Frequently Asked Questions
Medicare can be confusing. Listed below are a few frequently asked questions and answers to help you navigate the Medicare program and learn about your coverage options.
What is Medicare?
Medicare is a federal health insurance program. It provides health care options for:
- Certain U.S. citizens and permanent legal residents who are 65 years of age or older.
- Those younger than 65 with certain disabilities or diseases.
There are 4 parts of Medicare: Part A, Part B, Part C and Part D.
What is Medicare Advantage?
Medicare Advantage plans (also called Medicare Part C) are private health insurance plans. They provide the same coverage as Medicare Part A and Part B. And they may include additional coverage for prescription drugs, vision, dental and wellness programs.
Am I eligible for Medicare Advantage?
To qualify for a Medicare Advantage plan, you must meet three requirements. First, you must be enrolled in Medicare Part A and Part B. Second, you must live in the service area for a particular Medicare Advantage plan that is accepting new users. Finally, you usually can’t have End Stage Renal Disease (ESRD). To find out if you're eligible, call a licensed agent at 1-800-891-6309, TTY: 711, 24/7. They can review your eligibility and see if you're eligible for an Aetna Medicare Advantage plan.
What Aetna plans are available?
Aetna offers several types of Medicare Advantage plans:
- Aetna Medicare Plan (HMO)
- Aetna Medicare Open Access Plan (HMO)
- Aetna Medicare Prime Plan (HMO)
- Aetna Medicare Plan (PPO)
- Aetna Medicare Prime Plan (PPO)
You may have other plan options available.
When can I enroll?
Are you enrolling in a Medicare Advantage plan for the first time? If so, you may be able to join a plan during your Initial Enrollment Period around your 65th birthday. Or you can enroll during the Medicare Open Enrollment Period, which runs from October 15 to December 7 each year. You may also qualify for a Special Enrollment Period that lets you join a Medicare Advantage plan outside of the main enrollment periods.
How much does a plan cost?
Your plan premiums and plan out-of-pocket costs will vary depending on:
- The Aetna Medicare Advantage plan you choose.
- The medical care you receive.
You may have $0 premium plan options in your area.*