Can I keep my doctor in a Medicare Advantage plan?
You may be able to keep your doctor in a Medicare Advantage plan.
It all depends on what Medicare Advantage plan you want and if your current doctor is in the plan’s network.
Types of Medicare Advantage Plans
The type of Medicare Advantage plan you choose may impact if you can keep your current primary care provider (PCP). It may also impact if you have to pay more to see your PCP.
HMO and PPO plans are the most common types of Medicare Advantage plans in the country.1
Aetna offers both HMO and PPO plans.
Each plan type has different rules about what providers and medical facilities you can see. Some plans may charge you more, or may not cover your visit at all, if you visit a provider or medical facility outside of your network.
HMO Plans
Health maintenance organization (HMO) plans offer access to medical providers but have certain network restrictions. You may need to choose a primary care provider and may need a referral to see a specialist. Your plan requires you to use these network providers.
PPO Plans
Preferred provider organization (PPO) plans let you choose any provider who accepts Medicare and the Medicare Advantage plan terms. PPO plans provide a larger network than HMO plans and they allow you to access out-of-network providers. Using an out of network provider may cost more. You do not need a referral from your primary care provider to see a specialist or for hospital visits.
Plans that accept your current primary care provider (PCP)
You can look for a plan that accepts your current PCP. To do so, compare multiple HMO and PPO plans at once.
Aetna® offers four types of Medicare Advantage Plans, some of which may include your current PCP in the plan’s network. These plans include the same benefits as Original Medicare. Aetna also has plans with prescription drug coverage, dental care, vision, fitness benefit, and a 24-Hour Nurse Line.
You can find out what Aetna Medicare Advantage plans are available by filling out the form below. Or you can call a licensed agent at 1-800-891-6309, TTY: 711, 24/7.
