H3959-036

This plan has a $505 deductible. So, you are 100% responsible for the first $505 in medication costs. After you have met the deductible, the Aetna Medicare Advantra Cares (HMO D-SNP) will share the costs of your medications with you -- see cost-sharing below. $505 is the maximum deductible for 2023.

Aetna Medicare Advantra Cares (HMO D-SNP) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Seasonal Over-the-Counter (OTC) kit of preselected OTC items mailed twice a year and $300 quarterly OTC allowance, for more information see Evidence of Coverage. $0, for more ...2023 Medicare Advantage Plan Details. Medicare Plan Name: Aetna Medicare Advantra Cares (HMO D-SNP) Location: Clarion, Pennsylvania Click to see other locations. Plan …H3959 - 036 January 1, 2021 - December 31, 2021 Aetna Medicare Advantra Cares (HMO D-SNP) is a Dual Eligible Special Needs Plan (D-SNP) for Medicare beneficiaries who are also eligible for Medicaid. This is a Medicare Advantage plan that covers prescription drugs.This page features plan details for 2024 Aetna Medicare Advantra Cares (HMO D-SNP) H3959 – 036 – 0 available in Adams County, Pennsylvania and other counties. IMPORTANT: This page has been updated with plan and premium data for 2024. Some plan details may still reflect 2023 plan data, be missing, or be inaccurate until enrollment …The Aetna Medicare Advantra Cares (HMO D-SNP) (H3959 - 036) currently has 24,541 members. There are 1,352 members enrolled in this plan in Berks, Pennsylvania, and 24,449 members in Pennsylvania. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4.5 stars.Plan ID: H3959-049-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Pennsylvania Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. ...

Inpatient hospital-acute: In-network: $360 per day for days 1 through 5. $0 per day for days 6 through 90. Out-of-network: 45% per stay. Inpatient hospital psychiatric: In-network: $1,510 per stay. Out-of-network: 45% per stay.Primary Care Doctor Visit. $0 in-network / $20 out-of-network. Specialty Doctor Visit. $30 in-network / $50 out-of-network. Inpatient Hospital Care. $275 per day, days 1-5; $0 per day, days 6-90 in-network / 40% per stay out-of-network. Urgent Care. Copayment for Urgent Care $35.00. Worldwide Coverage:2023 Evidence of Coverage for Aetna Medicare Advantra Cares (HMO D-SNP) 3 Table of Contents Chapter 1: Getting started as a member 6 SECTION 1 Introduction 7H3959 ‐ 036 Here's a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Just visit AetnaMedicare.com/H3959-036 where you'll find the plan's Evidence of Coverage (EOC). You may call us to request a copy. We're here to helpLearn More about Aetna Inc. Aetna Medicare Advantra Silver (PPO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan. H3959-036. $25 every month. PA. Aetna Medicare Advantra Premier Plus (PPO). H5522-001. $25 every month. PA. Aetna Medicare Advantra Silver (PPO). H5522-005. $25 ...Aetna Medicare Advantra Premier (HMO-POS) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $20.00. Copayment for Routine Care $10.00. Maximum 12 Routine Care every year.Aetna Medicare Advantage (MA) plans include HMO, PPO and SNP (Special Needs Plans) benefits to Medicare-qualified members. Aetna offers Duals Special Needs Plans (D-SNPs) to members who also receive Medicaid benefits and/or assistance with Medicare premiums or Parts A & B cost-sharing and live in a county where Aetna Medicare offers a D-SNP.

Plan ID: H3959-010. Aetna Medicare Advantra Silver (HMO-POS) H3959-010 Plan Details. 4.5 out of 5 stars. Aetna Medicare Advantra Silver (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.. Plan ID: H3959-010. $ 0.00. Monthly Premium. More Info Less info. Pennsylvania Counties Served. Allegheny.Summary of Benefits 1 2023-H3959.036.1 H3959-036 Aetna Medicare Advantra Cares (HMO D‑SNP) H3959 ‑ 036 Here's a summary of the services we cover from January 1, 2023 through December 31, 2023. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations?Copayment for Medicare-Covered Podiatry Services $40.00. Copayment for Routine Foot Care $40.00. Maximum 1 visit every three months. Out-of-Network: Coinsurance for Medicare Covered Podiatry Services 30% Coinsurance for Non-Medicare Covered Podiatry Services 30%. Skilled Nursing Facility Care.Plan ID: H3959-002-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $19.00 Monthly Premium. Pennsylvania Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare ...Ambulatory Surgical Center: $200 in-network / ASC Screening Colonoscopy Polyp Removal and Post-FIT: $0 in-network, for more information see Evidence of Coverage. Outpatient Substance Abuse Care. In-Network: Copayment for Medicare-covered Individual Sessions $45.00. Copayment for Medicare-covered Group Sessions $45.00.

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2023 Evidence of Coverage for Aetna Medicare Advantra Cares (HMO D-SNP) 1 January 1 – December 31, 2023 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of AetnaAetna Medicare Advantage (MA) plans include HMO, PPO and SNP (Special Needs Plans) benefits to Medicare-qualified members. Aetna offers Duals Special Needs Plans (D-SNPs) to members who also receive Medicaid benefits and/or assistance with Medicare premiums or Parts A & B cost-sharing and live in a county where Aetna Medicare offers a D-SNP. Enrolling in H3959-052-000 Medicare Advantage Plans in Pennsylvania Medicare beneficiaries from Pennsylvania may have access to Medicare Advantage plans from Aetna and other insurance companies. Get help comparing your local plan options by calling to speak with a licensed insurance agent who can help you find out if your doctor and ...Prescription drug benefit changes will result in significant cost savings for our 2023 Individual MAPD members. Highlights include: $0 deductibles: 100% of MAPD members will enjoy a $0 deductible on all Tier 1 drugs, with 74% of plans offering a $0 deductible on all tiered drugs (Tiers 1 – 5). $0 copays at preferred network pharmacies: …

H3959 ‐ 036 Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Just visit AetnaMedicare.com/H3959-036 where you’ll find the plan’s Evidence of Coverage (EOC). You may call us to request a copy. We’re here to helpAre you looking for a summary of benefits for Aetna Medicare Advantra Cares (HMO D-SNP) H3959-036 in 2023? Download this PDF document to find out the details of your plan, such as monthly premiums, copays, deductibles, and covered services. Compare it with the 2021 version to see what has changed and make an informed decision.We want to make sure you get the care you need. That’s why we encourage you to complete your annual health survey. Get started online: Take your health survey. Or call 1-866-409-1221 (TTY: 711) and press option 2 to reach a Health Survey Specialist. They’re available Monday to Friday, 8:30 AM to 5:00 PM local time. Urgent care. Urgent Care: Copayment for Urgent Care $50.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Emergency room visit. $120 If you are admitted to the hospital within 24 hours your cost share may be waived, for more information see the Evidence of Coverage. Ambulance transportation.Number of Members enrolled in this plan in (H3959 - 036): 3,412 members : Plan’s Summary Star Rating: 4.5 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 5 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ... H3959 - 036 January 1, 2021 - December 31, 2021 H3959-036 1_A Y0001_H3959_036_DS10_SB21_M Aetna Medicare Advantra Cares (HMO D-SNP) | H3959-036 | $0 up to $27.30 Aetna Medicare Advantra Cares (HMO D-SNP) is a Dual Eligible Special Needs Plan (D-SNP) for Medicare beneficiaries who are also eligible for Medicaid. This is a Medicare Advantage The Aetna Medicare Advantra Cares (HMO D-SNP) (H3959 - 036) currently has 24,541 members. There are 1,352 members enrolled in this plan in Berks, Pennsylvania, and 24,449 members in Pennsylvania. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4.5 stars. The detail CMS plan carrier ratings ...The Aetna Medicare Advantra Premier (HMO-POS) (H3959 - 039) currently has 4,112 members. There are 345 members enrolled in this plan in Dauphin, Pennsylvania, and 4,032 members in Pennsylvania. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4.5 stars. The detail CMS plan carrier ratings …OXFORD HEALTH PLANS (NJ), INC. DE, CO, No. 139, H3959, 063, AETNA HEALTH INC. (PA), DE ... H3959, 036, AETNA HEALTH INC. (PA), PA, CO, No. 615, H4227, 001, VISTA ...

Chronic Condition Eligibility . In order to enroll a consumer in a UHC Complete Care (CSNP) the consumer must have Medicare AND a qualifying chronic health condition such as a cardiovascular disorder and/or chronic heart failure.. In addition, it is highly recommended that CSNP eligible consumers enrolling into a CSNP with 20% coinsurance/cost sharing …

Learn more about Aetna Medicare Advantra Philly Prime (HMO) benefits, some of which may not be covered by Original Medicare (Part A and Part B). 0% - 20% Higher cost-share applies to non-OneTouch/LifeScan diabetic supplies. Mental Health - Group Sessions: $40 in-network/ Mental Health - Individual Sessions: $40 in-network, for more information ...2023-H3959.032.1 H3959-032 Aetna Medicare Advantra Premier (HMO‑POS) H3959 ‑ 032 Here’s a summary of the services we cover from January 1, 2023 through December 31, 2023. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Just visit• NOTICE – CMS has clarified its position on using SEP-DST for COVID -19. Disaster and/or Emergency declarations issued prior to 1/1/2021, including the ongoing COVID-19 PublicPlease contact Medicare.gov or 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Aetna Medicare Advantra Gold (HMO) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 (see Plan Premium Details below) Annual ...1 . PA Special Needs Plans for Dual Eligibles Available in 2022 . Aetna Medicare Advantra Cares-1-833-859-6031; www.aetnamedicare.com. AmeriHealth Caritas VIP Care-1-855-241-3648;Aetna Medicare Advantra Cares (HMO D-SNP) is a Medicare Advantage (Part C) Special Needs Plan by Aetna Medicare. This page features plan details for 2024 Aetna Medicare Advantra Cares (HMO D-SNP) H3959 – 036 – 0 available in Adams County, Pennsylvania and other counties. IMPORTANT: This page has been updated with plan and premium data for 2024.The Aetna Medicare Advantra Cares (HMO D-SNP) (H3959 - 036) currently has 3,412 members. There are 97 members enrolled in this plan in Luzerne, Pennsylvania, and 3,711 members in Pennsylvania. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4.5 stars.HMOPOS, $200 per Month, No, $2,400, Yes, $1,100, No, Yes, Yes, No, 1,498. Aetna Medicare · Aetna Medicare Advantra Cares (HMO D-SNP) H3959-036-0, HMO, $360 per ...The Aetna Medicare Advantra Cares (HMO D-SNP) (H3959 - 036) currently has 7,086 members. There are 721 members enrolled in this plan in Allegheny, Pennsylvania, and 7,059 members in Pennsylvania. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4.5 stars.

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TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Aetna Medicare Advantra Cares (HMO D-SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both ...1 Jan 2021 ... H3959. H5522. H1692. H7149. H5793. H3597. H3152. R6694. H3312. H4523. H8649 ... H5253‐036‐000. H0609‐007‐000. H0609‐012‐000. H0609‐018‐000. H0755‐ ...Average Cost of Medicare Advantage Plans in Northampton County, Pennsylvania. Average Monthly Premium. $62.39. Average in-network out-of-pocket spending limit. $6,551.02. Average drug deductible in 2023 (weighted) $378.42. Percentage of plans rated 4 stars or higher. 52.8%.Please contact Medicare.gov or 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Aetna Medicare Advantra Gold (HMO) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 (see Plan Premium Details below) Annual ...Mental health services. Inpatient hospital - psychiatric. $176 per day for days 1 through 9 / $0 per day for days 10 through 90. Outpatient group therapy visit with a psychiatrist. $40 copay ...This H3959-036 plan is a Medicare Advantage special needs plan offered by Aetna with the Plan ID: H3959-036-000. This plan offers all the same benefits of Medicare Plan A and Plan B as well as additional benefits that gives you more coverage.4.5 out of 5 stars. Aetna Medicare Advantra Silver Plus (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.. Plan ID: H5522-013. $ 18.00. Monthly Premium.May 26, 2022 · Get more from Medicare & Medicaid. If you are eligible for both Medicare and Medicaid, you may be eligible for an Aetna ® Dual Eligible Special Needs Plan (D-SNP), including a personal care team, at low or no extra cost. Call 1-833-223-0614 (TTY: 711) to see if you qualify. Aetna Medicare Advantra Eagle (HMO) | H3959-041 | $0 Compare our plan to Medicare To learn more about the coverage and costs of Original Medicare, look in your "Medicare & You" handbook. View it online at www.medicare.gov or get a copy by calling 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1 …Number of Members enrolled in this plan in (H3959 - 002): 21,934 members : Plan’s Summary Star Rating: 4.5 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 5 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ... ….

We developed a custom formulary for the Enhanced and Basic Medicare Rx Options that covers almost all of the medications that current Health Options Program participants had filled over the last year. Not all drugs are included under the Enhanced, Basic and Value Medicare Rx Options. Generic drugs for covered categories are always …Go Back Aetna Medicare Advantra Cares (HMO D-SNP) H3959 - 036 - 0 (4.5 / 5) Aetna Medicare Advantra Cares (HMO D-SNP) is a Medicare Advantage (Part C) Special Needs Plan by Aetna Medicare. This page features plan details for 2024 Aetna Medicare Advantra Cares (HMO D-SNP) H3959 - 036 - 0 available in Adams County, Pennsylvania and other counties.Our plan benefits and services are for people with special health care needs. We also offer more benefits and services not covered under Medicare, such as: Dental. Hearing aids. Contact lenses. For information, call Member Services at 1-855-463-0933 (TTY: 711), 8 AM to 8 PM, seven days a week. COVID-19- Avoid scams.4.5 out of 5 stars Aetna Medicare Advantra Cares (HMO D-SNP) is a HMO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.. Plan ID: H3959-036. $ 0.00 Monthly Premium Pennsylvania Counties ServedThe Aetna Medicare Advantra Cares (HMO D-SNP) (H3959 - 036) currently has 17,821 members. There are 1,119 members enrolled in this plan in York, Pennsylvania, and 17,691 members in Pennsylvania. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4.5 stars.2023 Evidence of Coverage for Aetna Medicare Advantra Cares (HMO D-SNP) 1 January 1 – December 31, 2023 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Aetna2023 Evidence of Coverage for Aetna Medicare Advantra Cares (HMO D-SNP) 1 January 1 – December 31, 2023 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Aetna20 Apr 2020 ... ... 036. AVI Integrators, Inc. dba Security 101. $165,000.00. 4/16/2019. 1 ... H 3959. H 3961. H 3963. H 3965. H 3967. H 3969. H 3971. H 3973. H 3975. H3959-036, [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1]