HMO-POS plans generally offer you more choice than traditional health maintenance organization (HMO) plans. You typically choose an in-network primary care physician and most of our HMO-POS plans require you to use a participating provider for medical care. Most of our HMO-POS plans provide you with flexibility to go to licensed dentists either in or out of our network for routine dental care. However, you may pay more for out-of-network care you receive.
Our HMO-POS plans | Our HMO plans | Our PPO plans | |
---|---|---|---|
Requires you to use a provider network | Varies by plan. Seeing out-of-network providers generally costs more. But most allow non-network dental providers. | Yes, unless it's an emergency | No. But seeing out-of-network providers generally costs more. |
Requires you to have a primary care physician (PCP) | Yes, in many plans | Yes, in many plans | Usually no PCP required |
Requires referral to see a specialist | Some plans | Some plans | No referral required |
Monthly premiums | Varies by plan, check your ZIP code for details | Varies by plan, check your ZIP code for details | Varies by plan, check your ZIP code for details |
Medical deductible | Varies by plan, check your ZIP code for details | Varies by plan, check your ZIP code for details | Varies by plan, check your ZIP code for details |
Limits what you pay out-of-pocket for medical care each year | Yes | Yes | Yes |
Includes prescription drug (Rx) coverage | Yes, in most plans | Yes, in most plans | Yes, in most plans |
Includes Rx mail-order benefit | Yes, if plan has Rx coverage | Yes, if plan has Rx coverage | Yes, if plan has Rx coverage |
Dental, vision and hearing coverage | Yes, in most plans | Yes, in most plans | Yes, in most plans |
ER and urgent care coverage worldwide | Yes | Yes | Yes |
Fitness benefit | Yes, through SilverSneakers® | Yes, through SilverSneakers® | Yes, through SilverSneakers® |
Over-the-counter (OTC) benefit | Yes, in many plans | Yes, in many plans | Yes, in many plans |
Meals-at-home program | Yes, in most plans | Yes, in many plans | Yes, in most plans |
In addition to HMO-POS plans, Aetna offers you other Medicare Advantage plan options — some with a $0 monthly plan premium. We can help you find a plan that’s right for you.
With many of our HMO plans, an in-network primary care physician coordinates the care you receive to help you achieve your best health.
Learn about HMO plans
With our preferred provider organization (PPO) plans, you can visit providers, in or out of network, who accept Medicare and Aetna’s plan terms. The freedom is yours.
Learn about PPO plans
Our dual-eligible Special Needs Plan (D-SNP) is a type of Medicare Advantage plan, available to people who have both Medicare and Medicaid. We can help you find out if you qualify.
Learn about D-SNPs
These 4 Simple Actions May Deliver Big Payoffs for Mens HealthIts been 12 months since the last Mens Health Month. Have you seen your doctor?June is a great time to make an appointment for a physical with your primary care provider, and its also an ideal month to educate yourself about some of the issues that impact mens health. For example, did you know that men tend to die five years earlier, on average, than women? Or that men face higher risks for health conditions such as lung cancer, heart disease and HIV? And theyre also at risk for sex-specific cancers, including prostate cancer and testicular cancer (learn about those facts and more via the Office of Disease Prevention and Health Promotion).There are many simple actions men can take to benefit their health, this month and every month. Here are four ways to get started.Tip 1If you dont have a primary care doctor, select one. Establishing a relationship with a doctor is important. That person can help you feel better when youre sick, and they can offer advice on how to feel and stay your healthiest. And yet, according to a survey by the Cleveland Clinic, many men arent taking actions to stay healthy. Nearly two in five Gen Z men dont have a primary care provider (PCP). And when it comes to annual physicals, just 32% of millennials and Gen Z men get them, compared to 61% of Gen X and Baby Boomers. A primary care doctor can test your cholesterol and blood pressure, keep you up-to-date on immunizations and advise you on which screenings you need. A PCP visit is like a one-stop shop for your health!Tip 2If youre worried about your mental health, talk to a professional. Its tough to ask for help, and the statistics show that men, in particular, struggle when it comes to addressing their mental health challenges. According to the Anxiety and Depression Association of America, nearly one in 10 men experience some sort of anxiety or depression, but fewer than half seek treatment. If you find that youre feeling unhappy or irritable, and youre avoiding or not getting pleasure from activities you usually enjoy, talk to your doctor or connect with a therapist and share the way youre feeling. They may be able to help.Tip 3Strengthen your support system. Research shows that social connections are important for your mental and physical health; in fact, people with strong social connections may actually live longer. Prioritize connecting with old friends and open your mind to ways to meet new ones. Itll be good for all involved!Tip 4Practice good health habits. There are everyday actions you can take that are known to be good for your health. Those include regular exercise (aim for 30 minutes of movement, five times a week); eating a healthy diet filled with lean proteins, whole grains and lots of fresh fruits and vegetables; finding outlets to manage your stress, such as yoga or deep breathing; getting enough sleep; quitting tobacco; and moderating how much alcohol you drink (the US guidelines recommend two drinks a day or less for men and one a day or less for women).Making healthy choices isnt hard, but you may need to adjust to some changes in your routine. Before long, those healthy choices may make you feel good enough that you wouldnt want to choose any other way.Contact Blue Cross Blue Shield of Alabama located in Mobile at 251-344-2115.
Understanding the financial aspects of home care is crucial for many families. Its about knowing your options, who to talk to, and where to begin. At Amazing Care, were here to help you navigate through the maze of home care payment options, ensuring you make informed decisions regarding paying for home care services.Home care, an essential service for many, can sometimes be a financial burden. However, with the right information and resources, you can find ways to manage these costs effectively. Amazing Care offers several payment options to alleviate this burden.Medicaid: A viable option for those who meet certain income and health requirements. Amazing Care accepts Medicaid for qualifying services, providing a lifeline for many in need of home care without the financial means to afford it out-of-pocket. For more detailed information on how you can utilize Medicaid for services at Amazing Care, visit our Medicaid payment options page.Medicare: Typically, Medicare covers medically necessary home health care services. If you or your loved one is a Medicare beneficiary, you might be eligible for coverage of Amazing Cares services. This includes nursing care, physical therapy, and more under certain conditions outlined by Medicare guidelines. To understand how Medicare can help cover your home care needs with Amazing Care, check out Amazing Cares Medicare guide.Private Insurance: Home care covered by insurance is available, and many private health insurance policies include home care services. Coverage details can vary widely, so its essential to contact your insurance provider to understand the specifics of your policy. Amazing Care works with numerous private insurance plans, assisting you in maximizing your benefits. For insights on navigating private insurance with Amazing Care, visit our private insurance payment options page.Starting this journey can be overwhelming, but youre not alone. The first step is to contact Amazing Care to discuss your needs and payment options. Our team is dedicated to guiding you through the process, ensuring you access the care you need without undue financial stress. By exploring Medicaid, Medicare, and private insurance options, youll find a path to covering the costs of home care. Questions, please contact us at 303-755-3170.
Becoming eligible for Medicare is a significant milestone in your life. Whether you are newly turning 65 or approaching eligibility due to disability, understanding your Medicare options can feel overwhelming. With multiple parts, plans, and enrollment periods, making the right choice is essential to protect your health and finances.Thats where Inman Medical Insurance Services steps in helping Medicare-eligible individuals and their families navigate the complex landscape of Medicare insurance with clarity, confidence, and care.Understanding Medicare: A Quick OverviewMedicare is the federal health insurance program for people 65 and older, younger individuals with certain disabilities, and those with End-Stage Renal Disease (ESRD). It consists of several parts: Medicare Part A (Hospital Insurance) covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care. Medicare Part B (Medical Insurance) covers outpatient services like doctor visits, preventive care, and some home health services. Medicare Part C (Medicare Advantage) plans are offered by private companies approved by Medicare and include Part A and B benefits, often with added perks. Medicare Part D (Prescription Drug Coverage) helps cover the cost of medications through private plans. Choosing the right combination of these parts depends on your health needs, budget, and preferences.Why Professional Guidance Matters When Choosing Medicare PlansMedicare is not a one-size-fits-all program. With dozens of Medicare Advantage and Part D plans available in many areas, it can be challenging to understand differences in coverage, premiums, deductibles, copays, and provider networks. Making an uninformed decision could mean paying more than necessary or missing coverage for services you need.Inman Medical Insurance Services offers personalized Medicare consulting to ensure you: Understand your Medicare benefits and options Identify plans that best fit your health needs and financial situation Avoid costly penalties by enrolling during the correct periods Navigate changes to your Medicare coverage over time This professional guidance saves time, reduces confusion, and empowers you to make decisions with peace of mind.Services Offered by Inman Medical Insurance ServicesAt Inman Medical Insurance Services, youll find a trusted partner with a deep knowledge of Medicare plans and regulations. Their services include:1. Medicare Eligibility CounselingIf youre turning 65 or recently became eligible due to disability, the team helps you understand when and how to enroll in Medicare, including your initial enrollment period and special circumstances.2. Medicare Plan Comparison and EnrollmentThey analyze available Medicare Advantage, Medigap (Medicare Supplement Insurance), and Part D prescription drug plans in your area. By comparing costs, coverage, and provider networks, they help you select a plan that fits your unique needs.3. Annual Medicare Review and Plan OptimizationMedicare plans can change year to year. Inman Medical Insurance Services offers yearly reviews during the open enrollment period (October 15 December 7) to ensure your plan remains the best option, or help you switch plans if needed.4. Assistance with Medicare Appeals and ClaimsIf you encounter coverage denials or billing issues, their experts assist with navigating appeals and resolving Medicare claims, reducing stress and ensuring your rights are protected.5. Education on Medicare Savings Programs and Financial AssistanceMany Medicare-eligible individuals qualify for programs that reduce costs, such as Medicaid, Extra Help, or state pharmaceutical assistance programs. The team helps you identify and apply for these valuable benefits.Who Can Benefit Most from Inman Medical Insurance Services? Newly Medicare-eligible individuals who want to start their coverage on the right foot. Current Medicare beneficiaries seeking to optimize their plan or save money. Caregivers or family members assisting loved ones with Medicare decisions. Anyone feeling overwhelmed by Medicare's complexity and needing personalized support. Why Choose Inman Medical Insurance Services? Experienced Medicare Specialists: Knowledgeable in local and national Medicare regulations. Personalized Service: Tailored recommendations based on your health, budget, and goals. Trusted Advisor: Committed to education, transparency, and ethical guidance. Local Presence: Familiar with regional plan options and resources in Pennsylvania. Ongoing Support: Available year-round for questions, enrollment, and plan changes. Medicare FAQs Answered by Inman Medical Insurance ServicesQ: When should I sign up for Medicare? A: Your Initial Enrollment Period begins three months before your 65th birthday, includes the month you turn 65, and ends three months after. Signing up during this window avoids late enrollment penalties.Q: Whats the difference between Medicare Advantage and Medigap? A: Medicare Advantage (Part C) plans are all-in-one coverage offered by private companies and often include extra benefits like vision or dental. Medigap plans supplement Original Medicare by covering out-of-pocket costs.Q: Can I change my Medicare plan every year? A: Yes. During the Annual Enrollment Period (Oct 15 Dec 7), you can switch Medicare Advantage plans or Part D prescription drug plans.Q: How can I reduce my Medicare costs? A: Programs like Medicaid, Extra Help for prescription drugs, and Medicare Savings Programs can lower premiums and out-of-pocket costs. Inman Medical Insurance Services helps you find and apply for these.Take the Next Step Toward Medicare ConfidenceNavigating Medicare can be complicated, but you dont have to do it alone. Let Inman Medical Insurance Services guide you through the process with clarity and confidence. Their expert support ensures you select the right plan for your needs and budget, now and in the years ahead. For personalized Medicare help and a no-obligation consultation, call us today at 724-306- 8802. 6-8802