H1609-044

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2023 Medicare Advantage Plan Details. Medicare Plan Name: Aetna Medicare Assure Plus (HMO D-SNP) Location: Hernando, Florida Click to see other locations. Plan ID: H1609 - 044 - 0 Click to see other plans. Member Services: 1-866-409-1221 TTY users 711.H1609-039 Clay, Duval, Marion, and St. Johns H1609-040 Manatee and Sarasota H1609-043 Broward and Miami-Dade H1609-044 Hernando, Hillsborough, Pasco, and Pinellas H1609-045 Clay, Duval, Marion, St. Johns, and St. Lucie H1609-046 Orange, Osceola, and Seminole H1609-047 Manatee and Sarasota H1609-048 Palm Beach H1609-049 PolkThe average monthly premium for Medicare Advantage plans in Pinellas is $7.55 per month in 2024, though there may be plans available where you live that feature different premiums. Medicare Advantage plans in Pinellas County have an average Medicare Star Rating of 4.31 in 2024.*. Plans rated four stars or higher are considered top-rated ...Aetna Medicare Assure Plus (HMO D‑SNP) H1609 ‑ 044. Here’s a summary of the services we cover from January 1, 2023 through December 31, 2023. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations?3.5 out of 5 stars* for plan year 2024. Aetna Medicare Premier (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H1609-001-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Aetna Medicare Assure Plus (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H1609-045-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. Florida Medicare beneficiaries may want to consider reviewing their Medicare …Advertisement All of the legwork in gathering facts and evidence for a case is known as "discovery." While each court may have different discovery rules, the basics are the same. D...2023 Evidence of Coverage for Aetna Medicare Assure Plus (HMO D-SNP) 1 January 1 – December 31, 2023 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescri

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 hereE-commerce companies are finding it tough to do business in Nigeria. This week, Konga, one of Nigeria’s pioneering e-commerce companies, said it will start charging merchants to li...To send a complaint to Aetna, call the Plan or the number on your member ID card. To send a complaint to Medicare, call 1‐800‐MEDICARE (TTY users should call 1‐877‐486‐2048), 24 hours a day/7 days a week. If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance.3.5 out of 5 stars* for plan year 2024. Aetna Medicare Assure (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H1609-017-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $37.70 Monthly Premium.A police scanner enables you to listen in on the conversations of law officials during the course of their daily or nightly routine. Police scanners can be adjusted to receive a nu...Get 2023 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 LLCAetna Medicare Select (HMO) 3.5 out of 5 stars* for plan year 2024. Aetna Medicare Select (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H1609-042-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.

3.5 out of 5 stars* for plan year 2024. UHC Complete Care AZ-001P (HMO-POS C-SNP) is a HMO-POS C-SNP Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0609-042-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Local HMO. Monthly Plan Premium. $27.90. Health Plan Deductible. $0.00. Prescription Drug Plan Deductible. $545.00. Monthly Drug Premium *Included in Monthly Plan Premium. $27.90.Plan ID: H1609-047. Have Medicare questions? Talk to a licensed agent today to find a plan that fits your needs. Get Medicare Help $ 35.90. Monthly Premium. Aetna Medicare Assure Plus (HMO D-SNP) is a HMO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H1609-047.The table below outlines some of the specific plan details for Aetna Inc. Medicare Advantage plans available in Florida in 2024. Plan Name. Plan Code. Monthly Premium. Deductible. …

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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 hereH1609 - 042 - 0 Click to see other plans: Member Services: 1-833-570-6670 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.2022 Medicare Advantage Plan Benefits explained in plain text. Plain text explanation available for any plan in any state. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, IncThe average monthly premium for Medicare Advantage plans in Pasco is $7.64 per month in 2024, though there may be plans available where you live that feature different premiums. Medicare Advantage plans in Pasco County have an average Medicare Star Rating of 4.32 in 2024.*. Plans rated four stars or higher are considered top-rated Medicare plans.Compare our plan to Medicare. To learn more about the coverage and costs of Original Medicare, look in your “Medicare & You” handbook. View it online at www.medicare.gov or get a copy by calling 1‐800‐MEDICARE (1‐800‐633‐4227), 24 hours a day, 7 days a week. TTY users should call 1‐877‐486‐2048.

PK !¾bäs£ [Content_Types].xml ¢ ( ÄUKOã0 ¾¯Ä ˆ|]5na…V¨i ° öêÆÓƪ_òL¡ý÷;q¡Z¡RˆRÁ%QbÏ÷˜ {ÆÓµ³Å $4ÁWbT E ¾ ÚøE% ® ¿E ¤¼V6x¨Ä PL''?Æ › Xp´ÇJ4DñBJ¬ p Ë ÁóÊ$§ˆ?ÓBFU/Õ äépx.ëà ¨Å “ñ ÌÕÊRñgÍ¿·JfÆ‹âr»¯¥ª„ŠÑšZ •O^¿! „ùÜÔ C½r ]bL 46äl “aÆt Dl …ÜË™Àb7Ò W%Gfaؘˆ?Ùú; íÊû®^ân¹ Éh(îT ... 2023 Evidence of Coverage for Aetna Medicare Assure Plus (HMO D-SNP) 1 January 1 – December 31, 2023 Evidence of Coverage: Your Medicare Health Benefits and Services and PrescriLearn more about your plan. Watch this quick video to find out more about the benefits, programs and services your plan offers.3.5 out of 5 stars* for plan year 2024. UHC Complete Care AZ-001P (HMO-POS C-SNP) is a HMO-POS C-SNP Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0609-042-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Beneficio Sus costos en nuestro plan. Aetna Medicare Assure Plus (HMO D-SNP) | H1609-044 16 Resumen de beneficios para 2024 de H1609-044. Acupuntura $0 para la atención cubierta por Medicare $0 para la atención de rutina La cobertura de Medicare se limita a los servicios para tratar el dolor crónico en la zona lumbar. SunFireMatrixH1609 - 040 - 0 Click to see other plans: Member Services: 1-866-409-1221 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.The average monthly premium for Medicare Advantage plans in Pinellas is $7.55 per month in 2024, though there may be plans available where you live that feature different premiums. Medicare Advantage plans in Pinellas County have an average Medicare Star Rating of 4.31 in 2024.*. Plans rated four stars or higher are considered top-rated ...Aetna Medicare Select (HMO) 4 out of 5 stars. Aetna Medicare Select (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H1609-034. …The Window Pane Quilt Pattern resembles a full-size stained glass window. Download the free quilt pattern for your nextQuilting project. Advertisement The Window Pane Quilt Pattern...Y0001_H1609_041_HP36_SB24_M. 2024 Summary of Benefits. Aetna Medicare Select (HMO) H1609 ‐ 041. 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.

Resumen de beneficios 1. 2023-H1609.044.2. H1609-044 . Aetna Medicare Assure (HMO D-SNP) H1609 - 044. Este es un resumen de los servicios que cubriremos desde el 1 de enero de 2023 hasta el 31 de diciembre de 2023. Recuerde: Este es solo un resumen.

3.5 out of 5 stars* for plan year 2024. Aetna Medicare Value Plus (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H1609-068-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $34.00 Monthly Premium.Easy access for dollies, carts and hand trucks. Compatible Floor Scales: 5 x 5 x 4 5,000 lbs. Standard and All-Weather 5 x 5 x 4 10,000 lbs. Standard and All-Weather 5 x 7 x 4 5,000 lbs. Standard 5 x 7 x 4 10,000 lbs. Standard ULINE offers over 41,000 boxes, plastic poly bags, mailing tubes, warehouse supplies and bubble wrap for your storage, …Call OTC Health Solutions at 1-833-331-1573 (TTY: 711). You can speak with an agent 9 AM to 8 PM local time, Monday through Friday. Order a catalog. Call Member Services to order a printed copy of your OTC catalog or call the number on your Aetna member ID card. Contact Member Services.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 hereSep 13, 2023 · To send a complaint to Aetna, call the Plan or the number on your member ID card. To send a complaint to Medicare, call 1‐800‐MEDICARE (TTY users should call 1‐877‐486‐2048), 24 hours a day/7 days a week. If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance. Coinsurance for Prosthodontics, Other Oral/Maxillofacial Surgery, Other Services 0% to 50%. Maximum 1 visit (Please see Evidence of Coverage for details) Maximum Plan Benefit of $2500.00 every year for Preventive and Non-Medicare Covered Comprehensive combined. Prior Authorization Required for Comprehensive Dental.Aetna Medicare Assure Plus (HMO D-SNP) | H1609-044 8 2024 Summary of Benefits for H1609-044. Vision services Benefit Your costs in our plan Diagnostic eye exam (includes diabetic eye exams) $0 Glaucoma screening $0 Routine eye exam $0 Our plan covers one exam every year when obtained from an in‑network provider.

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SunFireMatrix Basic Costs and Coverage. $0 - $85 per day, days 1-5; $0 per day, days 6-90 based on level of Medicaid eligibility. For more information see Evidence of Coverage. $0 - $135 based on level of Medicaid eligibility. If you are admitted to the hospital within 24 hours your cost share may be waived. Looking for free stickers? Whatever your reason is, here is a huge list of companies that will send you stickers for freee Home Save Money You might be surprised to learn that all...Looking for free stickers? Whatever your reason is, here is a huge list of companies that will send you stickers for freee Home Save Money You might be surprised to learn that all...H9431:019-0 Aetna Medicare SmartFit Plan (PPO) R6694:003-0 Aetna Medicare Premier Plus 1 (Regional PPO) R6694:005-0 Aetna Medicare Premier Plus 2 (Regional PPO) R6694:006-0 Aetna Medicare Premier (Regional PPO) Compare the 626 Medicare Advantage plans available from Aetna through Alight Retiree Health Solutions. The Aetna Medicare Assure Plus (HMO D-SNP) (H1609 - 044) currently has 1,884 members. There are 1,055 members enrolled in this plan in Hillsborough, Florida. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4.5 stars. The detail CMS plan carrier ratings are as follows: Y0001_H1609_016_HP24_SB24_M. 2024 Summary of Benefits. Aetna Medicare Select (HMO) H1609 ‐ 016. 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.H1609: 044: $38: $0: ... H1609: 019: $38: $0: $3,850: Yes: 4 out of 5: Cigna Medicare Plans in Pasco County, FL. The following table includes cost information and other plan details for Cigna private Medicare plans available in Florida in 2024. Scroll to the right to continue reading the chart. Plan NameLocal HMO. Monthly Plan Premium. $32.50. Health Plan Deductible. $0.00. Prescription Drug Plan Deductible. $545.00. Monthly Drug Premium *Included in Monthly Plan Premium. $32.50.Aetna Medicare Premier (HMO-POS) | H1609-001 | $0 Y0001_H1609_001_HQ38_SB22_M Aetna Medicare Premier (HMO-POS) is an HMO plan. This is a Medicare Advantage … ….

Asciminib: learn about side effects, dosage, special precautions, and more on MedlinePlus Asciminib is used to treat a certain type of chronic myeloid leukemia (CML; a type of canc...Aetna Medicare Assure Plus (HMO D-SNP) | H1609-046 2024 Summary of Benefits for H1609-046 7. Hearing services Benefit Your costs in our plan Diagnostic hearing exam $0 Routine hearing exam $0 You get one routine hearing exam every year with a provider in the NationsHearing network. Hearing aids You get an annual benefit amount (allowance) up to ...The most you pay for copays, coinsurance and other costs for medical services for the year. Once you reach the maximum out‐of‐pocket, our plan pays 100% of covered medical services. Your premium and prescription drugs don’t count toward the maximum out‐of‐pocket. $250 per day, days 1‐7; $0 per day, days 8‐90.4 out of 5 stars. Aetna Medicare Assure Plus (HMO D-SNP) is a HMO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H1609-044. Have Medicare …To send a complaint to Aetna, call the Plan or the number on your member ID card. To send a complaint to Medicare, call 1‐800‐MEDICARE (TTY users should call 1‐877‐486‐2048), 24 hours a day/7 days a week. If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance.Companies that offer Florida Insurance Company Medicare Advantage with Part D. Aetna Medicare. Align Senior Care. Alignment Health Plan. AmeriHealth Caritas VIP Care (HMO-D-SNP) American Health ...According to the National Health Service, an average person burns around 0.044 calories per step when walking briskly or 44 calories for each 10 minutes of brisk walking (around 1,...Resumen de beneficios 1. 2023-H1609.044.2. H1609-044 . Aetna Medicare Assure (HMO D-SNP) H1609 - 044. Este es un resumen de los servicios que cubriremos desde el 1 de enero de 2023 hasta el 31 de diciembre de 2023. Recuerde: Este es solo un resumen.2022 Medicare Advantage Plan Benefits explained in plain text. Plain text explanation available for any plan in any state. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, Inc H1609-044, Compare our plan to Medicare. To learn more about the coverage and costs of Original Medicare, look in your “Medicare & You” handbook. View it online at www.medicare.gov or get a copy by calling 1‐800‐MEDICARE (1‐800‐633‐4227), 24 hours a day, 7 days a week. TTY users should call 1‐877‐486‐2048., The Confidante Miami Beach, part of The Unbound Collection by Hyatt, is a great hotel for award stays. Here is everything you need to know! We may be compensated when you click on ..., 3.5 out of 5 stars* for plan year 2024. Aetna Medicare Value Plus (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H1609-068-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $34.00 Monthly Premium., Local HMO. Monthly Plan Premium. $32.50. Health Plan Deductible. $0.00. Prescription Drug Plan Deductible. $545.00. Monthly Drug Premium *Included in Monthly Plan Premium. $32.50., Aetna Medicare Assure Plus (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H1609-049-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $37.70 Monthly Premium. Florida Medicare beneficiaries may want to consider …, The most you pay for copays, coinsurance and other costs for medical services for the year. Once you reach the maximum out‐of‐pocket, our plan pays 100% of covered medical services. Your premium and prescription drugs don’t count toward the maximum out‐of‐pocket. $250 per day, days 1‐7; $0 per day, days 8‐90., Y0001_H1609_016_HP24_SB24_M. 2024 Summary of Benefits. Aetna Medicare Select (HMO) H1609 ‐ 016. 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 Assure Plus (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H1609-046-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $27.90 Monthly Premium. Florida Medicare beneficiaries may want to consider reviewing ... , Simple Cooking with Heart brings you this nutritious and delicious way to get in some of your vegetable servings! Average Rating: Simple Cooking with Heart brings you this nutritio..., H9431:019-0 Aetna Medicare SmartFit Plan (PPO) R6694:003-0 Aetna Medicare Premier Plus 1 (Regional PPO) R6694:005-0 Aetna Medicare Premier Plus 2 (Regional PPO) R6694:006-0 Aetna Medicare Premier (Regional PPO) Compare the 626 Medicare Advantage plans available from Aetna through Alight Retiree Health Solutions. , The Aetna Medicare Assure Plus (HMO D-SNP) (H1609 - 044) currently has 1,884 members. There are 1,055 members enrolled in this plan in Hillsborough, Florida. The …, Aetna Medicare Select (HMO) | H1609-027 | $0 2024 Summary of Benefits for H1609-027 7. Vision services Benefit Your costs in our plan Diagnostic eye exam (includes diabetic eye exams) $0 ‑ $10. $0 for diabetic eye exams $10 for all other Medicare‑covered eye exams Glaucoma screening $0 Routine eye exam $0 Our plan …, 2020 Aetna Medicare Assure Plus (HMO D-SNP) - H1609-044-0 in FL Plan Benefits Details, Local HMO. Monthly Plan Premium. $27.90. Health Plan Deductible. $0.00. Prescription Drug Plan Deductible. $545.00. Monthly Drug Premium *Included in Monthly Plan Premium. $27.90., 2023 Medicare Advantage Plan Benefits explained in plain text. Plain text explanation available for any plan in any state. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, Inc, Edmit's private student loan guarantee aims to offer some protection to students who borrow what the company considers an affordable amount. By clicking "TRY IT", I agree to receiv..., Plan Type. Local HMO. Monthly Plan Premium. $37.70. Health Plan Deductible. $0.00. Prescription Drug Plan Deductible. $545.00. Monthly Drug Premium *Included in Monthly Plan Premium., Aetna Medicare Assure Plus (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H1609-045-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $26.40 Monthly Premium. , Beneficio Sus costos en nuestro plan. Aetna Medicare Assure Plus (HMO D-SNP) | H1609-044 16 Resumen de beneficios para 2024 de H1609-044. Acupuntura $0 para la atención cubierta por Medicare $0 para la atención de rutina La cobertura de Medicare se limita a los servicios para tratar el dolor crónico en la zona lumbar. , Call OTC Health Solutions at 1-833-331-1573 (TTY: 711). You can speak with an agent 9 AM to 8 PM local time, Monday through Friday. Order a catalog. Call Member Services to order a printed copy of your OTC catalog or call the number on your Aetna member ID card. Contact Member Services., Aetna Medicare Assure Plus (HMO D-SNP) | H1609-046 2024 Summary of Benefits for H1609-046 7. Hearing services Benefit Your costs in our plan Diagnostic hearing exam $0 Routine hearing exam $0 You get one routine hearing exam every year with a provider in the NationsHearing network. Hearing aids You get an annual benefit amount (allowance) up to ..., Oct 15, 2023 · Y0001_H1609_044_DS07_EOC24_C OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2024 Evidence of Coverage: Your Medicare Health Benefits ... , Call OTC Health Solutions at 1-833-331-1573 (TTY: 711). You can speak with an agent 9 AM to 8 PM local time, Monday through Friday. Order a catalog. Call Member Services to order a printed copy of your OTC catalog or call the number on your Aetna member ID card. Contact Member Services., Aetna Medicare Premier (HMO-POS) | H1609-001 | $0 Y0001_H1609_001_HQ38_SB22_M Aetna Medicare Premier (HMO-POS) is an HMO plan. This is a Medicare Advantage plan that covers prescription drugs. The benefit information provided is a summary of what we cover and what you pay. It does not list every service or every limitation and exclusion. , H1609 - 042 - 0 Click to see other plans: Member Services: 1-833-570-6670 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., Aetna Inc. Medicare Advantage Prescription Drug Plans in Florida. The table below outlines some of the specific plan details for Aetna Inc. Medicare Advantage prescription drug plans available in Florida in 2024. Learn more about the Aetna Inc. Medicare Advantage plans available in Florida, including star ratings, average premiums, and more. , Aetna Medicare Assure Plus (HMO D-SNP) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $0.00. Copayment for Routine Care $0.00. Maximum 12 Routine Care every year., 2023 Medicare Advantage Plan Benefits explained in plain text. Plain text explanation available for any plan in any state. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, Inc, Aetna Medicare Assure Plus (HMO D-SNP) | H1609-045 2024 Summary of Benefits for H1609-045 7. Hearing services Benefit Your costs in our plan Diagnostic hearing exam $0 Routine hearing exam $0 You get one routine hearing exam every year with a provider in the NationsHearing network. Hearing aids You get an annual benefit amount (allowance) up to ..., H1609-044-0 Aetna Medicare Assure Plus (HMO D-SNP) plan information last updated December 22, 2023. Company: Aetna Medicare Plan enrollment: 5,473 Total monthly premium: $0 Max annual payment: No Maximum Payment Plan link on Medicare.gov: Plan on Medicare.gov Plan website: www.aetnamedicare.com Plan member phone number: …, Plan Type. Local HMO. Monthly Plan Premium. $37.70. Health Plan Deductible. $0.00. Prescription Drug Plan Deductible. $545.00. Monthly Drug Premium *Included in Monthly Plan Premium. , Local HMO. Monthly Plan Premium. $37.70. Health Plan Deductible. $0.00. Prescription Drug Plan Deductible. $545.00. Monthly Drug Premium *Included in Monthly Plan Premium. $37.70., Copayment for Urgent Care $50.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Emergency Room Visit. $120 If you are admitted to the hospital within 0 hours your cost share may be waived, for more information see the Evidence of Coverage. Ambulance Transportation. $350.