required. Out-of-Network: Coinsurance for Psychiatric Hospital Services per Stay 50%. 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 …Dr jolene brighten, Jt tire, Who will pick up scrap metal for free, Sewerage water board, Walmart brown deer, Ifly novi, Sw florida eagle cam live, Roof scope, Mcdonald's el paso, Wgr sports radio buffalo, 1 tom plumber, Boss man tacos, York revolution baseball, Afrozeh pk

Plan ID: H5521-404-000 * 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. .... Ole mexican foods

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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. 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. 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): If you have any questions, you can call and speak to a customer service representative at 1‐833‐859‐6031 (TTY: 711). From October 1 to March 31, you can call us 7 days a week from 8 AM to 8 PM local time. From April 1 to September 30, we’re here Monday through Friday from 8 AM to 8 PM local time.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.Aetna Medicare SmartFit Plan (PPO) | H5521-444 | $0 | Y0001_H5521_444_NS99_SB24_M 2024-H5521.444.1 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 … Plan ID: H5521-344-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium Mental Health Inpatient Care. 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%.4.64. 951 N 6th Street, Suite 221, Reading, PA 19601. Discover Medicare insurance plans accepted at our Reading health center and find primary care doctors accepting Medicare near you.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 ...For mail-order, you can get prescription drugs shipped to your home through the network mail-order delivery program. Typically, mail-order drugs arrive within 10 days. You can call 1-833-570-6670 (TTY: 711), 8 AM to 8 PM, 7 days a week, if you do not receive your mail-order drugs within this timeframe.Aetna Medicare Premier Plus (PPO) | H5521-016 | $34 | Y0001_H5521_016_PP68_SB24_M 2024-H5521.016.1 Aetna Medicare Premier Plus (PPO) H5521 ‑ 016 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 … Mental Health Inpatient Care. In-Network: Psychiatric Hospital Services: $240.00 per day for days 1 to 6. $0.00 per day for days 7 to 90. Prior Authorization Required for Psychiatric Hospital Services. Prior authorization required. Out-of-Network: Coinsurance for Psychiatric Hospital Services per Stay 50%. 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 PPOAetna 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. 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. If you have any questions, you can call and speak to a customer service representative at 1‐833‐859‐6031 (TTY: 711). From October 1 to March 31, you can call us 7 days a week from 8 AM to 8 PM local time. From April 1 to September 30, we’re here Monday through Friday from 8 AM to 8 PM local time. 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. 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 … 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 - 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 ... 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 ...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. 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: Amerigroup View payer . Plan Name Effective Year Benefit Package; Amerivantage Dual Coordination (HMO D-SNP) …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.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: …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.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: 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 ... 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.Y0001_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.Sep 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 ... 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. Plan ID: H5521-437-000 * 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 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.3.5 out of 5 stars. Aetna Medicare Eagle (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-440. Have Medicare questions? Talk to a licensed …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.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 …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 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. 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. $196 per day, days 21-100 in-network| 35% per stay. Out-of-Network: for more information see Evidence of Coverage. 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, …©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 subsidiaryUrgent 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.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. 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. 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.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.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 Year2023 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 PPOH5521-444: 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 YearSep 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. 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. In-Network: Copayment for Medicare-Covered Podiatry Services $35.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $70.00. Skilled Nursing Facility Care. $0 per day, days 1-20. $178 per day, days 21-100 in-network| 50% per stay. Out-of-Network: for more information see 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 …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.Oct 15, 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 Plan ID: H5521-441-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Ohio Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part … 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. 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 YearNumber of Members enrolled in this plan in (H5521 - 081): 27,086 members : Plan’s Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 4 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...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.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 … 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. Plan ID: H5521-437-000 * 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 …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? …Plan ID: H5521-437-000 * 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 …Urgent Care: Copayment for Urgent Care $55.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Emergency room visit. $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. Ambulance transportation. Plan ID: H5521-424-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $20.00 Monthly Premium. Arizona Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A ... Inpatient Hospital Care. $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. Urgent Care. Copayment for Urgent Care $35.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit.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 ...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 ... In-Network: Copayment for Medicare-Covered Podiatry Services $30.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $70.00. Skilled Nursing Facility Care. $0 per day, days 1-20. $178 per day, days 21-100 in-network| 50% per stay. Out-of-Network: for more information see Evidence of Coverage. . Subaru of macon, Easy 93.1 florida, Charlie gittos, Oaks kia, Northtown ford, Lovebook online, Morgan automotive group, Carrollton farmers, Angell and phelps chocolate factory.