Aetna Medicare Advantage Plans Review
Fact checked Contributing expert: Kelly Blackwell, Certified Senior Advisor - Published: April 2, 2021
Aetna offers a wide range of health care plans for older adults, including Preferred Provider Organization and Health Maintenance Organization, at a competitive monthly rate.
Aetna, an award-winning health insurance company, was founded in 1853 in Hartford, Connecticut, and is a subsidiary of CVS Health Corporation. It's the third-largest health insurance provider in the nation, with approximately 22.1 million members. It offers affordable monthly premiums and low copays, and it has consistently positive customer feedback. By reviewing Aetna’s available plans and assessing its benefits and drawbacks, you can determine whether Aetna is right for you.
What do Aetna Medicare Advantage Plans cover?
Aetna Medicare Advantage Plans are comparable in their scope of coverage to other Medicare Advantage Plans, offering all the benefits of Original Medicare, along with coverage for additional health services. Medicare Advantage Plans, also called Medicare Part C, often include prescription drug, vision, and dental coverage and wellness programs. Your out-of-pocket costs depend on the plan you choose, as do rules for how you get services, such as whether you have to choose a primary care doctor or get a referral to see a specialist.
What are Aetna Medicare Advantage Plan options?
Aetna has five major Medicare Advantage Plans, although the options available to you may vary based on your location. Of these plans, four of them are PPOs, and one is an HMO. With HMOs, you’re required to choose a primary care physician and get health care services from in-network providers. Because these plans are limited in their coverage, the premiums are typically affordable. In general, PPO plans offer greater flexibility, allowing you to see out-of-network providers and specialists without obtaining referrals. These plans typically have higher premiums.
While some of Aetna’s Medicare Advantage Plans have no deductible, other plans have deductibles of up to $1,000. The cost to see your primary care doctor ranges from $10 to $20, and the copay for specialists is $45 across all plans.
Compare these five Aetna Medicare Advantage Plan options:
|Aetna Medicare Advantage Plans|
|Plan Name||Monthly premium||Annual deductible||Office visits||Telehealth||Emergency room||Annual maximum out-of-pocket cost|
|Aetna Medicare Elite Plan (PPO)||$0||$1,000||$10 primary / $45 specialist||$10||$90||$7,550|
|Aetna Medicare Value Plan (PPO)||$22||$0||$10 primary / $45 specialist||$10||$90||$7,550|
|Aetna Medicare Elite Plan 3 (PPO)||$39||$1,000||$10 primary / $45 specialist||$10||$90||$7,550|
|Aetna Medicare Elite Plan (HMO)||$39||$500||$20 primary / $45 specialist||$20||$90||$7,550|
|Aetna Medicare Premier Plan (PPO)||$99||$0||$15 primary / $45 specialist||$15||$90||$7,550|
*Based on pricing in New York, New York
Pros and cons of Aetna Medicare Advantage plans
What we like about Aetna Medicare Advantage Plans:
- Coverage for vision and hearing services
- High scores on Medicare’s 5-star rating system
- Affordable monthly premiums
The drawbacks of Aetna Medicare Advantage Plans:
- Annual out-of-pocket costs are relatively high
- Only two plan types to choose from
Aetna Medicare Advantage Plans reviews and ratings
Overall, Aetna’s customers give positive feedback regarding their experience with the company and the claims process. Aetna scores consistently well across various consumer review sites.
Aetna has an A+ rating with the Better Business Bureau. In the last three years, the company has closed 619 customer complaints.
The National Committee for Quality Assurance gives Aetna plans ratings that range between 2.5 and 4.5. Most plans were rated in the mid-to-high performance range across three categories, which include customer satisfaction, how well the plan covers preventative treatments, and the plan’s performance for covering chronic or acute conditions. The majority of plans are accredited through the NCQA.
Within the last year, Consumer Affairs has logged 1,705 ratings for Aetna. On average, consumers give the company 4 out of 5 stars, with 4- and 5-star ratings making up the bulk of consumer feedback. Among the most common benefits that reviewers commend are Aetna’s competitive rates, friendly and efficient representatives, and reliable coverage.
- Featured Sources [-]
Medicare: How Do Medicare Advantage Plans Work? Last accessed April 2021
Aetna: Our Corporate Profile Last accessed April 2021
Aetna: Awards & Recognition Last accessed April 2021
ValuePenguin: Largest Health Insurance Companies of 2021 Last accessed April 2021
Aetna: HMO, POS, PPO, EPO, and HDHP with HSA: What’s the Difference? Last accessed April 2021
Better Business Bureau: Aetna Inc. Last accessed April 2021
NCQA: NCQA Health Insurance Plan Ratings 2019-2020 – Summary Report Last accessed April 2021
Consumer Affairs: Aetna Health Insurance Last accessed April 2021
Kelly Blackwell, Certified Senior Advisor (CSA)
Kelly Blackwell is a Certified Senior Advisor (CSA)®. She has been a healthcare professional for over 30 years, with experience working as a bedside nurse and as a Clinical Manager. She has a passion for educating, assisting and advising seniors throughout the healthcare process.