Aetna MedAdvantage Plans Calling 1.800.884.2343 will direct you to a licensed insurance agent

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Aetna Medicare Advantage Plan Information for Nevada
Aetna Medicare Advantage Plans
Helpful Information
Aetna Customer Support

1-800-529-5586
TTY/TDD: 1-888-760-4748
8 a.m. to 8 p.m.
seven days a week

2015 Nevada Medicare Advantage Plans

Aetna Medicare Select (HMO MAPD)
Aetna Medicare Select (PPO MAPD)
Aetna Medicare Choice (PPO MAPD)

Aetna Plan List
Plan Name Plan Type Plan Details Application Premium
Medicare Select HMO MAPD Benefit Summary Download app $0
Available in: Clark County only
Medicare Choice PPO MAPD Benefit Summary Download app $39
Available in: Clark County only
Medicare Select PPO MAPD Benefit Summary Download app $90
Available in: Clark County only

Medicare Disclaimers

  • If you need help, please call 1-800-884-2343 Mon - Fri, 9am - 4pm PT for Customer Service Representatives and licensed insurance agents who can assist with finding information on available Medicare Advantage.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year.
  • You must be enrolled in both Medicare Part A and Medicare Part B and live in the plan's service area to be eligible for these plans.
  • You must continue to pay your Medicare Part B premium in addition to any plan premium shown below.
  • Estimated annual savings is determined by subtracting a plan's annual cost estimate of the medications entered from the medications' average retail prices. The annual cost estimate for a plan includes covered annual monthly premiums and any annual cost sharing expenses that you must pay out-of-pocket for the medications entered. This number can only be calculated if the consumer enters medication information.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.

Important details and dates

  • You are first eligible during the 7–month Initial Coverage Enrollment Period (ICEP), the 3 months before your 65th birthday, the month of, and 3 months after. CAUTION: You only have one choice so take your time, ask for help and choose wisely.
  • You are also eligible during the Annual Election Period (AEP) which is from Oct.15 to Dec.7. You can change as many times as you want. The last change received by CMS prevails.
  • You have an opportunity to disenroll from your plan and return to Original Medicare and purchase a Part D Prescription Drug Plan during the new Annual Disenrollment Period from Jan 1 to Feb 14.
  • You may be eligible for a Special Enrollment Period (SEP) if you reside in a nursing home, join a Special Needs Plan (SNP), move outside the plan's service area, the plan leaves your area, or other special situations.
  • This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consultwww.medicare.gov.
  • For plans with Part D Coverage: You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY 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 users should call, 1-800-325-0778; or your Medicaid Office.
  • A Medicare Advantage Plan Health plan sold by an insurance company with a Medicare contract.

Aetna Medicare Select HMO is a Medicare Advantage Health Maintenance Organization plan that offers broad coverage. Benefits include prescription drug coverage, no or an affordable monthly premium, choice of primary care physician in the plan network, and affordable copayments for doctor visits and annual routine physicals. (Available in Clark County)

Aetna Medicare Select PPO is a Medicare Advantage Preferred Provider Organization plan that gives you freedom to choose which doctors, specialists, and hospitals you visit. Benefits include affordable monthly plan premiums, referral free visits to specialists, prescription drug coverage, and emergency coverage anywhere in the world. (Available in Clark County)

Aetna Medicare Plan (HMO)

Aetna Medicare Plan (HMO) is an Aetna Medicare Advantage plan HMO that gives you access to tens of thousands of network doctors nationwide. This generally allows you to get more benefits for less money than Original Medicare for most services.

In many areas, our network is so large that it’s likely to include your current doctors and hospitals. To see a full list of doctors and hospitals in our network, click on the Provider link.

Other Aetna Medicare Advantage plan features include:  

  • Predictable out-of-pocket costs
  • No referrals necessary for covered services with our Open Access HMO plans in select areas 
  • Coverage for most Part D prescription drugs when you choose an Aetna Medicare Advantage plan with Prescription Drug coverage ("MAPD"). For information about our Aetna Medicare prescription drug plan quality assurance procedures (such as quantity limits and medication therapy management), please refer to Prescriptions link.
  • A plan premium that can be hundreds of dollars less than a Medicare supplement plan
  • $0 copays for preventive care, including routine physicals and annual screenings (some group plans for retirees may have copays)
  • $0 copay for each Medicare-covered HIV screening (one HIV screening exam every 12 months; up to three screening exams during a pregnancy)
  • Fitness center benefits, including a gym membership, at no extra cost (not offered in all plans)
  • Allowances for hearing aids and eyewear (not offered in all plans)

Aetna Medicare Plan (PPO)

The Aetna Medicare Plan (PPO) is an Aetna Medicare Advantage plan (PPO) that gives all the benefits of an HMO, plus the flexibility to visit doctors in or out of network for a low monthly plan premium, in addition to your Medicare Part B premium.

Other Aetna Medicare Advantage Plan features include:

  • Predictable out-of-pocket costs
  • Coverage for most Part D prescription drugs when you choose an Aetna Medicare Advantage plan with Prescription Drug coverage ("MAPD"). For information about our Aetna Medicare prescription drug plan quality assurance procedures (such as quantity limits and medication therapy management), please refer to Prescriptions link.
  • $0 copays for preventive care, including routine physicals and annual screenings (some group plans for retirees may have copays)
  • $0 copay for each Medicare-covered HIV screening (one HIV screening exam every 12 months; up to three screening exams during a pregnancy)
  • No referrals necessary to see doctors or specialists in or out of network for covered services
  • You are not required to select a primary care physician (PCP), although you are encouraged to do so. You will pay the lower primary doctor copay only if you select a PCP and notify Aetna Medicare of your choice.
  • Fitness benefits, including a gym membership, at no extra cost (available with some Aetna Medicare plans)
  • Allowances for hearing aids and eyewear  (available with some Aetna Medicare plans)

Plans are offered by Aetna Health Inc., Aetna Health of California Inc., and/or Aetna Life Insurance Company (Aetna). A Medicare Advantage organization with a Medicare contract. This material is for informational purposes only. See plan documents for a complete description of benefits, exclusions, limitations and conditions of coverage.

You must be entitled to Medicare Part A and continue to pay your Part B premium and Part A, if applicable. It may cost more to get care from out-of-network providers, except in an emergency. Precertification, or prior approval of coverage, is requested for certain services. Providers must be licensed and eligible to receive payment under the federal Medicare program. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1.

Pending CMS Approval