Printer Friendly
The Free Library
4,658,636 articles and books
Member login
User name  
Password 
 
Join us Forgot password?

Aetna Announces Expansion of Medicare Advantage into Kern County; $0 Plan Premium, Prescription Drug Coverage, Optional Supplemental Benefits Available in Most of Kern County.


SAN RAMON San Ramon (Spanish for "Saint Raymond") may refer to one of the following places:

Argentina
  • San Ramón de la Nueva Orán, a city
Costa Rica
  • San Ramón, Costa Rica, the municipality of San Ramón
, Calif. -- Aetna (NYSE NYSE

See: New York Stock Exchange
: AET AET Aetna, Inc.
AET After Extra Time
AET Actual Evapotranspiration
AET Alliance for Environmental Technology
AET Alpha-Ethyltryptamine
AET Applied Extrusion Technologies, Inc.
) announced today that it will offer Individual Medicare Advantage plan options in most of Kern County effective June 1, 2005. Medicare beneficiaries will have access to a network of local health care providers as well as the ability to choose several different optional supplemental benefits alongside the standard Aetna Golden Medicare Plan(R), providing them with greater choice in benefits and cost options.

This approval will mark Aetna's return to California's Medicare Advantage HMO HMO health maintenance organization.

HMO
n.
A corporation that is financed by insurance premiums and has member physicians and professional staff who provide curative and preventive medicine within certain financial,
 market in Kern County. Aetna continues to offer its Aetna Golden Medicare Plan in Los Angeles Los Angeles (lôs ăn`jələs, lŏs, ăn`jəlēz'), city (1990 pop. 3,485,398), seat of Los Angeles co., S Calif.; inc. 1850. , Orange, Riverside and San Bernardino San Bernardino, city, United States
San Bernardino (săn bûr'nədē`nō), city (1990 pop. 164,164), seat of San Bernardino co., S Calif., at the foot of the San Bernardino Mts.; inc. 1854.
 (which are partial counties), and also offers Medicare Advantage plans to California employer groups of all sizes in several California counties.

"Aetna is continuing to expand its participation in the Medicare Advantage program in 2005," said Frank G. McCauley, head of Aetna's Retiree Markets. "We are committed to offering a broad portfolio of health benefits solutions for retirees, and we are pleased to have the opportunity to expand our coverage into Kern County, as well as additional counties later this year."

Highlights of the Aetna Medicare Advantage plan offering in Kern County include:

--No additional plan premium.

--Prescription drug coverage. Unlimited coverage of generic formulary formulary /for·mu·lary/ (for´mu-lar?e) a collection of recipes, formulas, and prescriptions.

National Formulary  see under N.


for·mu·lar·y
n.
 drugs with a $15/30-day supply retail, or $30/90-day supply mail order. Preferred (formulary) brand-name drugs are covered at a cost of 100 percent of Aetna's negotiated charge.

--No copayments for preventive services. Members can obtain routine physicals and other preventive care services including cancer screenings without copayments.

--Optional supplemental prescription drug prescription drug Prescription medication Pharmacology An FDA-approved drug which must, by federal law or regulation, be dispensed only pursuant to a prescription–eg, finished dose form and active ingredients subject to the provisos of the Federal Food, Drug,  coverage. Beneficiaries have the option to increase their coverage for preferred (formulary) brand-name drugs for an additional monthly premium.

--Optional supplemental dental benefits. For an additional monthly premium, beneficiaries have a choice of two dental plans, one that covers preventive services and one that provides more comprehensive coverage.

Aetna expects to more than double the number of states in which it plans to offer its Medicare Advantage plans, from 5 today to 13 by 2006, pending federal approval.

Earlier this year Aetna announced that it had filed applications with the Centers for Medicare & Medicaid Services (CMS (1) See content management system and color management system.

(2) (Conversational Monitor System) Software that provides interactive communications for IBM's VM operating system.
) to offer the Medicare Part D prescription drug plans on a national basis. Plan bids must be filed by June 6, 2005, and CMS expects to award contracts by early September. In addition, Aetna filed an application with CMS to offer the regional Medicare Advantage PPO PPO
abbr.
preferred provider organization


PPO Managed care Preferred provider organization, see there Infectious disease Pleuropneumonia-like organism, see there
 program that will be available in 2006. Plans must submit bids and receive CMS approval for the regional PPOs.

As one of the nation's leading providers of health care, dental, pharmacy, group life, disability and long-term care long-term care (LTC),
n the provision of medical, social, and personal care services on a recurring or continuing basis to persons with chronic physical or mental disorders.
 benefits, Aetna puts information and helpful resources to work for its approximately 14.4 million medical members, 12.8 million dental members, 9.0 million pharmacy members and 14.0 million group insurance members to help them make better informed decisions about their health care and protect their finances against health-related risks. Aetna provides easy access to cost-effective health care through a nationwide network of more than 672,000 health care professionals, including approximately 400,000 primary care and specialist doctors and 4,084 hospitals. For more information, please visit www.aetna.com. (Figures as of March 31, 2005)

Aetna's Individual Medicare Advantage Plans - by County

Aetna Golden Medicare(R) Plan (HMO) by County:

--California: 5 counties - Kern(a), Los Angeles, Orange, Riverside(a) and San Bernardino(a)

--New Jersey: 11 counties, including four new counties - Bergen, Camden, Essex, Hudson, Passaic, Sussex, Union, Burlington, Gloucester, Mercer and Morris (Burlington, Gloucester, Mercer and Morris pending approval)

--New York: 7 counties - Bronx, Kings, New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of
, Queens, Richmond, Rockland and Westchester

--Pennsylvania: 5 counties - Bucks, Chester, Delaware, Montgomery and Philadelphia

(a) Kern, San Bernardino and Riverside are partial Counties.

Aetna Golden Choice(TM) Plan (Demonstration Project - POS (1) See point of sale and packet over SONET.

(2) "Parent over shoulder." See digispeak.

POS - point of sale
) by County:

--New York: 2 counties - Rockland and Westchester

--Maryland: 7 counties, including 1 new county - Anne Arundel, Baltimore, Baltimore City, Calvert, Charles, Harford and Howard (Howard pending approval)

--New Jersey: 11 counties, including 2 new counties - Bergen, Essex, Hudson, Mercer, Middlesex, Monmouth, Ocean, Passaic, Union, Camden and Sussex (Camden and Sussex pending approval)

--Pennsylvania: 8 counties, including 2 new counties - Bucks, Lehigh, Monroe, Montgomery, Northampton, Schuylkill, Chester and Delaware (Chester and Delaware pending approval)
COPYRIGHT 2005 Business Wire
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2005, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

 Reader Opinion

Title:

Comment:



 

Article Details
Printer friendly Cite/link Email Feedback
Publication:Business Wire
Geographic Code:1USA
Date:May 25, 2005
Words:707
Previous Article:TDZ Holdings Inc. Results for the Three Months Ended March 31, 2005 and the Sale of the Construction Technology Business.
Next Article:Orchestria Receives eWeek's Analyst's Choice Designation.
Topics:



Related Articles
A Bitter Pill.(prescription drug costs)(Statistical Data Included)
HMOS' CUTS HIT SENIORS; MEDICARE RECIPIENTS SEE BENEFITS SHRINK.(News)
HEALTH PLANS TO CUT PREMIUMS FOR RETIREES.(Business)(Statistical Data Included)
SENIORS GET TO PICK FROM DRUG PLANS ENROLLMENT IN PRESCRIPTION PROGRAMS TO BEGIN NOV. 1.(Business)
Drug plan draws overflow crowd.(Government)(An informational session in Springfield attempts to sort out the complex Medicare program)
SENIORS WEIGH OPTIONS DRUG PROGRAM OFFERS 34 PLANS.(News)
Medicare benefit meeting offered.(Health)(Senior citizens may attend a free educational event on Tuesday at the Lane Events Center in Eugene)
On drug plans, seniors have studying to do.(Commentary)
State's Rx for Medicare gaps: some states have made long-term commitments to help their low-income citizens pay their out-of-pocket costs for...
Medicare drug plan's deadline near.(Columns)(Column)

Terms of use | Copyright © 2008 Farlex, Inc. | Feedback | For webmasters | Submit articles