Click on the button below to read the Summary of Benefits:
Please contact one of our agents
at:
Pellegrini and Associates
8433 N. Black Canyon Hwy
Ste. 110
Phoenix,
AZ 85021
Phoenix: 602-368-4422
West Valley: 623-581-2204
Toll
Free: 1-866-731-6112
Fax: 623-972-2205
Welcome to Aetna Medicare
Advantage Plans. As a Medicare beneficiary, you can choose from different Medicare
Advantage options such as HMO, PPO and PFFS. The summary of benefits will outline
the plan details.
- Health
Maintenance Organizations (HMO) - This type of plan uses a provider network
of contracted doctor and hospitals for services. They require you to choose a
primary care physician (PCP) and that doctor will provide referrals to specialists.
Many will include part D drug coverage as well. The plan will have co-pays for
most services. The plans offer urgent and emergent care when out of your service
area while traveling.
- Preferred Provider Organizations
(PPO) - This type of plan uses a provider network of contracted doctor and
hospitals for services. You are not required to choose a Primary Care Physician
and may go to any doctor in the network with or without a referral. Many of these
plans will include part D drug coverage. The plan will have co-pays for most services.
The plans offer urgent and emergent care when out of your service area while traveling.
- Private
Fee for Service (PFFS) -This type of plan does not use a provider network
and you may access any doctor or hospital. The doctor or hospital MUST be willing
to except the terms and conditions of the insurance carrier. They should not render
services if they do not except the plan except in emergency situations. The plan
will have co-pays for most services. The plans may include part D drug coverage.
The plans offer urgent and emergent care when out of your service area while traveling.
Please
contact a representative for more information.
*Medicare
Advantage plans have specific enrollment periods and may not be available in all
counties.
