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How Can I Find Health-care Providers who Accept Aetna’s Medicare Plans?

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If you have an Aetna Medicare Advantage plan, you may be wondering how to find doctors who accept your plan. Finding Aetna’s Medicare providers may be easier than you thought.

Aetna’s Medicare plans and provider networks

Medicare Advantage plans from Aetna® may have provider networks. If you have an Aetna Medicare Advantage plan, you might need to visit only Aetna doctors or risk paying more for your care. This isn’t unique to Aetna plans – it can be true of Medicare Advantage plans from any Medicare-approved insurance company.

Medicare Advantage plans come in several different types. Some of the more common Medicare Advantage plans are HMOs (health maintenance organizations) and PPOs (preferred provider organizations).

Aetna Medicare HMO plans generally require you to use in-network doctors – as HMO plans typically do. Aetna Medicare PPO plans usually have provider networks, but generally let you visit providers outside the Aetna provider network. You may have to pay more to see out-of-network providers.

So it may be a good idea to find an Aetna doctor before you sign up for an Aetna Medicare Advantage plan. That way you can choose the Aetna doctor you want and be ready from day one of your coverage under the plan.

How can I find an Aetna doctor near me?

Here’s how to find a doctor near you who’s in an Aetna Medicare Advantage plan network. You can get started right here.

  • First, enter your ZIP code in the box on this page and click Enter.
  • Next, make sure the Medicare Advantage tab near the top of the page is selected – click this tab if it’s not already selected.
  • Compare the available Aetna Medicare Advantage plans. Or find the plan you’re enrolled in.

No matter which Aetna Medicare Advantage plan you sign up for, you can count on Aetna’s careful selection of doctors.

Remember, if you enroll in any Medicare Advantage plan, you need to keep paying your Medicare Part B premium, along with any premium your plan may charge.

Aetna Medicare is a HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs.  Enrollment in our plans depends on contract renewal. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Aetna. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change. See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.

Out-of-network/non- contracted providers are under no obligation to treat Aetna members, except in emergency situations. Please call Aetna’s customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

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