H3959-036

Urgent care. Urgent Care: Copayment for Urgent Care $50.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Emergency room visit. $120 If you are admitted to the hospital within 24 hours your cost share may be waived, for more information see the Evidence of Coverage. Ambulance transportation.

H3959-036. Plan ID: H3959-052. Aetna Medicare Advantra Value (HMO) H3959-052 Plan Details. 4.5 out of 5 stars. Aetna Medicare Advantra Value (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.. Plan ID: H3959-052. $ 0.00. Monthly Premium. More Info Less info. Pennsylvania Counties Served.

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H0028-036. (HMO SNP). HMO. Corpus Christi/San. Antonio area. TX. 2,466. Dual ... H3959. AETNA HEALTH INC. (PA). Local CCP. 035. 0. Advantra. Cares (HMO. SNP). HMO.This plan has a $505 deductible. So, you are 100% responsible for the first $505 in medication costs. After you have met the deductible, the Aetna Medicare Advantra Cares (HMO D-SNP) will share the costs of your medications with you -- see cost-sharing below. $505 is the maximum deductible for 2023.H3959 - 032 - 0 Click to see other plans: Member Services: 1-833-570-6670 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please contact Medicare.gov or 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Medicare Plan Name: Aetna Medicare Advantra Cares (HMO D-SNP) Location: Dauphin, Pennsylvania Click to see other locations. Plan ID: H3959 - 036 - 0 Click to see other …Aetna Medicare Advantra Eagle (HMO) | H3959-041 | $0 Compare our plan to Medicare To learn more about the coverage and costs of Original Medicare, look in your "Medicare & You" handbook. View it online at www.medicare.gov or get a copy by calling 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.The Aetna Medicare Advantra Cares (HMO D-SNP) (H3959 - 036) currently has 24,541 members. There are 1,352 members enrolled in this plan in Berks, Pennsylvania, and 24,449 members in Pennsylvania. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4.5 stars. The detail CMS plan carrier ratings ...

2020 Medicare Advantage Plan Benefit Details for the Aetna Medicare Advantra Cares (HMO D-SNP) - H3959-036- This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans. TopTTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY ...Aetna Medicare Advantra Eagle (HMO) | H3959-041 | $0 Primary benefits Your costs for in-network care Emergency & urgently needed care worldwide Emergency care: $90 …Plan ID: H3959-052. Aetna Medicare Advantra Value (HMO) H3959-052 Plan Details. 4.5 out of 5 stars. Aetna Medicare Advantra Value (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.. Plan ID: H3959-052. $ 0.00. Monthly Premium. More Info Less info. Pennsylvania Counties Served.Some procedures, tests and prescriptions need prior approval to be sure they’re right for you. In these cases, your doctor can submit a request on your behalf to get that approval. This is called prior authorization. You might also hear it called “preapproval” or “precertification”. This extra check connects you to the right treatment ...1 . PA Special Needs Plans for Dual Eligibles Available in 2022 . Aetna Medicare Advantra Cares-1-833-859-6031; www.aetnamedicare.com. AmeriHealth Caritas VIP Care-1-855-241-3648;aetna health h3959-035 aetna medicare advantra cares (hmo d-snp) n $0.00 y $32.70 aetna health h3959-036 aetna medicare advantra cares (hmo d-snp) n $0.00 y $24.60 aetna health h3959-037 aetna medicare advantra gold (hmo-pos) n $0.00 y $0.00 aetna health h3959-039 aetna medicare advantra premier (hmo-pos) n $11.80 y $11.20

Plan Premium. The Aetna Medicare Advantra Silver Plus (PPO) has a monthly premium of $20.00. That is $240.00 for 12 months. There are a few factors that can increase or decrease this premium. If you qualify for full or partial extra help, your premium will be lower.H3959 - 002 - 0 Click to see other plans: Member Services: 1-833-570-6670 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please contact Medicare.gov or 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Get more from Medicare & Medicaid. If you are eligible for both Medicare and Medicaid, you may be eligible for an Aetna ® Dual Eligible Special Needs Plan (D-SNP), including a personal care team, at low or no extra cost. Call 1-833-223-0614 (TTY: 711) to see if you qualify.Copayment for Urgent Care $50.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $95.00. Emergency room visit. $95 If you are admitted to the hospital within 24 hours you do not have to pay your cost share may be waived, for more information see the Evidence of Coverage. Ambulance transportation. $265.

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2023-H3959.032.1 H3959-032 Aetna Medicare Advantra Premier (HMO‑POS) H3959 ‑ 032 Here’s a summary of the services we cover from January 1, 2023 through December 31, 2023. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Just visitCaremark.com is the secure website where Aetna Medicare SilverScript members can manage prescriptions, sign up for mail delivery, view order status, find drug pricing, and identify savings options.View the coverage and benefits provided in the Aetna Medicare Advantra Philly Prime (HMO) plan from Aetna. Alight Retiree Health Solutions represents Medicare plans from 60 insurers nationwide.Plan ID: H3959-010. Aetna Medicare Advantra Silver (HMO-POS) H3959-010 Plan Details. 4.5 out of 5 stars. Aetna Medicare Advantra Silver (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.. Plan ID: H3959-010. $ 0.00. Monthly Premium. More Info Less info. Pennsylvania Counties Served. Allegheny.Aetna Medicare Advantra Premier (HMO-POS) | H3959-039 | $17 Y0001_H3959_039_HP87_SB22_M Aetna Medicare Advantra Premier (HMO-POS) is an HMO plan. This is a Medicare Advantage plan that covers prescription drugs. The benefit information provided is a summary of what we cover and what you pay.For more information. For information on Aetna Medicare Plan (HMO) (PPO) network providers in your area, just call us toll-free at 1-800-282-5366 (TTY: 711). We’re available 7 days a week, 8 AM to 8 PM. You can also visit us on aetnamedicare.com.

Number of Members enrolled in this plan in (H3959 - 036): 7,086 members : Plan’s Summary Star Rating: 4.5 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 5 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...H3959-035 Aetna Plan Details: This H3959-035 plan is a Medicare Advantage special needs plan offered by Aetna with the Plan ID: H3959-035-000. This plan offers all the same benefits of Medicare Plan A and Plan B as well as additional benefits that gives you more coverage. Because of this some of the out-of-pocket costs and coverage might be ...Aetna Medicare Advantra Cares (HMO D-SNP) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Seasonal Over-the-Counter (OTC) kit of preselected OTC items mailed twice a year and $300 quarterly OTC allowance, for more information see Evidence of Coverage. $0, for more ...Ambulatory Surgical Center: $200 in-network / ASC Screening Colonoscopy Polyp Removal and Post-FIT: $0 in-network, for more information see Evidence of Coverage. Outpatient Substance Abuse Care. In-Network: Copayment for Medicare-covered Individual Sessions $45.00. Copayment for Medicare-covered Group Sessions $45.00.Mental health services. Inpatient hospital - psychiatric. $176 per day for days 1 through 9 / $0 per day for days 10 through 90. Outpatient group therapy visit with a psychiatrist. $40 copay ...H3959-036 Aetna Plan. Plan ID: H3959-036-000. Aetna Medicare Advantage Plan is coordinated care Medicare Advantage plan offered by Aetna for beneficiaries in Pennsylvania. Below you will find more details on coverage, costs, and specific plan data for the H3959-036-000 plan. H3959-035 Aetna Plan Details: This H3959-035 plan is a Medicare Advantage special needs plan offered by Aetna with the Plan ID: H3959-035-000. This plan offers all the same benefits of Medicare Plan A and Plan B as well as additional benefits that gives you more coverage. Because of this some of the out-of-pocket costs and coverage might be ... 2022 Medicare Advantage Plan Benefits explained in plain text. Plain text explanation available for any plan in any state. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, Inc

2022 Dual Eligible Special Needs Plans (DSNPs) information We’re expanding our DSNP program into more markets for 2022. What is a DSNP? A DSNP is a special type of Aetna Medicare Advantage Prescription Drug (MAPD) plan. It provides benefits to members who qualify for Medicare and who receive full Medicaid benefits and/or assistance with Medicare premiums or Medicare Parts A & B cost sharing thro

Gap coverage phase 1. Catastrophic coverage phase. Preferred Generic. $15.00 copay. $15.00 copay. Generic drugs : $4.15 copay or 5% (whichever costs more) Brand-name drugs : $10.35 copay or 5% (whichever costs more)Aetna Medicare The Valley Plan (PPO) H5521: 294. $0. $0. $7,550. Yes. 3.5 out of 5. Aetna Medicare Advantra Cares (HMO D-SNP) H3959: 036.H3959 - 053 - 0 Click to see other plans: Member Services: 1-833-570-6670 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please contact Medicare.gov or 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Number of Members enrolled in this plan in (H3959 - 036): 7,086 members : Plan’s Summary Star Rating: 4.5 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 5 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...Plan ID: H3959-002-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $19.00 Monthly Premium. Pennsylvania Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare ...Health Care Services and Medical Supplies. Aetna Medicare Advantra Cares (HMO D-SNP) covers a range of additional benefits. Learn more about Aetna Medicare Advantra Cares (HMO D-SNP) benefits, some of which may not be covered by Original Medicare (Part A and Part B). Coverage.Plan ID: H3959-033-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $27.00 Monthly Premium. Pennsylvania Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare ...15 Agu 2022 ... ... H3959.2. 230028952.1. 73943.9. H-16-1-1.2. 230122142. 3. 7-t240.1 ... 036. tlE:-J; 0~ CLFISS 11 HOT Wl-1..L. LCCTITC REPAIR. LE:AK AT NOZZLE: AfT ...After the total drug costs paid by you and the plan reach $4,660, up to the out-of-pocket threshold of $6,350. For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs.

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Copayment for Urgent Care $50.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $95.00. Emergency room visit. $95 If you are admitted to the hospital within 24 hours you do not have to pay your cost share may be waived, for more information see the Evidence of Coverage. Ambulance transportation. $260. The Aetna Medicare Advantra Silver (HMO) (H3959 - 011) currently has 14,613 members. There are 276 members enrolled in this plan in Mercer, Pennsylvania, and 14,571 members in Pennsylvania. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4.5 stars. The detail CMS plan carrier ratings are as ...Learn More about Aetna Inc. Aetna Medicare Advantra Silver (PPO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan.2023 Evidence of Coverage for Aetna Medicare Advantra Cares (HMO D-SNP) 3 Table of Contents Chapter 1: Getting started as a member 6 SECTION 1 Introduction 7Enrolling in H3959-001-000 Medicare Advantage Plans in Pennsylvania Medicare beneficiaries from Pennsylvania may have access to Medicare Advantage plans from Aetna and other insurance companies. Get help comparing your local plan options by calling to speak with a licensed insurance agent who can help you find out if your doctor and ... 1 Jan 2021 ... H3959. H5522. H1692. H7149. H5793. H3597. H3152. R6694. H3312. H4523. H8649 ... H5253‐036‐000. H0609‐007‐000. H0609‐012‐000. H0609‐018‐000. H0755‐ ...COVERAGE Cigna Alliance Medicare (HMO) H3949-031 2 Introduction This Summary of Benefits gives you a summary of what Cigna Alliance Medicare (HMO) covers and what you pay. It doesn’t list every service that we cover or list every limitation or exclusion.8 Mar 2017 ... Happy Workers Learning Center Rehab/Restoration, H3959. Hardee County ... 036F16 DR MARTIN LUTHER KING JR ST S. NEAR JAMES AVE S. PED. 4/30/2016.Aetna Medicare Advantra Premier (HMO-POS) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $20.00. Copayment for Routine Care $10.00. Maximum 12 Routine Care every year. ….

Aetna Medicare Advantra Eagle (HMO) | H3959-041 | $0 Compare our plan to Medicare To learn more about the coverage and costs of Original Medicare, look in your "Medicare & You" handbook. View it online at www.medicare.gov or get a copy by calling 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.For more information. For information on Aetna Medicare Plan (HMO) (PPO) network providers in your area, just call us toll-free at 1-800-282-5366 (TTY: 711). We’re available 7 days a week, 8 AM to 8 PM. You can also visit us on aetnamedicare.com.Inpatient Hospital Care. $190 per day, days 1-5; $0 per day, days 6-90 in-network / 20% per stay out-of-network. Urgent Care. Copayment for Urgent Care $50.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $95.00. Emergency Room Visit.Number of Members enrolled in this plan in (H3959 - 036): 7,086 members : Plan’s Summary Star Rating: 4.5 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 5 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...Number of Members enrolled in this plan in (H3959 - 036): 1,785 members : Plan’s Summary Star Rating: 4.5 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 3 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...27 Nov 2018 ... H3959. AETNA HEALTH INC. (PA). H4523. AETNA HEALTH INC. (TX). H3962 ... DE H0028-036 (HMO. SNP). CHA HMO, INC. Sample at contract level for.The Aetna Medicare Advantra Cares (HMO D-SNP) (H3959 - 036) currently has 24,541 members. There are 1,352 members enrolled in this plan in Berks, Pennsylvania, and 24,449 members in Pennsylvania. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4.5 stars.The Aetna Medicare Advantra Cares (HMO D-SNP) (H3959 - 036) currently has 17,821 members. There are 1,261 members enrolled in this plan in Erie, Pennsylvania, and 17,691 members in Pennsylvania. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4.5 stars. H3959-036, Aetna Medicare Advantra Premier (HMO-POS) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $20.00. Copayment for Routine Care $10.00. Maximum 12 Routine Care every year., Number of Members enrolled in this plan in (H3959 - 036): 24,541 members : Plan’s Summary Star Rating: 4.5 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 4 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ..., Average Cost of Medicare Advantage Plans in Erie County, Pennsylvania. Average Monthly Premium. $68.77. Average in-network out-of-pocket spending limit. $6,283.35. Average drug deductible in 2023 (weighted) $383.57. Percentage of plans rated 4 stars or higher. 61.6%., Aetna Medicare Advantra Gold (HMO-POS) | H3959-037 | $0 Y0001_H3959_037_HP86_SB22_M Aetna Medicare Advantra Gold (HMO-POS) is an HMO plan. This is a Medicare Advantage plan that covers prescription drugs. The benefit information provided is a summary of what we cover and what you pay. It does not list …, 25%. Generic drugs : $4.15 copay or 5% (whichever costs more) Brand-name drugs : $10.35 copay or 5% (whichever costs more) Generic., 2022 Medicare Advantage Plan Benefits explained in plain text. Plain text explanation available for any plan in any state. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, Inc, H3959-011-0 Aetna Medicare Advantra Silver (HMO) plan information last ... 036 aetna medicare advantra cares n n/a y $24.60 aetna health h3959-037 aetna ..., H3959 ‐ 036 Here's a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Just visit AetnaMedicare.com/H3959-036 where you'll find the plan's Evidence of Coverage (EOC). You may call us to request a copy. We're here to help, Plan ID: H3959-032. Aetna Medicare Advantra Premier (HMO-POS) H3959-032 Plan Details. 4.5 out of 5 stars. Aetna Medicare Advantra Premier (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.. Plan ID: H3959-032. $ 0.00. Monthly Premium. More Info Less info., MoneyGeek’s top pick for the best overall Medicare Advantage option is Blue Cross Blue Shield's preferred provider organization plans. To identify the best Medicare Advantage plan, MoneyGeek looked at insurance companies that offer benefits in at least 25 states, provide robust coverage options and earn high-quality ratings from the Centers …, Plan ID: H3959-033-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $27.00 Monthly Premium. Pennsylvania Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare ..., H3959, 001, AET, MAPD, HMO, RENEWAL, 4.5, Aetna Medicare Advantra Gold (HMO), $26.00 ... 036, AET, MAPD, DSNP, Renewal, LEAD PLAN, 4.5, Aetna Medicare Advantra ..., Plan ID: H3959-033-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $27.00 Monthly Premium. Pennsylvania Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare ..., The Aetna Medicare Payment Card is a preloaded debit card that Aetna Medicare members received on or before January 1, 2023. The purpose of this card is to make it easier for members to pay for medical services or, for certain plans, medical services and over-the-counter (OTC) expenses. On the first day of every quarter, PayFlex® will load ..., We want to make sure you get the care you need. That’s why we encourage you to complete your annual health survey. Get started online: Take your health survey. Or call 1-866-409-1221 (TTY: 711) and press option 2 to reach a Health Survey Specialist. They’re available Monday to Friday, 8:30 AM to 5:00 PM local time. , This H3959-057 plan is a Medicare Advantage special needs plan offered by Aetna with the Plan ID: H3959-057-000. This plan offers all the same benefits of Medicare Plan A and Plan B as well as additional benefits that gives you more coverage. Because of this some of the out-of-pocket costs and coverage might be different, so we've broken down ..., Urgent care. Urgent Care: Copayment for Urgent Care $50.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Emergency room visit. $100 If you are admitted to the hospital within 24 hours your cost share may be waived, for more information see the Evidence of Coverage., H3312-070 Aetna Plan Details: This H3312-070 plan is a Medicare Advantage special needs plan offered by Aetna with the Plan ID: H3312-070-000. This plan offers all the same benefits of Medicare Plan A and Plan B as well as additional benefits that gives you more coverage. Because of this some of the out-of-pocket costs and coverage might be ..., 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Aetna Medicare Advantra Silver (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $14.00 (see Plan Premium Details below) Annual Deductible: $0., Aetna Medicare Advantra Premier (HMO) H3959-033 Plan Details. 4.5 out of 5 stars. Aetna Medicare Advantra Premier (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.. Plan ID: H3959-033. $ 27.00. Monthly Premium. More Info Less info. Pennsylvania Counties Served. Bucks Chester Delaware Montgomery …, We developed a custom formulary for the Enhanced and Basic Medicare Rx Options that covers almost all of the medications that current Health Options Program participants had filled over the last year. Not all drugs are included under the Enhanced, Basic and Value Medicare Rx Options. Generic drugs for covered categories are always …, Aetna Medicare Advantage (MA) plans include HMO, PPO and SNP (Special Needs Plans) benefits to Medicare-qualified members. Aetna offers Duals Special Needs Plans (D-SNPs) to members who also receive Medicaid benefits and/or assistance with Medicare premiums or Parts A & B cost-sharing and live in a county where Aetna Medicare offers a D-SNP. , H3959-057 Aetna Plan. Plan ID: H3959-057-000. Aetna Medicare Advantage Plan is coordinated care Medicare Advantage plan offered by Aetna for beneficiaries in Pennsylvania. Below you will find more details on coverage, costs, and specific plan data for the H3959-057-000 plan. Basic Costs and Coverage , Aetna Medicare Advantra Gold (HMO) | H3959-002 | $27 Y0001_H3959_002_HP81_SB22_M Aetna Medicare Advantra Gold (HMO) is an HMO plan. This is a Medicare Advantage plan that covers prescription drugs. The benefit information provided is a summary of what we cover and what you pay. It does not list every service or every limitation and exclusion., H3959-037 Aetna Plan. Plan ID: H3959-037-000. Aetna Medicare Advantage Plan is coordinated care Medicare Advantage plan offered by Aetna for beneficiaries in Pennsylvania. Below you will find more details on coverage, costs, and specific plan data for the H3959-037-000 plan. Basic Costs and Coverage , Specialty Doctor Visit. $50 in-network / 40% out-of-network. Inpatient Hospital Care. $360 per day, days 1-5; $0 per day, days 6-90 in-network / 45% per stay out-of-network. Urgent Care. Copayment for Urgent Care $60.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $95.00. Emergency Room Visit., Health Aetna Medicare Advantra Cares (HMO D-SNP) H3959-036 Aetna Medicare | Local HMO Rating Overview Prescription Coverage Plan Benefits Other Plan Options Rating Overview Prescription..., Number of Members enrolled in this plan in (H3959 - 002): 21,934 members : Plan’s Summary Star Rating: 4.5 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 5 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ..., Learn how Aetna's Dual Eligible Special Needs Plans (DSNPs) provide tailored care and benefits for Medicare and Medicaid members in this document., Inpatient hospital-acute: In-network: $360 per day for days 1 through 5. $0 per day for days 6 through 90. Out-of-network: 45% per stay. Inpatient hospital psychiatric: In-network: $1,510 per stay. Out-of-network: 45% per stay., 2023 Evidence of Coverage for Aetna Medicare Advantra Cares (HMO D-SNP) 1 January 1 – December 31, 2023 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Aetna, Number of Members enrolled in this plan in (H3959 - 036): 3,412 members : Plan’s Summary Star Rating: 4.5 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 5 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ... , Are you looking for a summary of benefits for Aetna Medicare Advantra Cares (HMO D-SNP) H3959-036 in 2023? Download this PDF document to find out the details of your plan, such as monthly premiums, copays, deductibles, and covered services. Compare it with the 2021 version to see what has changed and make an informed decision.