Aetna Medicare Advantage HMO plans
Shop for Aetna Medicare Advantage plans with benefits beyond Original Medicare.
Speak with a licensed insurance agent*
With Aetna Medicare Advantage health maintenance organization (HMO) plans, you can enjoy the benefits of Original Medicare (Part A and Part B) and some additional benefits, such as prescription drug coverage, all in one single plan.
Do Aetna Medicare HMO plans require a referral?
Most Aetna Medicare Advantage HMO plans require you to select a primary care provider (PCP) from a nationwide network of health care professionals.
Your PCP helps coordinate most of your medical care. If more specialized treatment is necessary, your primary care provider will give you a referral to visit a specialist or hospital in the Aetna® plan network.
In some limited instances – such as in an emergency – you may be able to receive out-of-network care. However, you are typically required to visit a provider in the plan's network. Aetna offers plans with in-network coverage when you travel in the U.S.
What Medicare Advantage HMO plans does Aetna offer?
Aetna offers a variety of Medicare Advantage plans, including several types of HMO plans.
Aetna MedicareSM Plan (HMO)
- Provides coverage with a nationwide network of medical providers and facilities. To ensure coverage, members need to see in-network providers.
- Emergency room (ER) and urgent care coverage.
Aetna Medicare Prime Plan (HMO)
- Provides coverage with a nationwide network of medical providers and facilities. To ensure coverage, members need to see in-network providers.
- Emergency room (ER) and urgent care coverage.
- Allows out-of-network visits for emergency situations, renal dialysis in certain scenarios, or urgent care.
Aetna Medicare Plan (HMO-POS)
- Provides coverage with a nationwide network of medical providers and facilities. To ensure coverage, members need to see in-network providers.
- More flexibility to visit out-of-network providers and medical facilities, though seeing out-of-network providers generally costs more.
Plan availability, costs and benefits vary by location. A licensed insurance agent* can help you compare the plans that are available in your area.
What do Aetna Medicare Advantage HMO plans cover?
Aetna Medicare Advantage HMO plans offer additional benefits that aren’t covered by Original Medicare.
Benefits include:
- Prescription drug coverage, with a mail-order delivery option for certain prescription drugs
- Dental, vision and hearing benefits
- SilverSneakers® basic fitness membership1
- A 24-Hour Nurse Line you can call with questions about your health concerns any time, day or night2
- Post-discharge meals-at-home program that delivers freshly prepared meals after a qualifying inpatient hospital or skilled nursing facility stay
Aetna Medicare Advantage HMO plan selection varies by location. Contact a licensed insurance agent to learn more about available plan options. Speak with a licensed insurance agent* directly by calling 1-888-809-6392, (TTY: 711). They’re available 24 hours a day, 7 days a week.