Haris Ashley
Allina Health | Aetna is a partnership between Allina Health and Aetna Insurance Company that offers health insurance plans to Minnesota residents. The company provides a range of plans, including Medicare Advantage plans, that cover medical, dental, vision, and hearing needs. Some plans offer additional benefits, such as $0 monthly premiums, no-cost care at select locations, and bundled coverage for doctor visits, hospital stays, and prescription drugs. With a focus on affordability and accessibility, Allina Health | Aetna aims to streamline healthcare and provide peace of mind to its members.
| Characteristics | Values |
|---|---|
| Company | Aetna |
| Partner | Allina Health |
| Location | Minnesota |
| Plan Type | Medicare Advantage |
| Features | Doctor visits, hospital stays, drug benefits, dental, eyewear, hearing aid coverage |
| Premium Payments | Through InstaMed |
| Payment Options | Automatic payments, update payment method |
| Plan Availability | Varies by location |
| Plan Features | Vary by cost and benefits |
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What You'll Learn
Medicare Advantage plans
Aetna Medicare Advantage (Part C) plans offer a comprehensive approach to health, with a range of benefits and services tailored to meet individual needs.
Aetna's Medicare Advantage plans include prescription drug coverage for many brand-name and generic drugs, as well as coverage for durable medical equipment (DME) needs such as wheelchairs, hospital beds, and diabetic supplies.
The plans also offer dental, vision, and hearing benefits. Dental coverage includes routine checkups, cleanings, X-rays, and fillings, while vision coverage provides for annual eye exams and eyewear benefits for glasses or contact lenses. Hearing benefits include annual exams and coverage for hearing aids and fittings.
Aetna Medicare Advantage plans also provide access to fitness locations and online tools, classes, and workshops. Members can take advantage of SilverSneakers instructor-led group fitness classes and basic SilverSneakers membership, which offers in-person and online options.
Additionally, Aetna's Resources For Living program offers personalized help in finding community services and resources. Members can also access virtual care by phone, video, or mobile app, and receive support in navigating their overall health through discussions with the Aetna team.
Aetna Medicare Advantage plans are designed to provide total health coverage, helping individuals manage their day-to-day health needs and live life to the fullest.
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Dental, vision, and hearing benefits
Dental, vision, and hearing care are essential to the overall health and well-being of older adults. Aetna's Medicare Advantage (MA) plans offer dental, vision, and hearing benefits that can help improve your quality of life and social interactions.
Dental Benefits
Aetna's Medicare Advantage plans offer preventive dental coverage, including annual exams, cleanings, X-rays, and fillings. Some plans offer more comprehensive coverage for dental services such as dentures, root canals, crowns, and extractions.
Vision Benefits
Aetna MA plans cover an annual vision exam at no additional cost. The vision benefit also includes an annual benefit amount (allowance) for prescription eyewear. When using an EyeMed network provider, you don't need to pay upfront or submit a reimbursement form for covered prescription eyewear.
Hearing Benefits
Many MA plans include coverage for hearing exams and an annual allowance to help cover the cost of hearing aids. Hearing aid appointments must be scheduled through NationsHearing, and hearing aids are only covered through this provider.
It's important to note that specific plan details may vary, so be sure to refer to your Evidence of Coverage (EOC) for specific information about your chosen plan.
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Prescription drug plans
Aetna offers Medicare Prescription Drug Plans (PDPs) in all 50 states and Washington, D.C. PDPs offer medication coverage but no medical coverage. The SilverScript Choice plan may lower premiums for those who qualify for the Medicare Part D Extra Help program. SilverScript Choice offers a wide range of brand and generic drugs, with more than 1,400 drugs on the Aetna SilverScript formulary (drug list). SilverScript Choice also offers a $0 monthly premium and lower cost-sharing for those who qualify for the Extra Help Medicare program.
Aetna Medicare SilverScript members can manage prescriptions, sign up for mail delivery, view order status, find drug pricing, and identify savings options on the secure website Caremark.com.
Each main plan type has more than one subtype, and some subtypes have five tiers of coverage, while others have four, three, or two tiers. The Applied Behavior Analysis (ABA) Medical Necessity Guide helps determine appropriate levels and types of care for patients in need of evaluation and treatment for behavioural health conditions. However, the ABA Medical Necessity Guide does not constitute medical advice, and treating providers are solely responsible for medical advice and treatment of members. Members should discuss any matters related to their coverage or condition with their treating provider. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits.
The term precertification refers to the utilization review process to determine whether the requested prescription drug meets the company's clinical criteria for coverage. Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, but medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. In the event that a member disagrees with a coverage determination, they have the right to appeal the decision and may request an independent external review.
Aetna Part D (prescription only) plans do not include Resources For Living.
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Medicare Supplement plans
Aetna offers Medicare Supplement Insurance (Medigap) plans that cover some healthcare costs not covered by Original Medicare (Parts A and B). These plans can help limit your yearly out-of-pocket expenses.
Aetna's Medicare Supplement plans are insured by Aetna Health and Life Insurance Company (Aetna) and are available in various forms. For instance, Plan N requires a $20 copayment for office visits and a $50 copayment for emergency room visits. These copayments do not count toward the annual Part B deductible. High-deductible Plan F and Plan G are also available, offering the same benefits once the calendar-year deductible is paid.
Additionally, Aetna offers Medicare Advantage plans that include dental, vision, and hearing benefits. These plans can be combined with prescription drug coverage, known as Medicare Part C or MAPD.
Aetna also provides Medicare Part D Prescription Drug Plans (PDP) in Minnesota, including the SilverScript Choice plan, which offers a wide range of brand-name and generic drugs. This plan may lower premiums for those who qualify for the Medicare Part D Extra Help program.
Aetna's Medicare plans cater to different needs, whether you require medical coverage, prescription drug coverage, or both. They offer plans with premiums as low as $0, providing flexibility and affordability for their members.
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Medicaid services
Medicaid is a health insurance program that provides coverage for various services, and it is available to a wide range of people, including children, pregnant women, the aged, blind, and disabled individuals. Each state has its own set of Medicaid programs, and eligibility criteria vary by state.
Aetna Better Health, a part of the CVS Health family, has been serving people who use Medicaid services for over 30 years. They offer a range of Medicaid programs, such as the Children's Health Insurance Program (CHIP), care for the aged, blind, and disabled individuals, as well as long-term services and supports.
In Minnesota, Allina Health and Aetna Insurance Company have partnered to offer health insurance plans under the name Allina Health | Aetna. This collaboration combines Allina Health's deep Minnesota roots and reputation with Aetna's long-standing expertise. Allina Health | Aetna provides health coverage solutions that offer cost transparency and peace of mind. They deliver superior access to Minnesota's top doctors, specialists, and healthcare facilities, ensuring that Minnesotans receive the care they need when they need it, all at an affordable price.
Allina Health | Aetna offers Medicare Advantage plans, which include no-cost care at MinuteClinic® locations inside CVS Pharmacy® and Target® stores. These plans also provide bundled coverage for doctor visits, hospital stays, and drug benefits. Additionally, some plans come with added benefits, such as dental, eyewear, or hearing aid coverage, with premiums as low as $0.
For those seeking prescription drug coverage, Aetna offers Medicare Part D Prescription Drug Plans (PDP) in Minnesota. These plans provide medication coverage but do not include medical coverage. The Aetna SilverScript® plan is available in all 50 states and Washington, D.C., and it offers a wide range of brand-name and generic drugs. SilverScript Choice may lower premiums for those enrolled in the Medicare Part D Extra Help program.
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Frequently asked questions
Allina Health | Aetna is the brand name used for products and services provided by Allina Health and Aetna Insurance Company. It brings together the deep Minnesota roots and reputation of Allina Health with the long-standing expertise of Aetna to deliver a more cost-effective, personal, and total approach to health and wellness.
Minnesota Medical Aetna Insurance offers Medicare Advantage plans with dental, vision, and hearing benefits. It also includes Medicare Parts A and B (Original Medicare) plus Part D. Some plans come with added benefits like dental, eyewear, or hearing aid coverage.
Aetna Better Health is part of Aetna and the CVS Health family. It has been serving people who use Medicaid services for over 30 years. This includes programs like the Children's Health Insurance Program (CHIP), care for the aged, blind, and disabled, as well as long-term services and supports.
The Aetna SilverScript® plan is a Medicare Prescription Drug Plan (PDP) that offers medication coverage but no medical coverage. SilverScript Choice offers a wide range of brand and generic drugs, with more than 1,400 drugs on the formulary (drug list). It also has a $0 monthly premium and lower cost-sharing for those who qualify for the Extra Help Medicare program.
Minnesota Medical Aetna Insurance handles premium payments through InstaMed, a trusted payment service. You can create an account or log in to manage your existing account, where you can set up automatic payments, update your payment method, and more.
