Tuesday, September 19, 2017

Live A Healthy 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 a requirement of Federal law, Aetna coverage covers the stipulations in Part A and Part B of the Original Medicare program. However, this excludes hospice care. Part A covers a variety of medical services like inpatient hospital care. This includes care in inpatient mental care facilities, long-term care hospitals, critical access hospitals, and acute care hospitals. Nursing home stay is included, as long as it's for a limited time, necessary medically, and a doctor has requested that said care for the condition. Home health services can also be availed of, such as physical therapy, at-home nursing care, and occupational therapy. Again, it requires that care is for a limited time, and it has been deemed that therapeutic care is necessary medically.

On the other hand, Part B coverage aids patients in securing services and supplies for treating or diagnosing their condition. This includes outpatient services at hospitals, clinics, doctor's offices, and other types of medical facilities. Preventative services are also covered, as well as those that may lead to early detection. Part B coverage includes X-rays and laboratory tests, doctor visits, mental health services, rehabilitative services like physical therapy, occupational therapy, and speech-language services, durable medical equipment, and preventative services such as screenings, pap tests, and flu shots.

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.

Aetna Medicare Advantage plans vary per city or state. As such, benefits and monthly premiums may also vary. However, it proves to be cheaper than similar plans due to the in-network coverage. Specific hospitals, doctors, and other providers are listed by Aetna to keep the cost low. This means that tests, procedures, and doctors, should be according to their policies, else, the patient may risk paying the entire cost themselves. However, this may not be followed for emergency or urgent cases.

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.




About the Author:



No comments:

Post a Comment