Aetna Medicare Value

by Aetna Medicare



The Aetna Medicare Value by Aetna Medicare offers Medicare Advantage Plans with additional benefits that Original Medicare does not cover. There are 86 different plans by Aetna Medicare Value available. Not all plans are available in all locations and prices may vary by location. The plan with the lowest monthly premium is $0 and the highest monthly premium is $87. The plan with the lowest out-of-pocket expense is $3400 and the highest out-of-pocket is $8300. You can review the table below to see coverage and prices for Aetna Medicare Value.


(Click the Plan ID for additional coverage details)
(Click the state to compare every plan in that state)
(⇅ Click the header to sort)

Plan ID ⇅ Premium Plan Type MOOP Members
Enrolled
States Where
Plan
is Available

H2663 043 0

$0 Local HMO $3,900 789 Kansas Part-C

H1609 026 0

$0 Local HMO $6,700 742 Florida Part-C

H2663 043 0

$0 Local HMO $3,900 789 Missouri Part-C

H3931 109 0

$0 Local HMO $6,700 1027 Ohio Part-C

H5521 387 0

$0 Local PPO $4,500 Wisconsin Part-C

H5521 086 0

$0 Local PPO $3,750 41098 Illinois Part-C

H5521 311 0

$0 Local PPO $4,900 1234 Michigan Part-C

H5521 283 0

$0 Local PPO $4,500 745 Wisconsin Part-C

H5521 261 0

$0 Local PPO $6,400 5163 Pennsylvania Part-C

H5521 285 0

$0 Local PPO $4,900 2163 Michigan Part-C

H7301 011 0

$0 Local PPO $3,650 1760 Illinois Part-C

H5521 263 0

$0 Local PPO $7,550 8491 Pennsylvania Part-C

H5521 211 0

$0 Local PPO $5,100 1452 Indiana Part-C

H7301 012 0

$0 Local PPO $6,000 1033 Illinois Part-C

H5521 223 0

$0 Local PPO $4,900 3906 Indiana Part-C

H5521 262 0

$0 Local PPO $7,550 3770 Delaware Part-C

H5521 214 0

$0 Local PPO $4,950 9150 Michigan Part-C

H5521 195 0

$0 Local PPO $4,500 6465 Wisconsin Part-C

H7301 007 0

$0 Local PPO $4,650 19943 Illinois Part-C

H5521 231 0

$0 Local PPO $4,950 4363 Indiana Part-C

H5521 288 0

$0 Local PPO $4,900 2432 Michigan Part-C

H5521 289 0

$0 Local PPO $4,975 1006 Wisconsin Part-C

H5521 099 0

$0 Local PPO $4,250 5443 Indiana Part-C

H5521 219 0

$0 Local PPO $5,150 2566 Michigan Part-C

H7301 006 0

$0 Local PPO $4,900 10350 Illinois Part-C

H8332 001 0

$0 Local HMO $3,900 2345 Texas Part-C

H3597 007 0

$0 Local HMO $5,900 3922 Maine Part-C

H3312 064 0

$87.00 Local HMO $7,550 388 New York Part-C

H8332 005 0

$0 Local HMO $4,900 Texas Part-C

H3312 002 0

$0 Local HMO $7,550 7272 New York Part-C

H8332 004 0

$0 Local HMO $3,400 142 Texas Part-C

H3312 048 0

$0 Local HMO $7,550 13635 New York Part-C

H3931 108 0

$0 Local HMO $7,550 931 Ohio Part-C

H3597 001 0

$0 Local HMO $5,400 10231 Maine Part-C

H3312 018 0

$47.00 Local HMO $7,550 1107 New York Part-C

H8332 002 0

$0 Local HMO $3,900 8896 Texas Part-C

H3597 009 0

$37.00 Local HMO $6,700 493 Maine Part-C

H3312 072 0

$0 Local HMO $7,550 New York Part-C

H3146 001 0

$0 Local HMO $5,500 12044 North Carolina Part-C

H3748 001 0

$0 Local HMO $5,500 989 Washington Part-C

H3931 152 0

$0 Local HMO $3,400 Nevada Part-C

H3312 065 0

$0 Local HMO $6,500 794 New York Part-C

H5793 014 0

$0 Local HMO $6,700 419 Massachusetts Part-C

H3748 010 0

$79.00 Local HMO $7,550 Washington Part-C

H2056 004 0

$0 Local HMO $6,100 2535 Oregon Part-C

H5793 018 0

$0 Local HMO $6,700 529 Massachusetts Part-C

H3931 126 0

$0 Local HMO $6,700 1205 Washington Part-C

H5793 001 0

$27.00 Local HMO $6,700 1333 Connecticut Part-C

H3146 004 0

$0 Local HMO $4,950 7949 North Carolina Part-C

H2056 002 0

$0 Local HMO $5,500 1344 Idaho Part-C

H3312 062 0

$0 Local HMO $7,550 1266 New York Part-C

H3931 107 0

$0 Local HMO $7,550 1755 Ohio Part-C

H3748 005 0

$0 Local HMO $5,900 236 Washington Part-C

H5793 016 0

$0 Local HMO $5,900 528 Rhode Island Part-C

H5521 260 0

$0 Local PPO $6,100 203 Kentucky Part-C

H5521 390 0

$0 Local PPO $7,550 New Jersey Part-C

H5521 090 0

$0 Local PPO $5,500 2760 Ohio Part-C

H5521 156 0

$0 Local PPO $6,300 301 Kentucky Part-C

H5521 169 0

$18.00 Local PPO $4,950 6647 North Carolina Part-C

H5521 281 0

$15.00 Local PPO $5,900 610 Tennessee Part-C

H5521 197 0

$63.00 Local PPO $6,900 728 Utah Part-C

H5521 118 0

$0 Local PPO $7,550 2847 New York Part-C

H5521 243 0

$0 Local PPO $6,800 5407 North Carolina Part-C

H5521 087 0

$0 Local PPO $5,500 6056 Ohio Part-C

H5521 267 0

$16.00 Local PPO $6,000 18 Kentucky Part-C

H5521 139 0

$21.00 Local PPO $6,500 1901 North Carolina Part-C

H5521 089 0

$0 Local PPO $5,500 19231 Ohio Part-C

H5521 259 0

$19.00 Local PPO $5,500 225 Kentucky Part-C

H5521 197 0

$63.00 Local PPO $6,900 728 Wyoming Part-C

H3288 047 0

$0 Local PPO $7,550 16383 Texas Part-C

H5521 251 0

$16.00 Local PPO $6,700 1970 South Carolina Part-C

H5521 266 0

$0 Local PPO $6,100 96 Kentucky Part-C

H5521 088 0

$0 Local PPO $5,300 17955 Ohio Part-C

H5521 085 0

$0 Local PPO $5,500 1161 Kentucky Part-C

H5522 021 0

$45.00 Local PPO $6,700 Pennsylvania Part-C

H5521 376 0

$28.00 Local PPO $6,700 New Hampshire Part-C

H3146 013 0

$21.00 Local HMO $7,500 209 Tennessee Part-C

H3146 012 0

$18.00 Local HMO $6,700 598 Tennessee Part-C

H3146 006 0

$7.00 Local HMO $5,500 1421 North Carolina Part-C

H3146 011 0

$22.00 Local HMO $6,900 995 South Carolina Part-C

H3931 149 0

$19.00 Local HMO $6,500 Washington Part-C

H3748 003 0

$0 Local HMO $6,500 14856 Washington Part-C

H2293 011 0

$26.00 Local PPO $8,300 Georgia Part-C

H5521 364 0

$28.00 Local PPO $8,300 Georgia Part-C

H5521 326 0

$17.00 Local PPO $6,000 1370 Louisiana Part-C

H2293 001 0

$28.00 Local PPO $8,300 Georgia Part-C




Contact Info Aetna Medicare


Website: www.aetnamedicare.com
Toll Free: 833-859-6031
Member Phone: 833-570-6670


Reviews for Aetna Medicare Value


Aetna Medicare Value H5522 received a 4.5 overall star rating from the CMS. The CMS uses a Star Rating System to measure how well Medicare Advantage and Part D plans perform. Plans are rated on a one-to-five scale, with one star representing poor performance and five stars representing excellent performance. Medicare Advantage with prescription drug (Part D) coverage (MA-PD) contracts are rated on quality and performance measures. You can use the CMS star rating to review performance among several different plans.

Overall Rating

Measure Rating Stars
Overall Rating4.5 out of 5
Part C Summary Rating4.5 out of 5
Part-D Summary Rating4 out of 5
Staying Healthy: Screenings, Tests, Vaccines4 out of 5
Managing Chronic (Long Term) Conditions4 out of 5
Member Experience with Health Plan4 out of 5
Complaints and Changes in Plans Performance4 out of 5
Health Plan Customer Service5 out of 5
Drug Plan Customer Service5 out of 5
Complaints and Changes in the Drug Plan4 out of 5
Member Experience with the Drug Plan5 out of 5
Drug Safety and Accuracy of Drug Pricing4 out of 5


Staying Healthy, Screening, Testing, and Vaccines

Measure Rating Stars
Total Preventative Rating4 out of 5
Breast Cancer Screening [1]4 out of 5
Colorectal Cancer Screening [2]4 out of 5
Annual Flu Vaccine [3]4 out of 5
Monitoring Physical Activity [4]3 out of 5


Managing Chronic And Long Term Care for Older Adults

Measure Rating Stars
Total Rating4 out of 5
SNP Care Management [5]NA out of 5
Medication Review [6]NA out of 5
Pain Assessment [7]N out of 5
Osteoporosis Management [8]4 out of 5
Diabetes Care - Eye Exam [9]4 out of 5
Diabetes Care - Kidney Disease [10]3 out of 5
Diabetes Care - Blood Sugar [11]5 out of 5
Controlling Blood Pressure [12]4 out of 5
Reducing Risk of Falling [13]3 out of 5
Improving Bladder Control [14]3 out of 5
Medication Reconciliation [15]5 out of 5
Statin Therapy [16]4 out of 5


Member Experience with Health Plan

Measure Rating Stars
Total Experience Rating4 out of 5
Getting Needed Care [17]4 out of 5
Getting Appointments [18]5 out of 5
Customer Service [19]3 out of 5
Health Care Quality [20]5 out of 5
Rating of Health Plan [21]4 out of 5
Care Coordination [22]4 out of 5


Member Complaints and Changes in Plans Performance

Measure Rating Stars
Total Rating4 out of 5
Complaints about Health Plan [23]5 out of 5
Members Leaving the Plan [24]4 out of 5
Health Plan Quality Improvement [25]2 out of 5


Health Plan Customer Service Rating

Measure Rating Stars
Total Customer Service Rating5 out of 5
Timely Decisions About Appeals [26]5 out of 5
Reviewing Appeals Decisions [27]5 out of 5
Call Center, TTY, Foreign Language [28] 5 out of 5


Drug Plan Customer Service

Measure Rating Stars
Total Rating5 out of 5
Call Center, TTY, Foreign Language [29]5 out of 5


Ratings For Member Complaints and Changes in the Drug Plans Performance

Measure Rating Stars
Total Rating4 out of 5
Complaints about the Drug Plan [30]5 out of 5
Members Choosing to Leave the Plan [31]4 out of 5
Drug Plan Quality Improvement [32]2 out of 5


Member Experience with the Drug Plan

Measure Rating Stars
Total Rating5 out of 5
Rating of Drug Plan [33]4 out of 5
Getting Needed Prescription Drugs [34]5 out of 5


Drug Safety and Accuracy of Drug Pricing

Measure Rating Stars
Total Rating4 out of 5
MPF Price Accuracy [35]5 out of 5
Drug Adherence for Diabetes Medications [36]4 out of 5
Drug Adherence for Hypertension (RAS antagonists) [37]5 out of 5
Drug Adherence for Cholesterol (Statins) [38]4 out of 5
MTM Program Completion Rate for CMR [39]3 out of 5
Statin with Diabetes [40]3 out of 5


Breast Cancer Screening-Percent of female plan members aged 52-74 who had a mammogram during the past two years.

Colorectal Cancer Screening-Percent of plan members aged 50-75 who had appropriate screening for colon cancer.

Annual Flu Vaccine-Percent of plan members who got a vaccine (flu shot).

Monitoring Physical Activity-Percent of senior plan members who discussed exercise with their doctor and were advised to start, increase, or maintain their physical activity during the year.

SNP Care Management-This measure is defined as the percentage of eligible Special Needs Plan (SNP) enrollees who received a health risk assessment (HRA) during the measurement year.

Medication Review-Percent of plan members whose doctor or clinical pharmacist reviewed a list of everything they take (prescription and non-prescription drugs, vitamins, herbal remedies, other supplements) at least once a year.

Pain Assessment-Percent of plan members who had a pain screening at least once during the year.

Osteoporosis Management-Percent of female plan members who broke a bone and got screening or treatment for osteoporosis within 6 months.

Diabetes Care - Eye Exam-Percent of plan members with diabetes who had an eye exam to check for damage from diabetes during the year.

Diabetes Care - Kidney Disease-Percent of plan members with diabetes who had a kidney function test during the year.

Diabetes Care - Blood Sugar-Percent of plan members with diabetes who had an A1C lab test during the year that showed their average blood sugar is under control.

Controlling Blood Pressure-Percent of plan members with high blood pressure who got treatment and were able to maintain a healthy pressure.

Reducing Risk of Falling-Percent of plan members with a problem falling, walking, or balancing who discussed it with their doctor and received a recommendation for how to prevent falls during the year.

Improving Bladder Control-Percent of plan members with a urine leakage problem in the past 6 months who discussed treatment options with a provider.

Medication Reconciliation-This shows the percent of plan members whose medication records were updated within 30 days after leaving the hospital.

Statin Therapy-This rating is based on the percent of plan members with heart disease who get the right type of cholesterol-lowering drugs. Health plans can help make sure their members are prescribed medications that are more effective for them.

Getting Needed Care-Percent of the best possible score the plan earned on how quickly members get appointments and care.

Getting Appointments-Percent of the best possible score the plan earned on how easy it is for members to get information and help from the plan when needed.

Customer Service-Health Plan Provides Information or Help When Members Need It. Percent of the best possible score the plan earned on how easy it is for members to get information and help from the plan when needed.

Health Care Quality-Percent of the best possible score the plan earned from members who rated the quality of the health care they received.

Rating of Health Plan-Member's Rating of Health Plan Percent of the best possible score the plan earned from members who rated the health plan.

Care Coordination-Percent of the best possible score the plan earned on how well the plan coordinates members’ care. (This includes whether doctors had the records and information they needed about members’ care and how quickly members got their test results.)

Complaints about Health Plan-Patients’ Experience and Complaints Measure Complaints about the Health Plan (lower numbers are better because it means fewer complaints

Members Leaving the Plan-Percent of plan members who chose to leave the plan. Members Choosing to Leave the Plan (more stars are better because it means fewer members choose to leave the plan)

Health Plan Quality Improvement-Improvement (if any) in the Health Plan’s Performance. This shows how much the health plan’s performance improved or declined from one year to the next.

Timely Decisions About Appeals-Percent of appeals timely processed by the plan (numerator) out of all the plan‘s appeals decided by the Independent Review Entity (IRE) (includes upheld, overturned, partially overturned appeals and dismissed because the plan agreed to cover.)

Reviewing Appeals Decisions-This rating shows how often an independent reviewer found the health plan’s decision to deny coverage to be reasonable.

Call Center, TTY, Foreign Language-Percent of time that TTY services and foreign language interpretation were available when needed by people who called the health plan’s prospective enrollee customer service phone line.

Call Center, TTY, Foreign Language-Percent of time that TTY services and foreign language interpretation were available when needed by people who called the drug plan’s prospective enrollee customer service line.

Complaints about the Drug Plan-Complaints about the Drug Plan (number of complaints for every 1,000 members). Lower numbers are better because it means fewer complaints.

Members Choosing to Leave the Plan-Members Choosing to Leave the Plan lower percentages are better because that indicates fewer members choose to leave the plan.

Drug Plan Quality Improvement-This shows how much the drug plan’s performance has improved or declined from one year to the next year.

Rating of Drug Plan-Percent of the best possible score the plan earned from members who rated the prescription drug plan.

Getting Needed Prescription Drugs-Percent of the best possible score the plan earned on how easy it is for members to get the prescription drugs they need using the plan.

MPF Price Accuracy-A score comparing the drug’s total cost at the pharmacy to the drug prices the plan provided for the Medicare Plan Finder website.

Drug Adherence for Diabetes Medications-Percent of plan members with a prescription for diabetes medication who fill their prescription often enough to cover 80% or more of the time they are supposed to be taking the medication. One of the most important ways people with diabetes can manage their health is by taking their medication as directed. The plan, the doctor, and the member can work together to find ways to do this.

Drug Adherence for Hypertension (RAS antagonists)-Percent of plan members with a prescription for a blood pressure medication who fill their prescription often enough to cover 80% or more of the time they are supposed to be taking the medication.

Drug Adherence for Cholesterol (Statins)-Percent of plan members with a prescription for a cholesterol medication (a statin drug) who fill their prescription often enough to cover 80% or more of the time they are supposed to be taking the medication.

MTM Program Completion Rate for CMR-Some plan members are in a program (called a Medication Therapy Management program) to help them manage their drugs. The measure shows how many members in the program had an assessment of their medications from the plan. The assessment includes a discussion between the member and a pharmacist (or other health care professional) about all of the member’s medications.

Statin with Diabetes-This rating is based on the percent of plan members with diabetes who take the most effective cholesterol-lowering drugs. Plans can help make sure their members get these prescriptions filled.





Last updated on

Source:CMS Plan and Prices Info

Source:CMS Star Ratings

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Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

Every year, Medicare evaluates plans based on a 5-star rating system.