Aetna Medicare Advantage plans cover everything covered by Original Medicare. They also provide some additional health-related benefits.
Many of Aetna's Medicare Advantage plans include dental coverage. For those that don’t, you might have the option of paying extra for them, which would be done via an optional supplemental benefit.
While covered services depend on the type of plan, you could receive:
- Oral exams
- Root canal treatments
- Crown, implants, and bridges
Specific Aetna plans offer coverage for routine vision care. These benefits include:
- Annual eye exams
- Prescription lenses (bifocal, trifocal, single vision, or standard/premium progressive)
- Contacts (conventional or disposable)
Most of Aetna’s Medicare Advantage plans have hearing aid coverage through a network provider. Benefits include one annual routine exam and hearing aid fitting that’s 100 percent covered.
Aetna has many plans that provide over-the-counter benefits so you can receive items like cold medicine at no extra cost.
Once discharged from the hospital or skilled nursing facility, you’re eligible to receive meals at home while you recover. This is included in most of Aetna’s Medicare Advantage plans.
24-Hour Nurse Line
If you have a question or concern, such as how to manage your chronic condition or if you need to go to urgent care, you’re eligible to contact Aetna’s 24-hour nurse line.
Prescription Home Delivery
With CVS Caremark, you can have your prescriptions delivered to your home for free. Depending on the plan, you may be eligible to receive up to a 90-day supply rather than a 30-day. You can also refill prescriptions once every three months and reorder online, by phone, or mail.
Aetna’s Medicare Advantage plans often cover fitness memberships at no added cost. Through SilverSneakers, you’ll receive the SilverSneakers GO app, SilverSneakers LIVE, SilverSneakers On-Demand, group fitness classes via SilverSneakers FLEX, access to over 17,000 participating locations, and classes at all levels (which are instructed by professionals).
You’ll have access to in-network primary care physicians, physician specialty care, urgent care clinics, mental health support, and prescription refills. Out-of-network telehealth visits are only covered if you’re enrolled in a Medicare Advantage ESA or PPO plan through your employer.
Aetna’s Compassionate Care Program provides free services and support to you and your family who have a serious illness. You’ll be assigned a Case Manager to help coordinate care, make it easier for advanced care, and connect you to community resources.
Aetna has partnered with PayFlex to provide you with a Medicare Payment debit card to help make copayments for in-network primary and specialty care as well as other medical/diagnostic services. If qualified, you’ll receive $100 per quarter with a $400 year maximum. Keep in mind this is only offered with select Medicare Advantage plans in Pennsylvania and Minnesota.
If you’re a low-income house, you may be eligible to receive fall prevention benefits. These are mostly offered via D-SNPs.
Healthy Foods Debit Card
If you have a D-SNP, you can obtain a healthy foods debit card each month. You can only use these at approved stores.