Aetna Contracting & Appointment 2019

Aetna is one of the nation’s leading diversified health care benefits companies, serving an estimated 46.7 million people with information and resources.

Aetna Health and Life Insurance Company (AHLIC), Aetna Health Insurance Company (AHIC), Aetna Life Insurance Company (ALIC), American Continental Insurance Company (ACI) and Continental Life Insurance Company of Brentwood, Tennessee (CLI) are entities that make up Aetna Senior Supplemental Insurance.

Aetna Medicare Advantage certification for AEP 2019

These are Aetna's current policies and state availability for 2019.

Cancer, Heart Attack, Stroke

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Issue ages 18-89; benefits range from $5,000 to $75,000. Plan selections are Cancer only, Cancer and Heart Attack or Stroke along with an optional benefit: Intensive Care Unit Rider. Lump sum benefits are paid directly to the policyholder or beneficiary.

Enrollment via e-App enables you to electronically complete and submit to process 100% in-good-order applications (faster than paper!). Available on multiple operating systems: laptops, desktops, and tablets.

Continental Care

Aetna Continental Care

CO ID

Issue ages 30-89. Base policy benefits include hospital, private hospital room, registered nurse services when confined in a hospital or at home, and skilled nursing facility indemnities.

Skilled nursing facility and daily hospital indemnities are additional/optional benefits and are in addition to the base plan.

Dental, Vision and Hearing

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Issue ages 0 to 89; Choose $1,000 or $1,500 maximum benefit per policy year that covers dental, vision and hearing per person. Plan deductible is $100 per policy year per person. Guaranteed acceptance and guaranteed renewable as long as premiums are paid on time.

Freedom to choose any provider or get even better pricing by going in-network; benefits are paid in addition to any other health care coverage.

Coverage is available for an Individual, Individual and Spouse, Individual and Child(ren) or Individual and Family.

Dental Coverage: covered immediately after deductible, plan pays: year 1 = 60%; year 2 = 70%; year 3+ = 80%; Examinations and cleanings (twice/per year); Examination x-rays; Fillings; Diagnostic examinations and x-rays, Non-surgical extractions (up to 4 teeth annually excludes impacted wisdom teeth), and Emergency palliative treatment.

Covered after 12 months and the deductible is met, plan pays: year 2+ = 60%; Endodontics includes root canals; Periodontal surgery, and Bridges, crowns, and full/partial dentures.

Vision Coverage: covered after 6 months and the deductible is met, plan pays: year 1 = 60%; year 2 = 70%; year 3+ = 80%; Pays up to $200 during any two policy years; Eye examinations, Eyeglasses, and Contact lens.

Hearing Coverage: covered after 12 months and the deductible is met, plan pays: year 2 = 70%; year 3+ = 80%; Pays up to $500 during any one policy year; Hearing examinations and aids.

Underwritten by Continental Life Insurance (CLI), a member of the Aetna family of companies has an unwavering commitment to providing the best personal service. CLI has a financial strength rating of “A” (Excellent) by A.M. Best Company.

Final Expense

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Issue ages 60-89; Whole Life face amounts range from $3,000-$35,000.

Simplified yes/no application; offers Level, Graded or Modified death benefits.

Point of sale “Jet” pre-approval; bank draft turnaround time is 2-4 days. 

Home Health

Aetna Home Care

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Policy benefits are daily hospital indemnity when confined in a hospital; home care indemnity pays when practitioner visits are received; and registered nurse indemnity pays when hospital confined and at home; and when in-home services of a private duty graduate or registered nurse are medically necessary. Issue ages 50-89. 

Aetna Home Care Plus

Home Care Plus - CO KY TX

Two plan options: home care indemnity pays a weekly benefit for in-home care and daily hospital indemnity pays a daily hospital indemnity amount if confined in a hospital, including observation stays in a hospital. Issue ages 50-89. 

Hospital Indemnity and Short Term Care

Aetna Recovery Care

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Issue ages 50-89.

A limited benefit hospital indemnity and short-term recovery care fixed indemnity policy offer a daily nursing facility indemnity including assisted living and bed reservation; daily hospital indemnity if confined in a hospital and an optional home care rider. Benefits are paid directly to insured unless assigned to provider.

Hospital Indemnity

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Issue ages 18-89; pays lump sum benefit for hospital confinement; and offers many daily optional benefits on hospital, skilled nursing facility care, doctor’s office visit, outpatient surgical procedures, and hospital emergency room visit or ambulance service.

Benefits are paid directly to the insured unless assigned to provider.

Enrollment via e-App enables you to electronically complete and submit to process 100% in-good-order applications (faster than paper!). Available on multiple operating systems: laptops, desktops, and tablets.

Medicare Advantage Prescription Drug (MAPD)

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Aetna is transforming health care by partnering with local doctors, nurses and other providers to make sure members receive the right care at the right time and in the right place. Aetna is committed to connecting members to coordinated, accessible, affordable, and personalized health care right where they live. Aetna model is called “value-based care”; where physicians are paid based on quality of care not quantity.

Aetna currently offers HMO, PPO, HMO with Travel Advantage, and PPO with Explorer plans. Aetna Medicare Advantage Prescription Drug (MAPD) plans are in 39 states with market expansions.

Portability elements of Aetna plans consist of ER and urgent care in the United States and worldwide; value-add travel discounts on nationally recognized brand-name products and services; national pharmacy network of pharmacies and seamless medical network of providers throughout the United States. Covered plan services do not require Primary Care Provider (PCP) referrals for specialist care. The visitor travel program allows members to remain in their plan for an additional 6 months when they are travelling outside the plan’s service area. Without the visitor traveler program, CMS mandates that members be disenrolled if they are outside the plan’s service area for more than 6 months. Travel Pass is a snapshot of member specific health care elements such as selected PCP, medication history, vaccine history and other information. Aetna plan offerings and considerations may vary by plan and by geographies. Provider participation varies by state.

Find Medicare Advantage Plans by County

Insurance carriers don't offer Medicare Advantage plans in all states or in all counties in a state. Complete this form and we will be glad to check county availability for you.

We will also send you a contracting kit with that carrier's Medicare Advantage information, including Applications, Brochures, Commissions, and Rates.

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Medicare Prescription Drug Plans (PDP) 

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Aetna offers three of the four stand-alone Medicare Prescription Drug Plans (PDPs) in all 50 states plus D.C.; plan names are Aetna Medicare Rx Select, Aetna Medicare Rx Saver, First Health Part D Value Plus and First Health Part D Premier Plus. Among these four plans there’s a monthly premium as low as $17.56; an annual deductible on two, premiums and deductibles may vary by CMS region; preferred retail copay for 30-day supply; Aetna Rx Home Delivery for 90-day supply. Gap coverage for Tiers 1 and 2, and some Tier 4; formulary coverage ranges from 95 to 98 of top-100 drugs most commonly prescribed to Medicare beneficiaries; and a robust preferred pharmacies network, may vary by plan and by region.

Medicare Supplement

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Select from Plan A, B, F, HDF, G or N; 12-month rate guarantee on all plans; no waiting period for pre-existing conditions. Household premium discount available in some states and may vary by state and company.

Signature options are voice and electronic; application submits in real time. Online Enrollment Tool: use the rate calculator to quote the rate before starting e-App on multiple operating systems: laptops, desktops, and tablets. By using the e-App tool, you’ll always be submitting the current version of the application.

Nursing Facility Care

KY NM PA TX

Issue ages 50-89. Policy benefits are nursing facility confinement includes benefits for all levels of Facility Care ~ skilled, intermediate, and custodial; and a nursing facility care daily benefit when confined in a nursing facility after the elimination period until the end of the period of care.

Plan also includes a daily hospital indemnity when confined in a hospital; and a registered nurse indemnity pays for services of a private duty, graduate, registered nurse when confined in a hospital or nursing facility.

Benefits are paid directly to insured unless assigned to provider.

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Aetna Appointment & Contracting