Aetna Medicare Assure Plus Plan (HMO-POS D-SNP)
Maine Medicare-Medicaid Dual Eligible D-SNP Plan (2024 Plan)
Monthly Premium
Additional Coverage
Overall Government Star Rating
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Plan Overview
Aetna Medicare Assure Plus Plan (HMO-POS D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Maine and offered by the health insurance company Aetna Medicare. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Cost Summary
Aetna Medicare Assure Plus Plan (HMO-POS D-SNP) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $8,850 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Aetna Medicare Assure Plus Plan (HMO-POS D-SNP) are defined below.
Additional Benefits and Coverage
Aetna Medicare Assure Plus Plan (HMO-POS D-SNP) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Aetna Medicare Assure Plus Plan (HMO-POS D-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Aetna Medicare Assure Plus Plan (HMO-POS D-SNP) includes coverage for the following additional benefits:
Other benefits
Comparing the Quality Score of Aetna Medicare Assure Plus Plan (HMO-POS D-SNP) to Other Plans in Maine
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2024, Aetna Medicare Assure Plus Plan (HMO-POS D-SNP) received an overall government quality rating of 4.0 stars out of 5 stars.
Aetna Medicare Assure Plus Plan (HMO-POS D-SNP) performed better than Maine’s State average overall quality score of 3.8 stars.
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
Aetna Medicare Assure Plus Plan (HMO-POS D-SNP) received 4 stars for its health plan quality score which is better than the Maine State average health plan quality score of 3.7 stars.
Aetna Medicare Assure Plus Plan (HMO-POS D-SNP) received 4.5 stars for its drug plan quality score which is better than the Maine State average drug plan quality score of 4.1 stars.
Plan Benefits and Coverage Details
Medical Benefits
Doctor Services
Out-of-network: No Data
Out-of-network: No Data
Tests, labs, & imaging
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
Hospital Services
Out-of-network: Not Applicable
Out-of-network: No Data
Skilled nursing facility
Out-of-network: Not Applicable
Preventive services
Out-of-network: No Data
Ambulance
Out-of-network: No Data
Therapy services
Out-of-network: No Data
Out-of-network: No Data
Mental health services
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
Opioid treatment services
Other services
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
| Tiers | Initial coverage phase | Gap coverage phase | Catastrophic coverage phase |
|---|---|---|---|
| Preferred Generic |
Brand-name drugs :
|
Brand-name drugs :
| |
| Generic | |||
| Preferred Brand | |||
| Non-Preferred Drug | |||
| Specialty Tier |
Part B Drugs
Out-of-network: No Data
Out-of-network: No Data
Extra Benefits
Hearing
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
Preventive Dental
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Comprehensive dental
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Vision
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
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