|
Aetna Medicare Select Care (HMO)
|
H1609-093 |
$0 |
$0 |
$2,900 |
Yes |
|
|
Aetna Medicare Eagle Giveback (PPO) H5521-306
|
H5521-306 |
$0 |
N/A |
$7,150 |
No |
|
|
Aetna Medicare Full Dual Select (HMO D-SNP) H1609-077
|
H1609-077 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Select (HMO)
|
H1609-027 |
$0 |
$0 |
$3,900 |
Yes |
|
|
Aetna Medicare Signature Legacy (PPO) H5521-270
|
H5521-270 |
$0 |
$700 |
$7,150 |
Yes |
|
|
Aetna Medicare Full Dual Select (HMO D-SNP) H1609-089
|
H1609-089 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Partial Dual Select (HMO D-SNP)
|
H1609-105 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Select (HMO)
|
H1609-020 |
$0 |
$0 |
$3,400 |
Yes |
|
|
Aetna Medicare Chronic Care (HMO C-SNP)
|
H1609-099 |
$0 |
$300 |
$3,900 |
Yes |
|
|
Aetna Medicare Chronic Care (HMO C-SNP)
|
H1609-080 |
$0 |
$0 |
$3,900 |
Yes |
|
|
Aetna Medicare Signature (PPO) H5521-435
|
H5521-435 |
$0 |
$700 |
$7,150 |
Yes |
|
|
Aetna Medicare Partial Dual Select (HMO D-SNP)
|
H1609-062 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Full Dual Select (HMO D-SNP) H1609-074
|
H1609-074 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Full Dual Select (HMO D-SNP) H1609-075
|
H1609-075 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Signature (PPO) H5521-705
|
H5521-705 |
$0 |
$700 |
$7,150 |
Yes |
|
|
Aetna Medicare Premier (PPO) H5521-706
|
H5521-706 |
$100 |
$700 |
$7,150 |
Yes |
|
|
Aetna Medicare Partial Dual Select (HMO D-SNP)
|
H1609-103 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Select (HMO)
|
H1609-059 |
$0 |
$200 |
$3,900 |
Yes |
|
|
Aetna Medicare Select Extra (HMO)
|
H1609-100 |
$0 |
$200 |
$2,900 |
Yes |
|
|
Aetna Medicare QMB Only Select (HMO D-SNP) H1609-043
|
H1609-043 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Partial Dual Select (HMO D-SNP)
|
H1609-055 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Select (HMO)
|
H1609-063 |
$0 |
$200 |
$3,900 |
Yes |
|
|
Aetna Medicare Signature Legacy (PPO) H5521-272
|
H5521-272 |
$0 |
$700 |
$5,500 |
Yes |
|
|
Aetna Medicare Partial Dual Select (HMO D-SNP)
|
H1609-047 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare QMB Only Select (HMO D-SNP) H1609-044
|
H1609-044 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Chronic Care (HMO C-SNP)
|
H1609-094 |
$0 |
$0 |
$3,900 |
Yes |
|
|
Aetna Medicare Chronic Care (HMO C-SNP)
|
H1609-101 |
$0 |
$300 |
$3,900 |
Yes |
|
|
Aetna Medicare QMB Only Select (HMO D-SNP) H1609-048
|
H1609-048 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Chronic Care (HMO C-SNP)
|
H1609-084 |
$0 |
$300 |
$3,900 |
Yes |
|
|
Aetna Medicare Select (HMO)
|
H1609-021 |
$0 |
$200 |
$3,900 |
Yes |
|
|
Aetna Medicare Signature (PPO) H5521-710
|
H5521-710 |
$0 |
$700 |
$7,150 |
Yes |
|
|
Aetna Medicare Chronic Care (HMO C-SNP)
|
H1609-081 |
$0 |
$0 |
$3,400 |
Yes |
|
|
Aetna Medicare Signature (PPO) H5521-033
|
H5521-033 |
$0 |
$700 |
$7,150 |
Yes |
|
|
Aetna Medicare Signature (PPO) H5521-702
|
H5521-702 |
$0 |
$700 |
$7,150 |
Yes |
|
|
Aetna Medicare Full Dual Select (HMO D-SNP) H1609-090
|
H1609-090 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Partial Dual Select (HMO D-SNP)
|
H1609-064 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Select (HMO)
|
H1609-025 |
$0 |
$0 |
$3,400 |
Yes |
|
|
Aetna Medicare Signature Legacy (PPO) H5521-271
|
H5521-271 |
$0 |
$700 |
$5,900 |
Yes |
|
|
Aetna Medicare Full Dual Select (HMO D-SNP) H1609-092
|
H1609-092 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Partial Dual Select (HMO D-SNP)
|
H1609-045 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Signature Legacy (PPO) H5521-305
|
H5521-305 |
$0 |
$700 |
$7,150 |
Yes |
|
|
Aetna Medicare Select (HMO)
|
H1609-018 |
$0 |
$0 |
$2,900 |
Yes |
|
|
Aetna Medicare Signature Legacy (PPO) H5521-269
|
H5521-269 |
$0 |
$700 |
$6,750 |
Yes |
|
|
Aetna Medicare Chronic Care (HMO C-SNP)
|
H1609-102 |
$0 |
$300 |
$4,200 |
Yes |
|
|
Aetna Medicare Chronic Care (HMO C-SNP)
|
H1609-085 |
$0 |
$300 |
$4,200 |
Yes |
|
|
Aetna Medicare Select Extra (HMO-POS) H1609-028
|
H1609-028 |
$0 |
$700 |
$6,750 |
Yes |
|
|
Aetna Medicare Full Dual Select (HMO D-SNP) H1609-073
|
H1609-073 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Partial Dual Select (HMO D-SNP)
|
H1609-056 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Select (HMO)
|
H1609-087 |
$0 |
$200 |
$3,900 |
Yes |
|
|
Aetna Medicare Full Dual Select (HMO D-SNP) H1609-088
|
H1609-088 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Signature (PPO) H5521-569
|
H5521-569 |
$0 |
$700 |
$7,150 |
Yes |
|
|
Aetna Medicare Signature (PPO) H5521-433
|
H5521-433 |
$0 |
$700 |
$7,150 |
Yes |
|
|
Aetna Medicare Select (HMO)
|
H1609-041 |
$0 |
$200 |
$3,900 |
Yes |
|
|
Aetna Medicare Signature Extra (PPO) H5521-434
|
H5521-434 |
$0 |
$700 |
$7,150 |
Yes |
|
|
Aetna Medicare Partial Dual Select (HMO D-SNP)
|
H1609-104 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Chronic Care (HMO C-SNP)
|
H1609-082 |
$0 |
$300 |
$3,900 |
Yes |
|
|
Aetna Medicare Full Dual Select (HMO D-SNP) H1609-078
|
H1609-078 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Chronic Care (HMO C-SNP)
|
H1609-098 |
$0 |
$300 |
$3,600 |
Yes |
|
|
Aetna Medicare Signature (PPO) H5521-439
|
H5521-439 |
$0 |
$700 |
$7,150 |
Yes |
|
|
Aetna Medicare Select (HMO)
|
H1609-086 |
$0 |
$200 |
$3,900 |
Yes |
|
|
Aetna Medicare Partial Dual Select (HMO D-SNP)
|
H1609-046 |
$0 |
$700 |
$9,850 |
Yes |
|
|
Aetna Medicare Full Dual Select (HMO D-SNP) H1609-079
|
H1609-079 |
$0 |
$700 |
$9,850 |
Yes |
|