H3959 035

Medicare-Medicaid Dual Eligible (D-SNP) $0 /mo. monthly premium. Aetna Medicare Advantra Cares (HMO D-SNP) Additional Coverage. Overall Star Rating (2023) Rx. Dental. Vision.

H3959 035. The average monthly premium for Medicare Advantage plans in York is $26.48 per month in 2023, though there may be plans available where you live that feature different premiums. Medicare Advantage plans in York County have an average Medicare Star Rating of 4.14 in 2023.*. Plans rated four stars or higher are considered top-rated Medicare plans.

The Aetna Medicare Advantra Cares (HMO D-SNP) (H3959 - 036) currently has 3,412 members. There are 97 members enrolled in this plan in Luzerne, Pennsylvania, and 3,711 members in Pennsylvania. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4.5 stars.

March to 10th April 2014 on a de facto basis. The successful planning and implementation of the census activities, followed by the timely release of the provisional results in August 2014, and now the main results in1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Cigna Preferred Medicare (HMO) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 (see Plan Premium Details below) Annual Deductible: $0.2019 Advantra Cares (HMO SNP) - H3959-035-0 in PA Plan Benefits DetailsCheck benefits. Medicare Advantage plans offer a wide variety of benefits such as dental, vision, and hearing coverage, concierge services, gym memberships and fitness benefits, and more.2022 Aetna Medicare Advantra Cares (HMO D-SNP) - H3959-035-0 in PA Star Rating Details2023-H3959.035.1 H3959-035 Aetna Medicare Advantra Cares (HMO D‑SNP) H3959 ‑ 035 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? Just visit

Enrolling in H3959-037-000 Medicare Advantage Plans in Pennsylvania Medicare beneficiaries from Pennsylvania may have access to Medicare Advantage plans from Aetna and other insurance companies. Get help comparing your local plan options by calling to speak with a licensed insurance agent who can help you find out if your doctor and ... 4.5 out of 5 stars. Aetna Medicare Advantra Premier (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.. Plan ID: H3959-033. $ 27.00. Monthly Premium.Plan ID: H3959-032. Aetna Medicare Advantra Premier (HMO-POS) H3959-032 Plan Details. 4.5 out of 5 stars. Aetna Medicare Advantra Premier (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.. Plan ID: H3959-032. $ 0.00. Monthly Premium. More Info Less info. Pennsylvania Counties Served. Crawford …Plan ID: H3959-010. Aetna Medicare Advantra Silver (HMO-POS) H3959-010 Plan Details. 4.5 out of 5 stars. Aetna Medicare Advantra Silver (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.. Plan ID: H3959-010. $ 0.00. Monthly Premium. More Info Less info. Pennsylvania Counties Served. Allegheny.Plan ID: H3959-033. Aetna Medicare Advantra Premier (HMO) H3959-033 Plan Details. 4.5 out of 5 stars. Aetna Medicare Advantra Premier (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.. Plan ID: H3959-033. $ 27.00. Monthly Premium. More Info Less info. Pennsylvania Counties Served. Bucks Chester …

H3959-035-000. 2023 Overall Rating. 4.5 out of 5 stars. Aetna Medicare | Local HMO. ... H3959-053-000. 2023 Overall Rating. 4.5 out of 5 stars. Aetna Medicare | Local HMO. Counties: Philadelphia.Aetna Medicare Advantra Cares (HMO D-SNP) – H3959-035-0: $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount: Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: …Please contact Medicare.gov or 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Aetna Medicare Advantra Gold (HMO) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 (see Plan Premium Details below) Annual ... H3959-053: Download: Aetna Medicare Advantra Eagle (HMO) 2023: H3959-057: Download: Aetna Medicare Advantra Cares (HMO D-SNP) 2023: H3959-035: Download: Aetna Medicare Advantra Premier Plus (PPO) 2023: H5522-014: Download: Aetna Medicare Advantra Premier (HMO) 2023: H3959-033: Download: Aetna Medicare Advantra Value (HMO) 2023: H3959-052: Download $6 ¤ 6wdqgdugv $xvwudold zzz vwdqgdugv ruj dx %$/² :$//6 *hqhudo 7kh h[srvhg frpsrqhqwv ri h[whuqdo zdoov vkdoo eh dv iroorzvPlan ID: H3959-032. Aetna Medicare Advantra Premier (HMO-POS) H3959-032 Plan Details. 4.5 out of 5 stars. Aetna Medicare Advantra Premier (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.. Plan ID: H3959-032. $ 0.00. Monthly Premium. More Info Less info. Pennsylvania Counties Served. Crawford …

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Maximum Plan Benefit of $20,000 every year for Preventive and Non-Medicare Covered Comprehensive combined. Comprehensive Dental: Copayment for Medicare-covered Benefits $30.00. Copayment for Diagnostic Services $0.00. Copayment for Restorative Services $0.00 to $525.00. Copayment for Endodontics $38.00 to $675.00.27 maj 2017 ... NL/H/3959/002-. 005/IB/002. Variazione IB-B.II.f.1.d: modifica delle ... 003/IB/035. Variazione IB-B.II.b.2.a: aggiunta di Actavis UK come.2023 Evidence of Coverage for Aetna Medicare Advantra Cares (HMO D-SNP) 1 January 1 – December 31, 2023 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of AetnaH3959 - 001 - 0 Click to see other plans: Member Services: 1-833-570-6670 TTY users 711 — Enrollment Options — Medicare Contact Information: Please contact Medicare.gov or 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048 or contact your local SHIP for assistance8 AM to 8 PM, 7 days a week AetnaMedicare.com Aetna Medicare Advantra Silver (HMO) | H3959-011 | $0 Y0001_H3959_011_HP83_SB22_M Compare our plan to Medicare To …

Ambulatory Surgical Center: $200 in-network / ASC Screening Colonoscopy Polyp Removal and Post-FIT: $0 in-network, for more information see Evidence of Coverage. Outpatient Substance Abuse Care. In-Network: Copayment for Medicare-covered Individual Sessions $45.00. Copayment for Medicare-covered Group Sessions $45.00. The Aetna Medicare Advantra Cares (HMO D-SNP) (H3959 - 036) currently has 17,821 members. There are 1,119 members enrolled in this plan in York, Pennsylvania, and 17,691 members in Pennsylvania. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4.5 stars. H3959-035 Monthly Plan Premium: $0 Rx deductible $0 Generic (including brand drugs treated as generic) $0 All other drugs $0 Aetna Medicare is a HMO, PPO plan with a Medicare contract. Our DSNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal.Plan ID: H3959-010. Aetna Medicare Advantra Silver (HMO-POS) H3959-010 Plan Details. 4.5 out of 5 stars. Aetna Medicare Advantra Silver (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.. Plan ID: H3959-010. $ 0.00. Monthly Premium. More Info Less info. Pennsylvania Counties Served. Allegheny.2022 Aetna Medicare Advantra Cares (HMO D-SNP) - H3959-035-0 in PA Star Rating DetailsPlan ID: H3959-052. Aetna Medicare Advantra Value (HMO) H3959-052 Plan Details. 4.5 out of 5 stars. Aetna Medicare Advantra Value (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.. Plan ID: H3959-052. $ 0.00. Monthly Premium. More Info Less info. Pennsylvania Counties Served. Bucks Chester Delaware …Please contact Medicare.gov or 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Aetna Medicare Advantra Gold (HMO) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 (see Plan Premium Details below) Annual ...The average monthly premium for Medicare Advantage plans in Bucks is $18.80 per month in 2023, though there may be plans available where you live that feature different premiums. Medicare Advantage plans in Bucks County have an average Medicare Star Rating of 3.76 in 2023.*. Plans rated four stars or higher are considered top-rated Medicare plans.Summary of Benefits 1 2023-H3959.035.1 H3959-035 Aetna Medicare Advantra Cares (HMO D‑SNP) H3959 ‑ 035 Here’s a summary of the services we cover …

Aetna Medicare Advantra Cares (HMO D-SNP) – H3959-035-0: $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount: Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: …

Aetna Medicare Advantra Cares (HMO D‐SNP) H3959 ‐ 035 PA (pdf). Download. Amerivantage Dual Coordination (HMO D-SNP) (pdf). Download. Amerivantage Dual Secure ...2022 Aetna Medicare Advantra Cares (HMO D-SNP) - H3959-035-0 in PA Star Rating Details This H3959-035 plan is a Medicare Advantage special needs plan offered by Aetna with the Plan ID: H3959-035-000. This plan offers all the same benefits of Medicare Plan A and Plan B as well as additional benefits that gives you more coverage.H3959 - 035 - 0 Click to see other plans: Member Services: 1-866-409-1221 TTY users 711 — Enrollment Options — Medicare Contact Information: Please contact Medicare.gov or 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048 or contact your local SHIP for assistanceCopayment for Hearing Aids $699.00 to $999.00. Maximum 2 Hearing Aids every year. Maximum Plan Benefit of $500.00 every year both ears combined for in and out of network services combined. You must see a TruHearing provider to use this benefit. Up to two TruHearing hearing aids every year (one per ear per year).Aetna Medicare Advantra Silver (HMO) | H3959-011 | $0 Y0001_H3959_011_HP83_SB22_M Aetna Medicare Advantra Silver (HMO) 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. It includes one-on-one coaching for caregivers via the telephone or virtually through a smart phone or computer using the program's digital application. Mental health inpatient care. $350 per day for days 1-5. $0 per day for days 6-90. Mental health outpatient care. Psychiatric-Individual: $0.

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The table below outlines some of the specific plan details for Aetna Inc. Medicare Advantage plans available in Pennsylvania in 2023. Plan Name. Plan Code. Monthly Premium. Deductible. Out of. Pocket Max. Prescription Drug Coverage. Medicare.2023-H3959.036.1 H3959-036 Aetna Medicare Advantra Cares (HMO D‑SNP) H3959 ‑ 036 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? Just visitJanuary 1 - December 31, 2024 EVIDENCE OF COVERAGE Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Cigna2020 Medicare Advantage Plan Details. Medicare Plan Name: Aetna Medicare Advantra Cares (HMO D-SNP) Location: Dauphin, Pennsylvania Click to see other locations. Plan ID: H3959 - 036 - 0 Click to see other plans. Member Services: 1-833-859-6031 TTY users 711.2023 Medicare Advantage Plan Benefit Details for the Aetna Medicare Advantra Cares (HMO D-SNP) - H3959-035- Q1Medicare ®, Q1Rx ®, and Q1Group ® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.2021 Medicare Advantage Plan Benefit Details for the Aetna Medicare Advantra Cares (HMO D-SNP) - H3959-035- This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.H3959. 066. Aetna Medicare Longevity Plan. (HMO I-SNP). PA. Total EPO Mandatory ... 035 Aetna Medicare Advantra Cares (HMO D-SNP). Total EPO Mandatory. $6,000.4.5 out of 5 stars. Aetna Medicare Advantra Premier (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc.. Plan ID: H3959-033. $ 27.00. Monthly Premium. ….

Aetna Medicare Advantra Gold (HMO-POS) | H3959-037 | $0 Y0001_H3959_037_HP86_SB22_M Aetna Medicare Advantra Gold (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 ...H3959 - 036 January 1, 2021 - December 31, 2021 H3959-036 1_A Y0001_H3959_036_DS10_SB21_M Aetna Medicare Advantra Cares (HMO D-SNP) | H3959-036 | $0 up to $27.30 Aetna Medicare Advantra Cares (HMO D-SNP) is a Dual Eligible Special Needs Plan (D-SNP) for Medicare beneficiaries who are also eligible for Medicaid. This is a Medicare AdvantageWe want to make sure you get the care you need. That’s why we encourage you to complete your annual health survey. Get started online: Take your health survey. Or call 1-866-409-1221 (TTY: 711) and press option 2 to reach a Health Survey Specialist. They’re available Monday to Friday, 8:30 AM to 5:00 PM local time.MyHumana. Pay my premium; Find a Doctor; Drug Pricing guide; Find a form; Secured link, user need to login with credentials View ID card; Secured link, user need to login with credentials View my claims; Secured link, user need to login with credentials Check coverage; Secured link, user need to login with credentials Refill a Prescription; Manage …2023 Medicare Advantage Plan Details. Medicare Plan Name: Cigna Preferred Medicare (HMO) Location: Adams, Pennsylvania Click to see other locations. Plan ID: H3949 - 035 - 0 Click to see other plans. Member Services: 1-800-668-3813 TTY users 711.Average Cost of Medicare Advantage Plans in Erie County, Pennsylvania. Average Monthly Premium. $68.77. Average in-network out-of-pocket spending limit. $6,283.35. Average drug deductible in 2023 (weighted) $383.57. Percentage of plans rated 4 stars or higher. 61.6%.Cigna Preferred Medicare H3949-030, H3949-032, H3949-034, H3949-035 (HMO), Cigna Alliance Medicare H3949-031 (HMO), Cigna Achieve Medicare H3949-024 (HMO C-SNP),Aetna Medicare Advantra Cares (HMO D-SNP) is a Medicare Advantage (Part C) Special Needs Plan by Aetna Medicare. This page features plan details for 2023 Aetna Medicare Advantra Cares (HMO D-SNP) H3959 – 035 – 0 available in Southeastern Pennsylvania. IMPORTANT: This page has been updated with plan and premium data for 2023. H3959 035, This H3959-035 plan is a Medicare Advantage special needs plan offered by Aetna with the Plan ID: H3959-035-000. This plan offers all the same benefits of Medicare Plan A and Plan B as well as additional benefits that gives you more coverage. , Health Care Services and Medical Supplies. Aetna Medicare Advantra Cares (HMO D-SNP) covers a range of additional benefits. Learn more about Aetna Medicare Advantra Cares (HMO D-SNP) benefits, some of which may not be covered by Original Medicare (Part A and Part B). Coverage., 3 sty 2020 ... ... h3959, H39971, H399GBS, H3a19, H3AgD3jZ3, H3bw0k972, h3c40cyd9 ... N9jy035m, N9jZfR, N9k43, N9LEwA, n9lfmHDK, N9Nk1ZHtt, N9OC3Y, n9pu2931 ..., Aetna Medicare Advantra Premier (HMO-POS) 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 $10.00. Copayment for Routine Care $10.00. Maximum 12 Routine Care every year., Urgent care. Urgent Care: 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 24 hours your cost share may be waived, for more information see the Evidence of Coverage. Ambulance transportation., H3959-036 Aetna Plan Details: This H3959-036 plan is a Medicare Advantage special needs plan offered by Aetna with the Plan ID: H3959-036-000. This plan offers all the same benefits of Medicare Plan A and Plan B as well as additional benefits that gives you more coverage. Because of this some of the out-of-pocket costs and coverage might be ... , 2023 Evidence of Coverage for Aetna Medicare Advantra Cares (HMO D-SNP) 1 January 1 – December 31, 2023 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Aetna, For plans with Part D Coverage: You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227 ... , Aetna Medicare Advantra Eagle (HMO) | H3959-041 | $0 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. , Ambulatory Surgical Center: $250 in-network / ASC Screening Colonoscopy Polyp Removal and Post-FIT: $0 in-network, for more information see Evidence of Coverage. Outpatient Substance Abuse Care. In-Network: Copayment for Medicare-covered Individual Sessions $45.00. Copayment for Medicare-covered Group Sessions $45.00. , TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY ..., H3959-053: Download: Aetna Medicare Advantra Eagle (HMO) 2023: H3959-057: Download: Aetna Medicare Advantra Cares (HMO D-SNP) 2023: H3959-035: Download: Aetna Medicare Advantra Premier Plus (PPO) 2023: H5522-014: Download: Aetna Medicare Advantra Premier (HMO) 2023: H3959-033: Download: Aetna Medicare Advantra Value …, Aetna Medicare Advantra Cares (HMO D-SNP) is a Medicare Advantage (Part C) Special Needs Plan by Aetna Medicare. This page features plan details for 2023 Aetna Medicare Advantra Cares (HMO D-SNP) H3959 - 035 - 0 available in Southeastern Pennsylvania. IMPORTANT: This page has been updated with plan and premium data for 2023., 2021 Aetna Medicare Advantra Cares (HMO D-SNP) - H3959-035-0 in PA Star Rating Details , 2023 Evidence of Coverage for Aetna Medicare Advantra Cares (HMO D-SNP) 1 January 1 – December 31, 2023 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Aetna, 4 Cigna Premier Medicare (HMO-POS) Annual Notice of Changes for 2023 Summary of Important Costs for 2023 The table below compares the 2022 costs and 2023 costs for Cigna Premier Medicare (HMO-POS) in several important areas., The table below outlines some of the specific plan details for Aetna Inc. Medicare Advantage plans available in Pennsylvania in 2023. Plan Name. Plan Code. Monthly Premium. Deductible. Out of. Pocket Max. Prescription Drug Coverage. Medicare., Please contact Medicare.gov or 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Aetna Medicare Advantra Gold (HMO) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 (see Plan Premium Details below) Annual ..., H3949_24_987007_M 24_SB_H3949_035 Cigna Preferred Medicare (HMO) H3949-035 No referrals required Service Area: Adams, Berks, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, and York counties, PA 2024 Summary of Benefits January 1, 2024 - December 31, 2024, The average monthly premium for Medicare Advantage plans in Montgomery is $18.80 per month in 2023, though there may be plans available where you live that feature different premiums. Medicare Advantage plans in Montgomery County have an average Medicare Star Rating of 3.76 in 2023.*. Plans rated four stars or higher are considered top-rated ..., H3959 - 036 January 1, 2021 - December 31, 2021 H3959-036 1_A Y0001_H3959_036_DS10_SB21_M Aetna Medicare Advantra Cares (HMO D-SNP) | H3959-036 | $0 up to $27.30 Aetna Medicare Advantra Cares (HMO D-SNP) is a Dual Eligible Special Needs Plan (D-SNP) for Medicare beneficiaries who are also eligible for …, Aetna Medicare Advantra Silver (HMO) | H3959-011 | $0 Y0001_H3959_011_HP83_SB22_M Aetna Medicare Advantra Silver (HMO) 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., Aetna Medicare Advantra Eagle (HMO) | H3959-041 | $0 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. , 13 sie 2023 ... Aetna Medicare Longevity Plan, plan H3959-066-0, is a I-SNP Medicare Advantage plan, by Aetna Medicare ... H3959-035-0: Aetna Medicare Advantra ..., It includes one-on-one coaching for caregivers via the telephone or virtually through a smart phone or computer using the program's digital application. Mental health inpatient care. $350 per day for days 1-5. $0 per day for days 6-90. Mental health outpatient care. Psychiatric-Individual: $0., H3959-053: Download: Aetna Medicare Advantra Eagle (HMO) 2023: H3959-057: Download: Aetna Medicare Advantra Cares (HMO D-SNP) 2023: H3959-035: Download: Aetna Medicare Advantra Premier Plus (PPO) 2023: H5522-014: Download: Aetna Medicare Advantra Premier (HMO) 2023: H3959-033: Download: Aetna Medicare Advantra Value …, H3959-053: Download: Aetna Medicare Advantra Eagle (HMO) 2023: H3959-057: Download: Aetna Medicare Advantra Cares (HMO D-SNP) 2023: H3959-035: Download: Aetna Medicare Advantra Premier Plus (PPO) 2023: H5522-014: Download: Aetna Medicare Advantra Premier (HMO) 2023: H3959-033: Download: Aetna Medicare Advantra Value …, Aetna Medicare Advantra Premier (HMO-POS) 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 $10.00. Copayment for Routine Care $10.00. Maximum 12 Routine Care every year. , Aetna Medicare Advantra Premier (HMO-POS) 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 $20.00. Copayment for Routine Care $10.00. Maximum 12 Routine Care every year., Cigna Preferred Medicare H3949-030, H3949-032, H3949-034, H3949-035 (HMO), Cigna Alliance Medicare H3949-031 (HMO), Cigna Achieve Medicare H3949-024 (HMO C-SNP),, Health plan deductible. • $0. Maximum out-of-pocket enrollee responsibility (does not include prescription drugs) • $6,700 In-network. Optional supplemental benefits. • No. Inpatient hospital coverage. • Tier 1. $275 per day for days 1 through 6., H3959-053: Download: Aetna Medicare Advantra Eagle (HMO) 2023: H3959-057: Download: Aetna Medicare Advantra Cares (HMO D-SNP) 2023: H3959-035: Download: Aetna Medicare Advantra Premier Plus (PPO) 2023: H5522-014: Download: Aetna Medicare Advantra Premier (HMO) 2023: H3959-033: Download: Aetna Medicare Advantra Value …, Código Postal 5759 en Argentina. El código postal 5759 pertenece a 18 zonas en Argentina. Provincia. Localidad. Código Postal. CPA. Código Telefónico. San Luis. Calera Argentina.