Aetna Medicare Assure (HMO D-SNP)
Missouri Medicare-Medicaid Dual Eligible D-SNP Plan (2023 Plan)
Overall Government Star Rating4.0
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Aetna Medicare Assure (HMO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Missouri 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.
Aetna Medicare Assure (HMO 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 $8,300 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 (HMO D-SNP) are defined below.
Additional Benefits and Coverage
Aetna Medicare Assure (HMO 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 (HMO D-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Aetna Medicare Assure (HMO D-SNP) includes coverage for the following additional benefits:
Comparing the Quality Score of Aetna Medicare Assure (HMO D-SNP) to Other Plans in Missouri
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 2023, Aetna Medicare Assure (HMO D-SNP) received an overall government quality rating of 4.0 stars out of 5 stars.
Aetna Medicare Assure (HMO D-SNP) performed the same as Missouri’s State average overall quality score of 4.0 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 (HMO D-SNP) received 4 stars for its health plan quality score which is better than the Missouri State average health plan quality score of 3.9 stars.
Aetna Medicare Assure (HMO D-SNP) received 3.5 stars for its drug plan quality score which is better than the Missouri State average drug plan quality score of 3.3 stars.
Plan Benefits and Coverage Details
Tests, labs, & imaging
Skilled nursing facility
Mental health services
Opioid treatment services
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|
Brand-name drugs :
Brand-name drugs :
Part B Drugs
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In this article we rank Missouri Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.
The Medicare landscape in Missouri is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in Missouri.