Aetna Medicare Premier Plan (HMO)


Medicare Plan Details

2021 Plan
Monthly Premium
(select county for price)

 

by Aetna Medicare
Additional Coverage
Hearing Vision Dental
Overall Government Star Rating
 3.5
out of 5 stars

State: Texas

Select your county to view the price for this plan

 


Plan Type

Medicare Advantage (Part C) with Prescription Drug (Part D)

Medicare Advantage combines Part A and Part B. This plan = Part A + Part B + Part D

 

$0
$0
$0
$0
$5,900 In-network
No
Yes
Yes
Yes

Medical Benefits

Doctor Services

$0 copay
$40 copay per visit

Tests, labs, & imaging

$0-50 copay
$0 copay
0-20% coinsurance
$40 copay
$90 copay per visit (always covered)
$0-65 copay per visit (always covered)

Hospital Services

$325 per day for days 1 through 6
$0 per day for days 7 through 90
$0-250 copay per visit

Skilled nursing facility

$0 per day for days 1 through 20
$184 per day for days 21 through 100

Preventive services

$0 copay

Ambulance

$300 copay

Therapy services

$40 copay
$40 copay

Mental health services

$40 copay
$40 copay
$40 copay
$40 copay

Opioid treatment services

Covered

Other services

20% coinsurance per item
20% coinsurance per item
0-20% coinsurance per item

Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

TiersInitial coverage phaseGap coverage phase1Catastrophic coverage phase
Preferred Generic$15.00 copay$15.00 copay


Generic drugs :
$3.70 copay or 5% (whichever costs more)

Brand-name drugs :
$9.20 copay or 5% (whichever costs more)

Generic$20.00 copay$20.00 copay
Preferred Brand$47.00 copay
Non-Preferred Drug$100.00 copay
Specialty Tier28%
1 For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs.

Part B Drugs

20% coinsurance
20% coinsurance

Extra Benefits

Hearing

$40 copay
Not covered
Not covered
Not covered
Not covered

Preventive Dental

$0 copay
$0 copay
Not covered
$0 copay

Comprehensive dental

50% coinsurance
Not covered
50% coinsurance
50% coinsurance
50% coinsurance
50% coinsurance
Not covered

Vision

$0 copay
$0 copay
$0 copay
$0 copay
$0 copay
$0 copay

Other benefits

Limited coverage
Limited coverage
Not covered
Not covered
Not covered
Limited coverage
Limited coverage
 3.5
 4
 4
 2
 4
 5
 3.5
 5
 4
 2
 3

When Can I Sign Up for Medicare?

Enter your birthday month and year to learn when you can sign up for different Medicare plan options.

 

 


Advertisement

Medicare Signup Help

Quote & Compare

 

Medicare65quote

Get Quote  

 

-or call-

(888) 763-2752

TTY 711

Find your plan online or speak with a licensed insurance agent to compare your options and get help signing up for the right plan for you!