Original medicare services are provided by the government of the United States. Along with covering the part A and part B of your medicare, medicare advantage plans also cover part C of your medicare. Medicare Advantage plans are extra beneficial plans which are provided by companies along with your original medicare. In simpler terms, if you already have a part A and part B of your medicare, you can choose to opt for part c of the medicare – medicare advantage plans. Medicare Advantage health plans provide an added advantage to your original medicare. Along with organising your original medicare provided by the government in a more efficient way, the plans also provide dental services, routine vision checks, dentures etc. which are not covered in Part A and Part B of the medicare. many Aetna Medicare Advantage plans offered in Modesto are discussed below.
- Aetna Gold Plus H5619-032 (HMO)
With an overall rating of 4, the plan is offered by Aetna at a monthly premium of $19. The plan does not have any annual deductible, and an out of pocket maximum of $3400. This health maintenance organisation plan helps you choose your primary care provider inside the network. This provider would have an overall picture of your health. In this plan, you do not have to pay any copay while visiting your primary care provider and a copay of $10 while visiting any special care provider. The plan covers your prescription drug services as well, without any deductible, along with covering urgently needed services at a $0 copay. The plan also covers oral exams, prophylaxis, dental x-rays, non-routine services, restorative services, eyewear, eyeglasses, contact lenses, glaucoma screening, hearing aids, hearing exams, over the counter benefits, fitness benefits, and transportation services as well. You get 12 trips a year to your local health providers.
- Aetna Gold Plus SNP-DE H5619-038 (HMO D-SNP)
With an overall rating of 4 stars, this plan is offered at a monthly premium of $0. This gold plus plan is Special needs Plan which is specially added for people with particular chronic diseases. Not everybody is allowed to enrol in such plans. If you have a chronic disease like heart failure or end-stage renal disease, you can enrol in this plan. The special needs plan is specifically designed to cater to your needs depending on your particular situation. You have to pay a $0 copay while visiting your primary or specialty doctor. The plan also covers in-hospital stay and several chiropractic services as well. Along with covering the transportation costs, dental services, vision services, hearing services, over-the-counter benefits and fitness benefits are also covered in this plan. The plan also covers all of your prescription drug cost as well, provided you use the in-network pharmacies. The plan also provides preventive and home health care services at $0 copay.