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Treating clients as if they were our own family members
There are medical services and products that elderly Americans need that are not part of the base coverage of the Original Medicare policy from the U.S. government. While the core Medicare already shoulders a lot, healthcare is expensive and can be even more so as you go past 65 years old. This is why Medicare Supplement (Medigap) plans were established — and Aetna Medicare is one of the most preferred insurance companies that provide these.
Aetna Medicare is an HMO, PPO, PDP policy that offers Medigap and is one of the largest insurance providers in the country. The company has been operating for more than 160 years now and paid out its first claim in the year 1966. This goes to show how far back its stability and reliability goes. Its subsidiaries include American Continental and Continental Life. According to its website, it has some 38.8 million members to date.
Aetna Medicare is not just about Medigap provision. Its health insurance services include Medicaid, medical management, behavioral health programs, and medical, dental, and pharmacy plans. The company is based in Tennessee but it’s coverage is nationwide.
Aetna Medicare Supplements are intended to work alongside your existing Original Medicare membership. In fact, you will not be able to apply for any Medigap policy if you do not have Medicare Part A and Part B. The highlights of Aetna’s Medigap offerings is the coverage of the deductibles, copayments, and coinsurance fees that the Original Medicare does not shoulder, as well as the ability to add a prescription drug policy.
There are 10 Medigap policies, but not all insurance agencies offer the whole lot. For one, Aetna carries just five: Plans A, B, F, G, and N. Each Medicare Supplement offers a different mix of benefits and it is up to you to decide which one is best for your needs. To give you a better visual, here’s what the available Medigap policies at Aetna cover.
Medigap Benefits |
A |
B |
F |
G |
N |
Medicare Part A coinsurance and hospital costs (up to 365 days after Medicare benefits are used) |
100% |
100% |
100% |
100% |
100% |
Medicare Part B coinsurance or copayment |
100% |
100% |
100% |
100% |
100% |
Part A hospice care coinsurance or copayment |
100% |
100% |
100% |
100% |
100% |
Skilled nursing facility care coinsurance |
x |
x |
100% |
100% |
100% |
Blood (first 3 pints) |
100% |
100% |
100% |
100% |
100% |
Part A deductible |
x |
100% |
100% |
100% |
100% |
Part B deductible |
x |
x |
100% |
x |
x |
Part B excess charges |
x |
x |
100% |
100% |
x |
Foreign travel emergency (up to plan limits) |
x |
x |
80% |
80% |
80% |
A qualified Medicare advisor will be able to help you choose the right plan; but, ultimately, it is all about your current health status, where you foresee your health to be in the next years, and your capacity to pay. Medigap policies are priced differently, depending on what they include. In addition, insurance providers also may charge a little higher or lower, even if the inclusions per plan are standard across the country.
If you are unsure about the type of coverage that you should get, it’s best to talk with an expert advisor who can guide you through the entire decision-making process. The agent will be able to make solid suggestions based on your current financial and health status.