In-Network Cost
Aetna Medicare Choice (PPO)
Local PPO
Aetna
Monthly Premium
$0.00
Part C
$0.00
Part D
$0.00
Out-of-Pocket Max
$4,900.00
/yr
Key Benefits at a Glance
Dental Up to
$1,000
/yr
Vision
eyewear allowance
Hearing
/yr hearing aids
OTC
$45
/quarter credit
Transport
rides/year
Fitness
SilverSneakers
Meals After Hosp
{meal benefit}
Overall Rating
Part C Rating
Part D Rating
Where Is This Plan Available?
Available in
10
counties:
Also available in these cities:
Plan Benefits —
Copays & Cost Sharing
Benefit
Primary Care Visit
Specialist Visit
$20 copay
Emergency Room
$125 copay
Urgent Care
$45 copay
Hospital Inpatient (day 1-5)
Mental Health Outpatient
$240 copay
Telehealth
Preventive Visit
Drug Formulary Tiers
Tier
Drug Type
30-Day Retail
90-Day Mail
1
Generic drugs
$36
2
Preferred brand
24%
3
Standard brand
$6
4
Non-preferred
25%
5
Specialty drugs
Compare This Plan Side by Side
See all Carrier PlansMedicare Questions About
Medicare Advantage PPO
Plans
What is MOOP and why does it matter for Medicare?
Why do some Medicare Advantage plans have $0 premiums?
Which Medicare Advantage plans in Utah have the broadest networks?
If a plan says Intermountain is in-network, does that mean all Intermountain providers are covered?
Which Medicare Advantage plans include Intermountain hospitals?
Does Medicare Advantage require prior authorization, and for what services?
Understanding
Medicare Advantage PPO
A Medicare Advantage PPO lets you see any Medicare-approved doctor or specialist without a referral. You save money by staying in the plan's preferred network, but you still have coverage if you go out of network. PPOs are popular with people who travel frequently or want to keep a specific doctor who may not be in an HMO network.
HMO vs PPO — Which Is Right for You?
Not sure if this plan is right for you?
Peter Abilla is a licensed Utah Medicare agent. He can walk you through this plan's costs, coverage, and whether your doctors are in-network.