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We have Open Access benefits Our HMO and Aetna Saver Plans offer Open Access benefits. This means you can receive covered services from a participating network specialist without a required referral from your primary care provider (PCP) or by another participating provider in the network.
What is the difference between open enrollment period and annual enrollment period?
The Open Enrollment Period (OEP) is January 1-March 31 every year. This is your only opportunity outside of the Annual Enrollment Period (Oct. 15-Dec. 7) to switch Medicare Advantage plans.
How does an open access plan work?
No primary care physician (PCP) requirement: Unlike traditional HMOs, which require members to choose a PCP who acts as a gatekeeper to specialty care, Open-Access HMOs allow members to seek care from any provider within the network without a referral.
Is open access a PPO or POS?
To the consumer there is no difference between a PPO and an Open Access POS plan - both plans allow you direct access to physicians with no referals and services received in network will be reimbursed at a greater benefit level.
What is the difference between HMO and open access plan?
An open access HMO differs from a traditional HMO in that it typically allows employees to see in-network specialists without a referral, but still will not cover out-of-network providers other than emergency care. The gist: Open access HMOs are less expensive but more limiting than a PPO.
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Depending on your employer, open enrollment may also include vision and dental coverage, as well as other benefits. During this period, applicants can shop for health plans: Through their employer. On the federal and state marketplaces via Healthcare.gov.
What are Aetna Medicare enrollment options?
You can enroll through the following ways: Contact your local agent (if you have one) Call Aetna at 1-833-771-2490 (TTY: 711) Enroll online at TakeAction.AetnaMedicare.com.
Related links
Health through partnership
Feb 18, 2016 employers to purchase health insurance that became effective January 1, 2014, with an annual open enrollment period. Insurers participating
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