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In-Network: Copayment for Medicare-Covered Podiatry Services $40.00. Out-of-Network: Copayment for Medicare Covered Podiatry Services $65.00. Skilled Nursing Facility Care. $0 per day, days 1-20. $196 per day, days 21-100 in-network| 35% per stay. Out-of-Network: for more information see Evidence of Coverage.Catastrophic drug coverage limit. $8,000.00. Primary care doctor visit. $0 in-network | $25 out-of-network. Specialty doctor visit. $40 in-network | $50 out-of-network. Inpatient hospital care. $300 per day, days 1-7; $0 per day, days 8-90 in-network | 50% per stay out-of-network. Urgent care.Get 2022 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCY0001_H5521_459_NS07_SB24_M. 2024 Summary of Benefits. Aetna Medicare Platinum Plan (PPO) H5521 ‐ 459. Here's a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.Mental Health Inpatient Care. In-Network: Psychiatric Hospital Services: $370.00 per day for days 1 to 5. $0.00 per day for days 6 to 90. Prior Authorization Required for Psychiatric Hospital Services. Prior authorization required. Out-of-Network: Coinsurance for Psychiatric Hospital Services per Stay 40%.Inpatient Hospital Care. $395 per day, days 1-6; $0 per day, days 7-90 in-network | $495 per day, days 1-6; $0 per day, days 7-90 out-of-network. Urgent Care. Copayment for Urgent Care $35.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit.4 out of 5 stars* for plan year 2024. Aetna Medicare Choice Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-101-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Utah Medicare beneficiaries may want to ...H5521 - 241 - 0 Click to see other plans: Member Services: 1-888-268-9800 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Podiatry services. In-Network: Podiatry Services: Copayment for Medicare-Covered Podiatry Services $35.00. Skilled Nursing Facility (SNF) care. $10 per day, days 1-20; $196 per day, days 21-100 in-network| 50% per stay out-of-network, for more information see Evidence of Coverage.Looking for ways to get the most out of your plan? You've come to the right place. Want to see a different plan? Find other options hereInpatient Hospital Care. $0 - $1650 per stay based on level of Medicaid eligibility. For more information see Evidence of Coverage. Urgent Care. Copayment for Urgent Care $0.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $0.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit.Get 2019 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCY0001_H5521_247_PQ52_SB24_M. 2024 Summary of Benefits. Aetna Medicare Premier Plan (PPO) H5521 ‐ 247. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.Podiatry services. Out-of-Network: Podiatry Services: Copayment for Medicare Covered Podiatry Services $65.00. Skilled Nursing Facility (SNF) care. $0 per day, days 1-20; $178 per day, days 21-100 in-network| 50% per stay out-of-network, for more information see Evidence of Coverage.Mental health services. Inpatient hospital - psychiatric. In-Network: $350 per day for days 1 through 5 / $0 per day for days 6 through 90. Out-of-Network: 40% per stay. Outpatient group therapy ...H5521 - 241 - 0 Click to see other plans: Member Services: 1-888-268-9800 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Y0001_H5521_247_PQ52_SB24_M. 2024 Summary of Benefits. Aetna Medicare Premier Plan (PPO) H5521 ‐ 247. Here’s a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.4 out of 5 stars* for plan year 2024. Aetna Medicare Value Plus Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-169-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $18.00 Monthly Premium.Copayment for Worldwide Urgent Coverage $120.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit. $120 If you are admitted to the hospital within 24 hours your cost share may be waived, for more information see the Evidence of Coverage. Ambulance Transportation. $295 in-network | $295 out-of-network.

Y0001_H5521_218_PQ35_SB24_M. 2024 Summary of Benefits. Aetna Medicare Freedom (PPO) H5521 ‐ 218. Here's a summary of the services we cover from January 1, 2024 through December 31, 2024. Keep in mind: This is just a summary.Aetna Medicare Elite Plan (PPO) 4 out of 5 stars* for plan year 2024. $0.00 Monthly Premium. Aetna Medicare Elite Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-157-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.Urgent Care. Copayment for Urgent Care $35.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit. $120 If you are admitted to the hospital within 24 hours your cost share may be waived, for more information see the Evidence of Coverage.4 out of 5 stars* for plan year 2024. Aetna Medicare Value Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-243-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. North Carolina Medicare beneficiaries may ...

INSURANCE PARTICIPATION LIST Updated 6/21/2023 • Optimum Choice Preferred POS • Options PPO • Option PPO Premier • Options PPO with Harvard Pilgrim • Oxford Plans: Freedom with Choice Plus & Liberty Choice Plus • Passport Connect Choice/ Passport Connect Choice Plus • Select/ Select HMO • Select Plus/ Select Plus Premier • Select …Primary benefits. Your costs for in-network care. Your costs for out-of-network care. Hospital coverage*. Inpatient hospital coverage. $335 per day, days 1-6; $0 per $500 per day, days 1-20; $0 per day, days 7-90 day, days 21-90. You pay $0 for days 91 and You pay $0 for days 91 and beyond. beyond. Our plan covers an unlimited number of days.…

Reader Q&A - also see RECOMMENDED ARTICLES & FAQs. H4073-002. Wellcare No Premium Value (HMO-POS) 2024. H1416-082. Wel. Possible cause: H5521 - 241 - 0 Click to see other plans: Member Services: 1-888-268-9800 TTY u.