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Aetna Medicare Provider Services: Find Healthcare Services

Aetna is one of the largest private insurance companies offering Medicare insurance plans. Here, we’ll explore Aetna’s provider network, the types of Medicare Advantage plans Aetna offers, and how to find an Aetna Medicare provider services near you.

Aetna’s Medicare Provider Network

Aetna has a vast network of about 1.6 million healthcare professionals and providers who accept Aetna Medicare insurance. These healthcare professionals and providers offer subsidized services to Aetna members, enabling members to lower their out-of-pocket costs.

Some of the healthcare professionals who are part of the Aetna Medicare Solutions Network include:

  • Primary care physicians
  • Specialists
  • Hospitals
  • Hospice providers
  • Physical therapists
  • Dialysis centers
  • Home healthcare agencies
  • Medical equipment suppliers

Aetna Medicare Solutions

Aetna primarily offers two kinds of Medicare Advantage Plans: Health Maintenance Organization (HMO) and Preferred Provider Organization (PPO) plans.

HMO plans don’t offer much flexibility. They typically require you to choose a primary care provider (PCP) within your network, limiting out-of-network coverage.

In contrast, PPO plans offer greater flexibility. They allow you to choose any healthcare professional or provider that accepts Medicare, allowing you to visit out-of-network providers. However, out-of-network providers usually charge more.

Aetna offers the following Medicare Advantage Plans:

Aetna Medicare℠ Plan (HMO)

This plan offers access to a vast network of medical professionals and facilities throughout the US. However, its out-of-network coverage is limited, and you may need a referral from your PCP to visit a specialist.

  • Aetna Medicare Open Access Plan (HMO)

    This plan offers nationwide healthcare coverage, and you won’t require a referral from your PCP to see a specialist. However, its out-of-network coverage is also limited.
    Aetna Medicare Prime Plan (HMO)
    This plan offers access to a wide network of local healthcare facilities and allows out-of-network visits for emergency treatment, kidney dialysis, or urgent care.
    Aetna Medicare℠ Plan (PPO)
    This plan is similar to the Aetna Medicare℠ Plan (HMO) but offers more flexibility to visit out-of-network healthcare providers.

  • Aetna Medicare Prime Plan (PPO)

    This plan is similar to the Aetna Medicare Prime Plan (HMO) but offers greater flexibility to visit out-of-network medical providers.
    Aetna Medicare Plan (HMO-POS)
    This plan is accepted by healthcare providers across the US and offers the freedom to visit out-of-network providers.
    However, plan availability varies from region to region. Contact our aetna medicare broker to find out if Aetna offers the plan you’re considering in your area.

  • How to Find Aetna Medicare Brokers Within Your Network

    Finding an Aetna medical provider within your local network doesn’t require a visit to an office. You can use the online provider lookup tool to search for medical providers near you. Alternatively, your primary care physician may also be able to recommend healthcare providers within your network.
    Finally, with just a simple phone call, a licensed Aetna Medicare broker or agent can tell you more about the Aetna Medicare provider services within your network and answer any other questions you may have about Aetna Medicare solutions.
    At Medicare Sharks, our qualified Medicare agents will gladly answer any questions you have about Aetna Medicare insurance plans. Contact us today at 561-90-SHARK to speak to one of our agents.