Aetna Medicare Advantage Plans in New Hampshire for 2025

Looking for possible Aetna Medicare Advantage plans in New Hampshire? Discover some of the potential Aetna Medicare Advantage plans in New Hampshire for 2025 that may include prescription coverage. This concise guide will walk you through the possible benefits and enrollment process that could aid in selecting the ideal Aetna plan for your healthcare needs.

Key Takeaways

• Aetna will likely offer a variety of Medicare Advantage plans in New Hampshire that may include additional benefits, such as Part D prescription coverage that could be tailored to enhance member health experiences and accommodate diverse healthcare needs.

• Some of the Aetna Medicare Advantage plans will likely cover all original Medicare Parts A and B benefits and might include additional coverage such as dental, vision, hearing, and prescription drugs.

• 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, possible benefits, and costs to select the best healthcare plan to fit their needs.

Aetna, one of the private insurance companies, will likely provide a captivating array of Medicare Advantage plans in New Hampshire. Some of these plans could offer a comprehensive range of coverage choices that may 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.

One of the potential features of certain Aetna Medicare Advantage plans in New Hampshire could be the possibility of integrating Part D prescription drug coverage. This could potentially eliminate the need for a separate drug plan and might simplify the entire process of managing your health needs. This potential inclusion will likely underscore Aetna’s commitment to providing comprehensive care and coverage to its members.

What Could Set Aetna Apart?

Some of Aetna’s Medicare Advantage plans may stand out for their focus on wellness and preventive care. This potential emphasis may be able to provide unique benefits and services to New Hampshire residents.

For members with chronic conditions, Aetna will likely offer specialized programs that could provide personalized support and care coordination. A unique offering for those who qualify could be Aetna’s Dual Eligible Special Needs Plans (D-SNPs), which may provide extra support for its members. 

Plan Types Offered by Aetna

The diversity of Aetna’s Medicare Advantage plans may be worth noting. In New Hampshire, Aetna will likely offer 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 could potentially offer certain Medicare Advantage Prescription Drug (MAPD) plans for New Hampshire residents who may have limited income and resources, possibly helping them manage their prescription medications more effectively.

The Possible Benefits of Choosing an Aetna Medicare Advantage Plan

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

Prescription Drug Coverage (Part D)

Prescription drug coverage could potentially become an integral part of some of Aetna’s Medicare Advantage plans. Typically, these plans may integrate Part D prescription drug coverage, which might not be included in Original Medicare, possibly enabling comprehensive medication management. This benefit could potentially simplify the process of managing your medications and ensure that you may have access to the drugs you need to maintain your health.

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

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

Once you’ve decided to enroll in an Aetna Medicare Advantage plan in New Hampshire, the process is pretty straightforward. To enroll, just call 1-833-641-4938 (TTY 711), Mon-Fri 8 am-9 pm EST, and one of our licensed agents can assist you.

By entering your zip code into any of the zip code boxes on this website, members can:

• Compare different Medicare Advantage and Prescription Drug Plans

• Focus on drug coverage and costs to find the perfect fit for your healthcare needs

• Input your information and sort through a variety of plans

• Weigh the pros and cons of each based on your situation

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:

• Initial Enrollment Period: starts three months before and ends three months after your 65th birthday, or when you meet other eligibility criteria.

• 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.

• 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.

• 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.

• 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 by calling one of our licensed agents at 1-833-641-4938 (TTY 711), Mon-Fri 8 am-9 pm EST. After talking to an agent, it’s important to review the Evidence of Coverage document. This important document could detail the potential plan coverage, which may include a medical benefits grid and will likely outline your plan rights and responsibilities.

By familiarizing yourself with the Evidence of Coverage document, members may be able to ensure that they fully understand their plan’s benefits and obligations. This understanding is crucial for maximizing the potential benefits of a member’s Aetna Medicare Advantage plan and ensuring that they’re fully informed about the services and support available to them.