Aetna Medicare Prime HMO Flashcards

1
Q

What counties is this Aetna Medicare Prime plan available?

A

Collin, Dallas, Denton, and Tarrant

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2
Q

Are referrals required on the Aetna Medicare Prime Plan?

A

Referrals ARE required

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3
Q

What is the monthly premium for Aetna Medicare Prime?

A

$0

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4
Q

What is the MOOP for Aetna Medicare Prime?

A

$3400

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5
Q

What is the inpatient hospital copay for Aetna Medicare Prime?

A

$300/day for days 1-5

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6
Q

ER Copay for Aetna Medicare Prime?

A

$120

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7
Q

What are the PCP and Specialist copays for Aetna Medicare Prime?

A
PCP = $0
Specialist = $30
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8
Q

What is the RX deductible and copays per tier for Aetna Medicare Prime?

A

RX ded: $250 T3-5

$0/0/47/100/28%

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9
Q

Is Silver Sneakers Included for Aetna Medicare Prime?

A

Yes

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10
Q

What are the coverage limits for Dental and Vision with Aetna Medicare Prime?

A
Dental = $2000
Vision = $125
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11
Q

Is hearing covered on Aetna Medicare Prime?

A

Hearing has a $500 allowance

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12
Q

Is transportation covered on Aetna Medicare Prime?

A

24 one-way trips are covered

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13
Q

Is there an allowance for OTC on Aetna Medicare Prime?

A

$25/month

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