The past number of years have shown how far people's habits and lifestyle have changed. Eating, breathing, and being in contact with other people, can easily cause someone to get sick. Add to that expensive consultation costs, hospitalization, and medicine, which can bring anyone down. But, like a superhero, the Aetna Medicare Advantage is available for all Americans.
Aetna offers solutions that are designed to match people's needs. Customers get the best out of their money, and they receive assurance of flexibility in case their needs change in the coming years. Options are available for families and individuals, organizations, and employers. After enrolling, and based on the plan selected, customers can see doctors enrolled in the network, or outside.
As required by law, Aetna covers everything in Part A and B of the Original Medicare program, with the exception of hospice care. Part A insurance coverage covers a number of medical services, such as inpatient hospital care. Care in these hospitals may include those in long-term care hospitals, acute care hospitals, inpatient mental care hospitals, and critical access hospitals. Nursing home care is also covered, provided that it is for a limited time, is medically necessary, and it has been established that medical care is needed for the condition. Lastly, home health services may be availed of. This includes at-home nursing care, occupational therapy, and physical therapy, provided that it is for a limited time, and therapeutic care is medically necessary.
Meanwhile, Part B insurance coverage helps patients cover services and supplies required for the treatment and diagnosis of the condition. This covers outpatient services at a clinic, doctor's office, hospital, or other facilities. It also covers preventative services that may either prevent illness, or detect them early. Part B also covers laboratory tests and X-rays, mental health services, doctor visits, durable medical equipment, rehabilitative services such as occupational therapy, physical therapy, and speech-language services, and preventative services like flu shots, screenings, and pap tests.
Aetna recommends different plans that serve as alternatives to those under Part A and Part B coverage. This can be helpful to patients paying premiums for Part B coverage. Aetna extends these coverages by designing various plans that meet different patient needs. These extra benefits include free fitness facility membership, free annual physical exam, in-network service across the US, and 24/7 toll-free hot-line that connects patients to a registered nurse for questions related to membership or their health. Some plans include dental services, wellness programs, and prescription drug coverage.
City and state location differentiates plans offered by Aetna, which leads to differences in premiums and benefits. However, the availability of in-network coverage keeps the cost low, making it cheaper than others. To do this, Aetna provides a list of accredited provides, doctors, and hospitals. So as not to pay the entire cost of their medical care, patients are encouraged to follow their policies for any doctor visit, procedure, or test that they need done. However, emergency and urgent cases do not follow these policies.
Although it is recommended that medical care be kept within the network, it doesn't mean that patients have to stress themselves over their doctors. Their primary care doctor is responsible for their health, and the tests they need. Should specialist care be required, their doctor will recommend a different doctor that is with the Aetna network.
Patients may, however, opt to get services outside the network if enrolled in a different plan. The out-of-pocket charges are relatively higher for this, though. There is also another plan that provides savings upon utilizing the preferred network for services, and allows patients to visit any doctor, even those outside the network, provided that Medicare is accepted. Benefits such as dental care and routine vision care are included in this plan. Patients with specific needs and conditions may take advantage of a different, restrictive plan. This is recommended to patients who live in health institutions, have diabetes or end-stage renal disease, or disabling and chronic disease. With the patient's needs in mind, prescription coverage, benefits, and providers are carefully identified and listed.
Aetna offers solutions that are designed to match people's needs. Customers get the best out of their money, and they receive assurance of flexibility in case their needs change in the coming years. Options are available for families and individuals, organizations, and employers. After enrolling, and based on the plan selected, customers can see doctors enrolled in the network, or outside.
As required by law, Aetna covers everything in Part A and B of the Original Medicare program, with the exception of hospice care. Part A insurance coverage covers a number of medical services, such as inpatient hospital care. Care in these hospitals may include those in long-term care hospitals, acute care hospitals, inpatient mental care hospitals, and critical access hospitals. Nursing home care is also covered, provided that it is for a limited time, is medically necessary, and it has been established that medical care is needed for the condition. Lastly, home health services may be availed of. This includes at-home nursing care, occupational therapy, and physical therapy, provided that it is for a limited time, and therapeutic care is medically necessary.
Meanwhile, Part B insurance coverage helps patients cover services and supplies required for the treatment and diagnosis of the condition. This covers outpatient services at a clinic, doctor's office, hospital, or other facilities. It also covers preventative services that may either prevent illness, or detect them early. Part B also covers laboratory tests and X-rays, mental health services, doctor visits, durable medical equipment, rehabilitative services such as occupational therapy, physical therapy, and speech-language services, and preventative services like flu shots, screenings, and pap tests.
Aetna recommends different plans that serve as alternatives to those under Part A and Part B coverage. This can be helpful to patients paying premiums for Part B coverage. Aetna extends these coverages by designing various plans that meet different patient needs. These extra benefits include free fitness facility membership, free annual physical exam, in-network service across the US, and 24/7 toll-free hot-line that connects patients to a registered nurse for questions related to membership or their health. Some plans include dental services, wellness programs, and prescription drug coverage.
City and state location differentiates plans offered by Aetna, which leads to differences in premiums and benefits. However, the availability of in-network coverage keeps the cost low, making it cheaper than others. To do this, Aetna provides a list of accredited provides, doctors, and hospitals. So as not to pay the entire cost of their medical care, patients are encouraged to follow their policies for any doctor visit, procedure, or test that they need done. However, emergency and urgent cases do not follow these policies.
Although it is recommended that medical care be kept within the network, it doesn't mean that patients have to stress themselves over their doctors. Their primary care doctor is responsible for their health, and the tests they need. Should specialist care be required, their doctor will recommend a different doctor that is with the Aetna network.
Patients may, however, opt to get services outside the network if enrolled in a different plan. The out-of-pocket charges are relatively higher for this, though. There is also another plan that provides savings upon utilizing the preferred network for services, and allows patients to visit any doctor, even those outside the network, provided that Medicare is accepted. Benefits such as dental care and routine vision care are included in this plan. Patients with specific needs and conditions may take advantage of a different, restrictive plan. This is recommended to patients who live in health institutions, have diabetes or end-stage renal disease, or disabling and chronic disease. With the patient's needs in mind, prescription coverage, benefits, and providers are carefully identified and listed.
About the Author:
Learn everything you need to know about the Medicare federal health insurance program and get more information about Aetna Medicare Advantage plans at http://www.healthenroller.com/medicare-advantage-election-periods now.
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