Aetna Medicare Advantage Plans Ohio 2025
Searching for Aetna Medicare Advantage plans in Ohio? Our guide delivers essential details on the Aetna Medicare Advantage plans in Ohio, tailored to meet your health needs and budget.
From understanding the nuances of HMO and PPO to the enrollment process, you’ll find the necessary information to choose your Medicare Advantage plan wisely in 2025.
Key Takeaways
- Aetna offers a diverse range of Medicare Advantage plans in Ohio, including HMO, PPO, PDP, and PFFS, catering to different health needs and preferences.
- Aetna Medicare Advantage plans in Ohio provide extensive coverage, additional wellness benefits such as fitness memberships, home health visits, and a ‘Resources for Living’ program, along with a 24-hour nurse line and secure online account access.
- Eligibility for Aetna Medicare Advantage plans requires enrollment in Medicare Part A and Part B, and residents can enroll online, by phone, or through paper enrollment with no income level restrictions.
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Discovering Aetna Medicare Advantage Plans in Ohio
When it comes to Medicare Advantage plans, Aetna in Ohio has got you covered. Whether you have specific health concerns or budget considerations, there’s a plan tailored just for you. The options are diverse, including:
- Health Maintenance Organization (HMO)
- Preferred Provider Organization (PPO)
- Prescription Drug Plan (PDP)
- Private Fee-for-Service (PFFS) plans
The power of choice is yours, enabling you to select the plan that best suits your individual health needs.
To understand these plans better, we will examine the HMO and PPO plans, along with the coverage and network access they offer, keeping in mind that not all plans are the same.
Plan Types: HMO and PPO
The HMO and PPO plans from Aetna provides different levels of flexibility when choosing healthcare providers. If you prefer a structured approach, the HMO Medicare Advantage plans offered by Aetna could be well-suited for you.
These plans typically require members to select a primary care provider and use providers within the HMO network, except in emergency situations. It may also be necessary to get referrals to see specialists.
Conversely, if you prioritize flexibility in your healthcare decisions, you might find Aetna’s PPO Medicare Advantage plans more suitable. These plans allow you the flexibility to see any provider who accepts Medicare without needing a referral.
And while it’s not required, choosing in-network providers can lead to more cost savings.
Coverage and Network Access
Under Aetna Medicare Advantage plans, Ohio residents can enjoy:
- Extensive coverage
- Access to a broad network of healthcare providers, including doctors, hospitals, and other healthcare services
- Essential services such as prescription drugs, dental, vision, and hearing services
Moreover, beneficiaries can avail of an over-the-counter (OTC) benefit, which further amplifies their healthcare coverage.
Enhanced Benefits for Ohio Residents
In addition to the standard offerings, Aetna Medicare Advantage plans in Ohio also provide additional benefits focusing on preventive and wellness support. These benefits include:
- ‘Welcome to Medicare’ visit is provided at no additional cost, which facilitates an introduction to Medicare and personalized care upon enrollment
- Annual ‘Healthy Home Visit’ program, where a licensed nurse practitioner or physician performs an in-home health evaluation
- Annual Wellness Visit, which is aimed at creating a tailored prevention plan through preventive screenings
We will now delve deeper into some of these enhanced plan benefits, including the tab feedback feature and the new tab feedback.
Resources For Living®
The ‘Resources for Living’ program is a unique offering for all Aetna Medicare Advantage plan members in Ohio. This program provides fast referrals to local services by specialized consultants.
So, whether you need help at home, caregiver assistance, or opportunities for social engagement like classes and recreational activities, ‘Resources for Living’ is there to assist you.
Access to this service is as simple as making a call to 1-833-641-4938, available weekdays from 8 AM to 5 PM across continental US time zones. Please note, while the referral call doesn’t incur any charges, members might have to bear the costs of any services they opt for post-referral.
SilverSneakers® Fitness Membership
Fitness is integral to overall well-being, and Aetna Medicare Advantage plan members in Ohio can enjoy access to the SilverSneakers program. This program offers a range of fitness classes and activities, allowing members to choose any class they wish to attend.
Regardless of your fitness level, you can participate in the SilverSneakers program, as it accommodates a wide range of physical abilities.
Apart from physical activity, SilverSneakers also promotes social events like ice cream socials and group walks to encourage community engagement and emotional well-being.
Prescription Mail-Order Delivery
Medication refills don’t have to be a hassle with Aetna Medicare Advantage plans. Ohio members can utilize the prescription mail-order delivery service provided by CVS Caremark Mail Service Pharmacy.
This service offers the convenience of delivering up to 90-day medication refills directly to your home. To expedite the process, you can have your doctors e-prescribe directly to the mail-order pharmacy, with deliveries typically completed within 10 days from the receipt of the prescription.
Plus, the Aetna secure website allows you to effectively manage your mail-order prescriptions and conveniently access your Explanation of Benefits (EOB).
Support Services Offered by Aetna Medicare
A comprehensive suite of support services is available to help Ohio members effectively manage their health with Aetna Medicare Advantage plans, including a tailored Medicare plan. These services ensure that you have control over your medication deliveries, and you can opt out of the mail-order delivery at any time if you prefer.
There’s more to it. We will now discuss the 24-hour nurse line and secure website access offered by Aetna.
24-Hour Nurse Line
Aetna’s 24-hour nurse line is a lifeline for members. Available around the clock, it ensures that you have access to support at any time of day or night. Registered nurses are available to provide health-related guidance and answer your medical questions, offering reassurance and assistance whenever you need it.
Secure Website Access
In today’s digital age, having secure online access to manage your health plan is vital. Aetna Medicare Advantage plan members can securely log in or register for an account to manage claims, view plan details, and access a variety of health-related resources.
This online access puts you in control, providing a convenient and secure way to manage your health plan.
Eligibility and Enrollment Process
To be eligible for an Aetna Medicare Advantage plan in Ohio, you must be enrolled in Original Medicare, which includes Part A and Part B. Once you’ve confirmed your eligibility, the enrollment process is straightforward and can be done online, over the phone, or through a paper enrollment form.
Eligibility Criteria
To qualify for Aetna Medicare Advantage plans in Ohio, you must meet the following eligibility criteria:
- Enrollment in both Medicare Part A and Part B is necessary.
- You must be a U.S. citizen or permanent legal resident.
- You must have resided in the United States for at least five consecutive years.
Plus, there’s no limitation based on income levels, ensuring that Medicare eligibility in Ohio is accessible to a wide range of individuals.
How to Enroll
The process of enrolling in an Aetna Medicare Advantage plan is straightforward and easy. You can enroll in the following ways:
- Online: Visit Aetna’s website and compare different plan options. You can complete the enrollment process online.
- Phone: Contact a licensed agent through the Medicare plan’s dedicated number and enroll over the phone or call 1-833-641-4938.
- Paper: Request an enrollment kit via phone and submit the completed forms by mail.
Summary
In conclusion, Aetna Medicare Advantage plans in Ohio offer a comprehensive suite of services, additional benefits, and robust support, all tailored to meet individual healthcare needs.
From a variety of plan options, enhanced benefits, and support services to easy eligibility and enrollment processes, Aetna has you covered. So why wait? Take control of your health today.
Frequently Asked Questions
→ Why are people leaving Medicare Advantage plans?
People are leaving Medicare Advantage plans due to excessive prior authorization denial rates and slow payments from insurers. This has been a common concern among beneficiaries.
→ What is the most highly rated Medicare Advantage plan?
The most highly rated Medicare Advantage plans include UnitedHealthcare for network size, Aetna for extra perks, Blue Cross Blue Shield for local support, and Humana for low-cost plan availability. AARP/UnitedHealthcare plans are also highly rated overall, offering high Medicare star ratings and a large network.
→ What is the difference between Aetna Medicare and Aetna Medicare Advantage?
The main difference between Aetna Medicare and Aetna Medicare Advantage is that Aetna Medicare Advantage plans are Part C plans run by private insurance companies, including Aetna, and can include extra benefits that Original Medicare doesn’t.
→ What types of Aetna Medicare Advantage plans are available in Ohio?
In Ohio, Aetna offers Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), Prescription Drug Plan (PDP), and Private Fee-for-Service (PFFS) Medicare Advantage plans.
→ What are the additional benefits provided by Aetna to Ohio residents?
Aetna provides additional benefits to Ohio residents enrolled in Medicare Advantage plans, including preventive and wellness support like the ‘Welcome to Medicare’ visit, annual ‘Healthy Home Visit’ program, and Annual Wellness Visit. These benefits aim to promote overall health and well-being.
ZRN Health & Financial Services, LLC, a Texas limited liability company
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.