Saturday, 16 September 2017

Live A Healthier Life With The Aetna Medicare Advantage

By Joshua Reynolds


People's lifestyle and habits have evolved over the past couple of years. It's now easier, more than ever, to get sick from mere contact with others, inhaling the air, or consuming food. What's worse is that the cost of medicine, hospitalization, and consultation are not budget-friendly. The good news is that Americans have access to the Aetna Medicare Advantage for help.

Aetna offers solutions that are designed to match people's needs. Customers get the best out of their money, and they receive assurance of flexibility in case their needs change in the coming years. Options are available for families and individuals, organizations, and employers. After enrolling, and based on the plan selected, customers can see doctors enrolled in the network, or outside.

As required by law, Aetna covers everything in Part A and B of the Original Medicare program, with the exception of hospice care. Part A insurance coverage covers a number of medical services, such as inpatient hospital care. Care in these hospitals may include those in long-term care hospitals, acute care hospitals, inpatient mental care hospitals, and critical access hospitals. Nursing home care is also covered, provided that it is for a limited time, is medically necessary, and it has been established that medical care is needed for the condition. Lastly, home health services may be availed of. This includes at-home nursing care, occupational therapy, and physical therapy, provided that it is for a limited time, and therapeutic care is medically necessary.

Meanwhile, Part B insurance coverage helps patients cover services and supplies required for the treatment and diagnosis of the condition. This covers outpatient services at a clinic, doctor's office, hospital, or other facilities. It also covers preventative services that may either prevent illness, or detect them early. Part B also covers laboratory tests and X-rays, mental health services, doctor visits, durable medical equipment, rehabilitative services such as occupational therapy, physical therapy, and speech-language services, and preventative services like flu shots, screenings, and pap tests.

Those paying Part B premiums can benefit from Aetna offerings, as it provides alternative plans to Parts A and B coverages. To meet different types of needs, Aetna offers various plans that add to the usual coverage. They have a 24-hour hot-line that connects patients to registered nurses for any concerns and questions, US-wide network coverage, fitness facility membership at no cost, and annual physical exam at no cost, to name a few. Prescription drug coverage, dental service, and wellness programs are also included in some plans.

Plans under the Aetna Medicare Advantage change depending on the city and state. This entails that monthly premiums and any additional benefits vary as well. However, it is still cheaper than other types of Medicare plans due to the in-network coverage. Accredited doctors, specialists, hospitals, and providers, are provided by Aetna in order to keep costs low. As such, any procedure, test, and doctor appointment, must follow their policies. Failure to do so may cause the patient to pay the full cost of their medical service. However, exception is given to urgent and emergency medical care.

Although it is recommended that medical care be kept within the network, it doesn't mean that patients have to stress themselves over their doctors. Their primary care doctor is responsible for their health, and the tests they need. Should specialist care be required, their doctor will recommend a different doctor that is with the Aetna network.

Other options are available to those wanting something more from the regular plan. Some of them allows patients to secure services outside the network. This, however, would entail that the patients pay more out of their pocket. There is also a plan that allows patients to go to any doctor they wish as long as he/she accepts Medicare. They get savings when they use the preferred network in their plan for other services. This plan also provides extra benefits like dental and routine vision exam. There is also a rather restrictive plan that caters to patients with certain conditions. This includes diseases that are chronic and disabling, end-stage renal disease or diabetes, and patients who live in institutions. With this plan, prescription coverage, provides, and benefits are tailor-fitted to match the patient's specific needs.




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