Aetna US Healthcare (Medicare HMO)
For more information regarding Aetna US Healthcare's Medicare services, consult the chart below.
Benefits | Golden Medicare Plan | Golden Choice Plan (out-of-network benefit) |
Doctor and Hospital Choice | You must go to network doctors, specialists, and hospitals. You need a referral to go to network hospitals and certain doctors, including specialists forcertain services. | You do not need a referral to go to network doctors, specialists and hospitals. You can go to doctors, specialists, and hospitals in orout of the network. Higher costs apply for out-of-network services. |
Monthly Premium | $0-$25 | $95-$130 |
Inpatient Hospital Care | $100-$150/day for days 1-5, $0 days 6-90 | $350 for each Medicare-covered stay in a network hospital, no copayment for additional days in a network hospital, covered for unlimited days each benefit period |
Skilled Nursing Facility | $20-$25/day for days 1-100 for Medicare-covered stay | No copayment, covered for 100 days each benefit period |
Home Health Care | $20 for Medicare-covered visits | No copayment |
Doctor Office Visits | $10-$30 for each primary care doctor office visit; $15-$35 for each specialist visit | $10-$20 for each primary care doctor office visit, $20 for each specialist visit |
Prescription Drugs | You pay 100% for most prescription drugs; some plans offer $10 for each prescription or refill of generic drugs up to a 30-day supply and $20 for mail order generic drugs up to a 90-day supply | For each prescription or refill, $15 for generic drugs up to a 30-day supply, $30 for mail order generic drugs up to a 90-day supply |
Routine Physical Exam | $10-$20 for each exam, covered for 1 exam every year | $20 for each exam, covered for 1 exam every year |
For more information regarding Aetna US Healthcare, visit the company website at www.Aetna.com.
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