Aetna Medicare Premier Plan, a Palm Beach County, Florida Medicare Advantage plan from Aetna Medicare, is a Preferred Provider Organization (PPO) option for people with Medicare. PPO health insurance allows you to choose your own primary care doctor, specialists and other healthcare providers. If you're on a budget you can lower your out-of-pocket costs by using the plan's provider network.
The monthly premium on this PPO plan is $35.00. Plus, co-payments and/or co-insurances also apply to most of the healthcare services you use. However, unlike original Medicare your out-of-pocket expenses are capped. As a result, you won't be vulnerable to excessive medical bills due to an accident or a critical illness.
After its first year on the market, the CMS (Centers for Medicare and Medicaid Services) gives each plan an overall one to five star rating. The unbiased quality assessment assists people when comparing plans. Medicare Advantage plans with five stars have the highest quality, whereas a one star plan has the lowest quality.
The CMS has awarded Aetna Medicare Premier Plan Above Average as compared to all others (as of 15 October, 2014).out of 5 stars. That means Medicare deems this plan
Medicare Advantage plans are limited to a maximum out-of-pocket limit of $6,700 (annually). This out-of-pocket limit does not include your prescriptions or your monthly premiums. It only applies to your costs for healthcare services.
Although the mandatory limit is $6,700, the CMS allows plans to offer a lower limit that can be as low as $3,400. The out-of-pocket limit on this plan is $6,700. Be sure to take into consideration, along with the premium and the co-payments, when making your enrollment decision.
If you are comparing Aetna Medicare Premier Plan with your original Medicare benefits, it's important to remember that there are no limits to your out-of-pocket expenses with Medicare Part A or Medicare Part B. If you keep your original Medicare benefits, the only way to avoid high medical bills is to purchase Medicare Supplement insurance to supplement your coverage.
Your healthcare needs are as unique as you are, so shop around. We recommend comparing Aetna Medicare Premier Plan with:
Aetna Medicare Premier Plan vs. Medigap Plan K
In addition to the plans above, we recommend evaluating Medicare Supplement Plan K. These plans have a $4,940 out of pocket limit (vs. $6,700 on Aetna Medicare Premier Plan). Plus, you have the freedom to choose your doctors and other healthcare providers. Have a look at Medigap Plan K vs. Medicare Advantage before you make any decisions.
Who Can Join?
You can join Aetna Medicare Premier Plan if you are entitled to Medicare Part A and enrolled in Medicare Part B and live in the service area. You must continue to pay your Medicare Part B premium. The service area includes: West Palm Beach, North Palm Beach, Palm Beach Gardens, Royal Palm Beach, Wellington, Boynton Beach, Boca Raton, Belle Glade, Canal Point, Delray Beach, Lake Worth, Greenacres, Jupiter, Lake Harbor, Loxahatchee, Pahokee, Palm Beach, South Bay, and all other areas of Palm Beach County, Florida.
CMS File Date: October 15, 2014.
This Medicare Advantage Plan catalog is maintained by 9/14/2015. For more information, download the Summary of Benefits , visit the Aetna Medicare website, or call Aetna Medicare at N/A.and was last updated on