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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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Part C plans, also known as Medicare Advantage plans, are run by private insurance companies, like Aetna Medicare. Medicare Advantage plans are a lot like Original Medicare. But they can include valuable extra benefits that Original Medicare doesnt.
Most individuals that dislike a Medicare Advantage plan usually have had a bad experience with in-network providers, plan authorizations for medical care, or having to wait a long time to have an appointment scheduled. Some of these concerns can be attributed to the healthcare provider.
A Medicare Advantage Preferred Provider Organization (PPO) plan provides you with coverage for Medicare-covered services in addition to more benefits that Original Medicare doesnt cover, such as dental, vision, and hearing.
What is the main difference between the HMO-EPO plan and the PPO plan? The HMO-EPO plan only provides in-network coverage for services, except for urgent and emergent care which would be covered the same out-of-network as it would in-network. The PPO plan offers both in-network and out-of-network coverage.
A Preferred Provider Organization (PPO) has higher premiums than an HMO or POS. But this plan lets you see specialists and out-of-network doctors without a referral. Copays and coinsurance for in-network doctors are low.
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HMO plans typically have lower monthly premiums. You can also expect to pay less out of pocket. PPOs tend to have higher monthly premiums in exchange for the flexibility to use providers both in and out of network without a referral. Out-of-pocket medical costs can also run higher with a PPO plan.
Medicare Supplement Plan G is almost identical to Plan F, except for the Part B deductible. If you select Plan G, youll need to pay your Part B deductible ($226 for 2024), yourself. After you pay your deductible, you have no other out-of-pocket costs, just like the Plan F.
The Aetna Medicare Advantage PPO ESA Plan offers comprehensive coverage, all in one plan. Everything from routine physicals to preventive care beyond Original Medicare and hospitalization is covered, with the flexibility to visit a doctor or hospital of your choice.

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