Council on Aging Answers 2017 - 92

COUNCIL ON AGING - SOUTHERN CALIFORNIA

Medicare Advantage Plans Comparison Chart
UNITEDHEALTHCARE

UNITEDHEALTHCARE

AETNA MEDICARE

AARP MedicareComplete
SecureHorizons Plan 2
H0543-138

AARP MedicareComplete
SecureHorizons Plan 3
H0543-153

Aetna Medicare
Choice Plan
In-Network
H5521-056

TELEPHONE NUMBERS
AND WEBSITE

New enrollment:
800-555-5757
Current Members:
800-950-9355
aarpmedicareplans.com

New enrollment:
800-555-5757
Current Members:
800-950-9355
aarpmedicareplans.com

New enrollment:
855-338-7027
Current Members:
800-282-5366
aetnamedicare.com

PLAN TYPE

MA-PD (HMO)

MA-PD (HMO)
Medi-Medi option offered

MA-PD (PPO)

TOTAL MONTHLY PREMIUM
& ANNUAL DEDUCTIBLES

$0 monthly premium

$26.70 monthly premium
$400 drug plan deductible

SIZE OF NETWORK

3501-4000 providers

20000 and above providers

5501-6000 providers

OUT OF POCKET MAXIMUM

$2,800 In-Network

$6,700 In-Network

$6,700 In-Network
$10,000 In&Out

DOCTOR/SPECIALIST VISIT

$0/$0 each visit

$0/20% of cost each visit

$10/$40 each visit

IN-PATIENT HOSPITALIZATION

$0 copay. Unlimited days each benefit period.

90 days each benefit period. 60 lifetime reserve
days. Contact plan for more details.

Days 1-6: $250/day, Days 7-90: $0/day. $0/day
after 90 days. Unlimited days each benefit period.

SKILLED NURSING FACILITY

Days 1-20: $0/day, Days 21-38: $160/day, Days
39-100: $0/day. 100 days each benefit period.

100 days each benefit period. Contact plan for
more details.

Days 1-20: $0/day, Days 21-100: $160/day. 100
days each benefit period.

AMBULANCE

$230 each service

20% of cost each service

$300 each service

CHEMOTHERAPY DRUGS

20% of cost for Part B chemotherapy drugs

20% of cost for Part B chemotherapy drugs

20% of cost for Part B chemotherapy drugs

CHIROPRACTIC

$0 for subluxation manipulation. $10 for routine
visit.

20% of cost for subluxation manipulation

$20 for subluxation manipulation

DIABETES

$0 for monitoring supplies. $0 for selfmanagement training. 20% of cost for
therapeutic shoes or inserts.

$0 for monitoring supplies. $0 for selfmanagement training. 20% of cost for
therapeutic shoes or inserts.

0-20% of cost for monitoring supplies. $0 for
self-management training. $0 for therapeutic
shoes or inserts.

DIAGNOSTIC TESTS, LAB & RADIOLOGY SERVICES,
AND X-RAYS

$50 for diagnostic radiology services. $0 for
diagnostic tests and procedures. $0 for lab
services. $0 each x-ray. $50 for therapeutic
radiology services.

20% of cost for diagnostic radiology services. $0
for diagnostic tests and procedures. $0 for lab
services. 20% of cost each x-ray. 20% of cost for
therapeutic radiology services.

DURABLE MEDICAL EQUIPMENT

20% of cost of Medicare- covered items

20% of cost of Medicare- covered items

20% of cost of Medicare- covered items

EMERGENCY ROOM VISIT

$75 each visit, waived if admitted within 24
hours.

$75 each visit, waived if admitted within 24
hours.

$75 each visit, waived if admitted immediately.

OUTPATIENT HOSPITAL SERVICES

$0 each visit

20% of cost each visit

$250 each visit

OUTPATIENT REHAB SERVICES

$0 each visit

20% of cost each visit

$40 each visit

TRANSPORTATION

$0 copay

$0 copay

Not covered

DENTAL SERVICES
(SEE NOTES FOR *)

Not covered*

Dental Services copay not available

$40 for limited dental

$0 for diagnostic exam. $0 for routine hearing
exam. $0 for hearing aid.

$40 for diagnostic exam. $0 for routine hearing
exam. $40 for hearing aid fitting or evaluation.

20% of cost for diagnostic exam. $0 for routine
eye exam. $0 for contact lenses. $0 for eyeglass
frames. $0 for eyeglass lenses. $0 for eyewear
after cataract surgery. Plan pays up to $105 for
contacts & up to $70 for lenses and frames.

$0-$40 for diagnostic exam. $0 for routine eye
exam. $0 for eyewear after cataract surgery.

HEARING SERVICES
(SEE NOTES FOR **)

VISION SERVICES
(SEE NOTES FOR ***)

$0 for diagnostic exam. $0 for routine hearing
exam. $330-$380 for hearing aid.
$0 for diagnostic exam. $0 for routine eye exam.
$0 for contact lenses. $0 for eyeglass frames. $0
for eyeglass lenses. $0 for eyewear after cataract
surgery. Plan pays up to $105 for contacts & up to
$70 for frames.

$107 monthly premium
$750 health plan deductible

20% of cost for diagnostic radiology services.
$40 for diagnostic tests and procedures. $40
each lab service. $40 each x-ray. 20% of cost for
therapeutic radiology services.

Confused by Medicare? Call the Council on Aging - Southern California HICAP experts at (800) 434-0222
92

Answers Guide 2017	

THE INFORMATION ON THESE CHARTS IS SUBJECT TO CHANGE. Contact the plan to verify information.

COUNCIL ON AGING - SOUTHERN CALIFORNIA IS A 501 (C)3 NONPROFIT CORPORATION.
TO DISTRIBUTE
ANSWERS FREE OFResource
COST, WE MUST SELL
ADVERTISING SPACE.| WHILE
WE APPRECIATE THE PAID
LISTINGS IN ANSWERS, THEIR
Aging
Disability
Connection
800-510-2020
| 1-800-434-0222.
www.adrcoc.org
HICAPDOES
is not
missing or incorrect
information,
canand
help
with
accessing
mostBEcurrent
information
via our
HICAP
program
INCLUSION
NOTliable
IMPLYfor
A RECOMMENDATION
OR ENDORSEMENT
OF but
PRODUCTS
OR SERVICES
BY COASC.the
ALWAYS
A VIGILANT
CONSUMER. VERIFY
INFORMATION
AND SEEKat
REFERENCES
WHERE APPROPRIATE.


http://www.aarpmedicareplans.com http://www.aarpmedicareplans.com http://www.aetnamedicare.com

Table of Contents for the Digital Edition of Council on Aging Answers 2017

Contents
Council on Aging Answers 2017 - Intro
Council on Aging Answers 2017 - Cover1
Council on Aging Answers 2017 - Cover2
Council on Aging Answers 2017 - 1
Council on Aging Answers 2017 - Contents
Council on Aging Answers 2017 - 3
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Council on Aging Answers 2017 - 3a
Council on Aging Answers 2017 - 3b
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Council on Aging Answers 2017 - Cover3
Council on Aging Answers 2017 - Cover4
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