Aetna Medicare Advantage Plans New Hampshire 2025

Looking for Aetna Medicare Advantage plans in New Hampshire? Discover Aetna Medicare Advantage plans in New Hampshire for 2025 that may offer $0 premiums and include prescription coverage. This clear and concise guide will walk you through the benefits and enrollment process to aid in selecting the ideal Aetna plan for your healthcare needs.


Key Takeaways

  • Aetna offers a variety of Medicare Advantage plans in New Hampshire with benefits that can include $0 monthly premiums, $0 copays, Part D prescription coverage, and wellness programs, tailored to enhance member health experiences and accommodate diverse healthcare needs.



  • Eligible New Hampshire residents can enroll in an Aetna Medicare Advantage plan during designated enrollment periods via Aetna’s website or Medicare Plan Finder, with the opportunity to carefully review plan choices, benefits, and costs to select the best healthcare plan to fit their needs.

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Understanding Aetna Medicare Advantage Plans in New Hampshire

In the charming New England state of New Hampshire, Aetna, one of the private insurance companies, provides a captivating array of Medicare Advantage plans. These plans offer a comprehensive range of coverage choices to fit different healthcare needs and preferences, from Health Maintenance Organization (HMO) to Preferred Provider Organization (PPO), and even HMO-Point of Service (HMO-POS) options.

For the budget-conscious, some of these plans even offer $0 monthly plan premiums and $0 copays for primary care visits, making healthcare more affordable for beneficiaries.


Understanding Aetna Medicare Advantage Plans in New Hampshire

An outstanding feature of Aetna Medicare Advantage plans in New Hampshire is the integrated Part D prescription drug coverage. This eliminates the need for a separate drug plan, simplifying the entire process of managing your health needs. This thoughtful inclusion underscores Aetna’s commitment to providing comprehensive care and coverage to its members.

Aetna’s Medicare Advantage plans, also known as medicare plans, are packed with benefits aimed at enhancing member experiences and satisfaction. Some of these benefits include:


  • Preventive care
  • Wellness programs
  • Personalized health resources
  • Around-the-clock nurse hotline


These plans are designed to ensure that members enjoy a holistic health experience.


What Sets Aetna Apart?

Aetna’s Medicare Advantage plans stand out for their focus on wellness and preventive care. This emphasis provides unique benefits and services to New Hampshire residents. Aetna’s wellness programs engage members through a holistic approach to wellness, incorporating physical activity incentives, mental health support, and social connectedness. Preventive care forms a cornerstone of Aetna’s Medicare Advantage plans, covering annual wellness visits and proactive health screenings to maintain the optimal health of members.

For members with chronic conditions, Aetna offers specialized programs that provide personalized support and care coordination. A unique offering for those who qualify, Aetna’s Dual Eligible Special Needs Plans (D-SNPs) provide extra support for everyday expenses like healthy groceries, utilities, and rent.

Aetna Medicare Advantage plans in New Hampshire also offer unique benefits such as wellness programs, a 24/7 nurse hotline, and personalized health resources tailored to individual health needs.


Plan Types Offered by Aetna

The diversity of Aetna’s Medicare Advantage plans is worth noting. In New Hampshire, Aetna offers a range of plans, including HMO, PPO, and HMO-POS options. These plans cater to different preferences and healthcare needs. The HMO Medicare Advantage plans require members to use network providers for non-emergency services and have a primary care physician. Referrals are needed for specialist care.

On the other hand, the Medicare Advantage PPO plans offer the convenience of seeing any doctor or specialist who accepts Medicare without needing a referral. This flexibility can be particularly beneficial for those who travel frequently or have multiple healthcare providers.

Aetna offers the following plans for New Hampshire residents:


  • HMO plans
  • PPO plans
  • HMO-POS plans
  • Medicare Advantage Prescription Drug (MAPD) plans


The HMO-POS plans can offer a balance between cost savings and flexibility. These plans allow members to access both in-network and out-of-network providers for dental care without compromising on the overall benefits of staying within the HMO network for medical care.

In addition to the HMO, PPO, and HMO-POS plans, Aetna also offers Medicare Advantage Prescription Drug (MAPD) plans for New Hampshire residents with limited income and resources, helping them manage their prescription medications more effectively.

Most of Aetna’s Medicare Advantage plans, including Medicare Advantage HMO, PPO, and HMO-POS, come with added benefits such as:


  • ER and urgent care coverage worldwide
  • Fitness benefits through SilverSneakers®
  • An over-the-counter (OTC) benefit
  • A meals-at-home program in New Hampshire where members receive meals delivered to their home after an inpatient hospital or skilled nursing facility stay, enhancing post-hospitalization care.

The Benefits of Choosing an Aetna Medicare Advantage Plan

Choosing an Aetna Medicare Advantage plan comes with a plethora of benefits. These plans not only cover all benefits of Medicare Parts A and B but also bring additional Medicare coverage such as dental, vision, and hearing services. They regularly offer more benefits than Original Medicare, adding prescription drug coverage along with the aforementioned services.


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With an Aetna Medicare Advantage plan, you can enjoy the following benefits:


  • Annual out-of-pocket maximum, providing a limit on expenses
  • Lower copayments for services compared to Original Medicare, leading to reduced out-of-pocket costs for routine care
  • Unique extras such as fitness club memberships, further enhance the value of these plans.


Prescription Drug Coverage (Part D) Included

Prescription drug coverage is an integral part of Aetna’s Medicare Advantage plans. Typically, these plans integrate Part D prescription drug coverage, which is not included in Original Medicare, enabling comprehensive medication management. This benefit simplifies the process of managing your medications and ensures that you have access to the drugs you need to maintain your health.

Apart from prescription drug coverage, Aetna Medicare Advantage plans may also offer over-the-counter benefits. This enhancement broadens the scope of drug coverage provided, allowing members to access non-prescription drugs and health products that can contribute to their overall health and well-being.


Extra Health Services and Support

Beyond medication coverage, Aetna’s Medicare Advantage plans in New Hampshire also include a variety of health services and support options. For instance, these plans include SilverSneakers, which offers a comprehensive fitness program with both in-person and virtual exercise options.

Members also have access to all the benefits, including:


  • Caring consultants
  • 24-hour nurse hotline for assistance
  • Telehealth benefits for a more convenient healthcare experience
  • Lifestyle coaching programs
  • Care management teams
  • A variety of online resources to assist members in managing their health and wellness goals


Extra health services extend to allowances for over-the-counter products and medical coverage for travel or transportation to medical appointments, providing additional benefits.

How to Enroll in an Aetna Medicare Advantage Plan in New Hampshire

Once you’ve made the decision to enroll in an Aetna Medicare Advantage plan in New Hampshire, the process is pretty straightforward. Here are the steps to follow:


  1. Determine your eligibility during the enrollment period.
  2. Visit the Aetna Medicare page.
  3. Select ‘Shop for a plan’.
  4. Choose ‘Medicare plan’.
  5. Enter your New Hampshire ZIP code.
  6. This will provide you with a quote and a list of available plans in your area.


On the Aetna website, you can compare plans, review benefits, and select the best option that fits your healthcare needs and budget. Once you’ve chosen a plan, you can fill out the online application available on the Aetna Medicare page. You’ll need to provide personal information, including your Medicare ID, Part A and Part B effective dates, and payment details for any premiums.

Once you’ve completed the application, it’s crucial to review all plan choices and benefits to ensure you fully understand the coverage before finalizing your enrollment. This will help you make the most of your Aetna Medicare Advantage plan and avoid any surprises down the line.


Eligibility and Enrollment Periods

To be eligible for Medicare Advantage, New Hampshire residents must meet the following criteria:


  • Be 65 or older
  • Have received SSDI for two years
  • Have ESRD or ALS
  • Be U.S. citizens or permanent legal residents


If you’re working past age 65 with employer coverage, you can delay Medicare enrollment without penalty. In this case, you’ll have an 8-month enrollment period starting after your employment or group health coverage ends.

There are several enrollment periods for Medicare Advantage:


  1. Initial Enrollment Period: starts three months before and ends three months after your 65th birthday, or when you meet other eligibility criteria.
  2. General Enrollment Period: from January 1 to March 31, you can join Original Medicare, and then choose a Medicare Advantage plan from April 1 through June 30, with coverage starting on July 1.
  3. Annual Enrollment Period: this occurs from October 15 to December 7 each year, during which you can switch Medicare Advantage plans or return to Original Medicare.
  4. Medicare Advantage Open Enrollment Period: from January 1 to March 31, you can switch Medicare Advantage plans or return to Original Medicare if you are already enrolled in a Medicare Advantage plan.
  5. Special Enrollment Periods: available due to life events like moving, loss of current coverage, or qualifying for both Medicare and Medicaid.


Navigating Aetna’s Enrollment Process

Navigating Aetna’s enrollment process is a straightforward task. New Hampshire residents can enroll in an Aetna Medicare Advantage plan during their designated enrollment period either by contacting Aetna directly or using the Medicare Plan Finder on the Medicare website. Whichever method you choose, it’s important to review the Evidence of Coverage document. This important document details plan coverage, including a medical benefits grid, and outlines your plan rights and responsibilities.

By familiarizing yourself with the Evidence of Coverage document, you can ensure that you fully understand your plan’s benefits and obligations. This understanding is crucial for maximizing the benefits of your Aetna Medicare Advantage plan and ensuring that you’re fully informed about the services and support available to you.

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Comparing Aetna's Medicare Advantage Plans

When it comes to choosing a Medicare Advantage plan, it’s essential to compare your options. Aetna offers a variety of Medicare Advantage plans, and each one has distinctive features and benefits. New Hampshire residents can use services like HealthMarkets’ FitScore to compare Aetna’s Medicare Advantage plans and select one that aligns with their healthcare needs and budget.

While comparing plans, pay attention to coverage, costs, and network considerations. Don’t just focus on the cost. Consider the services covered, the extent of coverage, and the network of healthcare providers included in the plan. By taking the time to compare plans, you can ensure you choose a plan that provides the best possible fit for your healthcare needs and lifestyle.


Analyzing Plan Costs and Coverage

Aetna offers various Part D plans with different levels of coverage. These differences can impact the monthly premiums, deductibles, and copays experienced by beneficiaries. For instance, the SilverScript SmartSaver (PDP) plan features $0 copays and $0 deductible for Tier 1 drugs, with a reduced deductible of $280 for drugs on Tiers 2-5. On the other hand, the SilverScript Choice (PDP) plan has $2 copays for Tier 1 drugs and a $545 deductible for all tiers.


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SilverScript Plus (PDP) provides the following benefits:


  • No copays for Tier 1 and Tier 2 drugs, including some prescription vitamins and generic medications
  • No deductible for these tiers
  • Additional gap coverage
  • Aetna’s SilverScript plans even offer a 90-day supply of Tier 1 medication at no cost under certain plans


So, when enrolling in an Aetna Medicare Advantage plan, it is critical for residents to carefully review their options, especially considering associated costs, coverage, and network.


Considering Network and Access to Care

Aetna’s Medicare Advantage plans offer various options in terms of network and access to care. For instance, members of HMO plans need to choose an in-network primary care physician to maximize their plan benefits. A significant percentage of Medicare Advantage members in New Hampshire choose an HMO/HMO-POS plan, while a slightly higher percentage opt for a Local PPO, indicating the importance of network and preferred provider options.

Aetna’s network provides access to podiatrists, which is particularly beneficial for diabetic patients who need consistent and specialized foot care. Aetna’s Medicare Advantage plans may also offer telehealth services, facilitating remote consultations with healthcare professionals, and enhancing the network’s accessibility.

Maximizing Your Medicare Advantage Coverage with Aetna

To get the most out of your Aetna Medicare Advantage plan, it’s essential to leverage the many resources and benefits available to you. Aetna’s Medicare Advantage plans cover preventive services, which members should utilize regularly to maintain their health and detect potential health issues early. Regular preventive health care is crucial for the early detection of potential issues and for avoiding serious complications.


Medicare advantage plans new hampshire 2025


If you have a chronic condition, you can leverage the specialized programs and resources provided by Aetna. These programs are designed to support ongoing health management and can be a valuable tool in managing your health. Aetna’s care management teams can help coordinate benefits and ensure better care orchestration for members with chronic conditions.

Additionally, by using Aetna’s everyday health services, members receive support in managing their daily health, which informs their health-related decisions. So, whether it’s leveraging preventive services or managing chronic conditions, Aetna’s resources can help you maximize the benefits of your Medicare Advantage plan and maintain optimal health.


Leveraging Preventive Services

Engaging in regular preventive health care is crucial for maintaining your health and detecting any potential issues early on. Aetna’s Medicare Advantage plans cover a range of preventive services, including:


  • Annual wellness visits
  • Glaucoma tests
  • Colorectal cancer screenings
  • Mammogram screenings
  • Prostate cancer screenings
  • Lung cancer screenings


For individuals with chronic conditions, services like glaucoma testing, flu vaccinations, and depression screenings are especially relevant for managing ongoing health risks. Additionally, Aetna’s Healthy Home Visit Program provides at-home evaluations and personalized care advice, reinforcing their commitment to preventive care.


Managing Chronic Conditions with Aetna’s Resources

If you have a chronic condition, Aetna’s resources and programs can help you manage your health effectively. Aetna’s care management teams can coordinate your benefits, ensuring optimal care orchestration. Members with conditions like diabetes can receive assistance from Aetna in obtaining specialized footwear, highlighting the plan’s coverage of essential medical equipment.

Aetna’s network also provides access to podiatrists, which is particularly beneficial for diabetic patients who need consistent and specialized foot care. By leveraging these resources, you can effectively manage your chronic condition and maintain your health.


In conclusion, Aetna’s Medicare Advantage plans in New Hampshire provide comprehensive coverage, unique benefits, and a diverse range of plan options. With a focus on wellness, preventive care, and specialized support for chronic conditions, these plans offer a compelling alternative to Original Medicare.

Whether you’re enrolling for the first time or looking to switch plans, Aetna’s Medicare Advantage plans are worth considering. After all, your health deserves nothing but the best!

Frequently Asked Questions



Does Aetna cover New Hampshire?

Yes, Aetna offers Medicare coverage for retirees in New Hampshire. Contact one of our licensed insurance agents to find a plan that suits your needs.


What is the difference between Aetna Medicare and Aetna Medicare Advantage?

Aetna Medicare Advantage plans, also known as Part C plans, are offered by private insurance companies, like Aetna Medicare, and include additional benefits beyond Original Medicare.


Who has the best Medicare Advantage plan?

Humana, Aetna, and UnitedHealthcare all have the high-rated $0 Medicare Advantage plans, with a rating of 4.3 out of 5 stars from the Centers for Medicare & Medicaid Services (CMS), surpassing other large insurance companies.


What sets Aetna’s Medicare Advantage plans apart in New Hampshire?

Aetna’s Medicare Advantage plans in New Hampshire stand out for their comprehensive coverage, integrated Part D prescription drug coverage, and unique benefits like wellness programs and personalized health resources.

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Russell Noga
( Medicare Expert )

Russell Noga is the CEO of ZRN Health & Financial Services, and head content editor of several Medicare insurance online publications. He has over 15 years of experience as a licensed Medicare insurance broker helping Medicare beneficiaries learn about Medicare, Medicare Advantage Plans, Medigap insurance, and Medicare Part D prescription drug plans.