Finding a provider who accepts Aetna Medicare plans
Shop for Aetna Medicare Advantage plans that may cover your doctor.
Speak with a licensed insurance agent*
TZ Insurance Solutions proudly sells Aetna® insurance policies.
Aetna Medicare Advantage plans provide coverage with a nationwide network of health care providers, hospitals and other facilities. You can search for Aetna Medicare providers near you using the Aetna.com/medicare online provider search tool.
The Aetna Medicare Advantage (Medicare Part C) plan you have determines which doctors and other medical providers are in your network.
You can speak to a licensed insurance agent* to learn about:
- The Aetna Medicare Advantage plans available near you
- The providers that are in your local plan networks
To connect to a licensed insurance agent, call 1-888-809-6392, (TTY: 711). They’re available 24 hours a day, 7 days a week.*
Aetna® Medicare networks include doctors, pharmacies and other providers
Aetna networks include roughly 1.5 million health care professionals, including thousands of specialists, primary care providers and hospitals.1
Health care providers who could be part of an Aetna Medicare plan network include, but aren’t limited to:
- Doctors
- Pharmacies
- Dentists
- Hospitals
- Specialists
- Clinics
- Medical equipment suppliers
- Rehabilitation facilities
- Hospice providers
- Dialysis centers
- Therapists
Aetna Medicare Advantage plans feature nationwide networks
The type of Aetna Medicare Advantage plan you have will determine the rules and requirements for your in-network plan coverage.
With an Aetna Medicare health maintenance organization (HMO) plan, you’re typically required to choose a primary care provider (PCP) who is part of the plan's network. Your out-of-network provider coverage is typically limited with an HMO plan.
Aetna preferred provider organization (PPO) plans are more flexible. They give you the freedom to choose any medical provider who accepts Medicare and the terms of your Aetna Medicare Advantage plan. You may pay more when you choose an out-of-network provider.
The Medicare Advantage plan options offered by Aetna include:
Aetna Medicare Advantage HMO plans
- Provides coverage with a strong network of medical providers and facilities. To ensure coverage, members need to remain within network.
- Emergency room (ER) and urgent care coverage.
Aetna Medicare Advantage Prime HMO plans
- Provides coverage with a local network of medical providers and facilities. To ensure coverage, members need to remain within network.
- 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 Advantage PPO plans
- Provides coverage with a strong network of medical providers and facilities.
- More flexibility to visit out-of-network providers.
- Emergency room (ER) and urgent care coverage.
Aetna Medicare Advantage Prime PPO plans
- Provides coverage with a local network of medical providers and facilities.
- More flexibility to visit out-of-network providers and medical facilities.
- Emergency room (ER) and urgent care coverage.
- $0 copay for preventive services in network.
Aetna Medicare Advantage HMO-POS plans
- Provides coverage with a local network of medical providers and facilities. To ensure coverage, members need to remain in network.
Plan availability varies by location, and you may have other plan options available.
Aetna Medicare Advantage plans can help you live an active and healthy life
Medicare Advantage plans combine the benefits of Original Medicare (Part A and Part B) into one plan.
In addition to offering a network of health care professionals, Aetna Medicare Advantage plans offer benefits not covered by Original Medicare. This may include a SilverSneakers® basic fitness membership.2
With SilverSneakers, you have access to thousands of participating fitness center locations.3 These locations may offer:
- Access to cardiovascular and strength training equipment
- Exercise classes such as yoga
- Group fitness classes
Some of the other benefits offered by Aetna Medicare Advantage plans include:
- Prescription drug coverage
- Coverage for dental, vision and hearing
- 24-Hour Nurse Line4
- Covered annual flu shot
The costs and benefits of each plan will vary by location.
A licensed insurance agent* can advise you about providers in your area who are part of an Aetna Medicare Advantage plan network. To speak with one, call 1-888-809-6392, (TTY: 711). They’re available 24 hours a day, 7 days a week.