Aetna’s 2025 Medicare Plans Prioritize Key Member Health Needs

Aetna®, a CVS Health® company, has announced its 2025 Medicare products, focusing on essential benefits that enhance members’ overall health. The offerings include affordable Medicare Advantage (MA) plans featuring $0 monthly premiums, $0 copays for primary care visits, and $0 copays for Tier 1 prescription drugs. Each plan also provides dental, vision, hearing, and SilverSneakers® benefits across all service areas.

“With our continued focus on delivering reliable and affordable healthcare, our plans empower members to access the care they need when they need it,” said Anand Shukla, president of Aetna Medicare. Aetna has served Medicare beneficiaries since 1966 and currently supports about 10.5 million Medicare members nationwide.

Diverse Medicare Advantage Options

In 2025, Aetna will offer various MA products, including:

  • Footprint Expansion: Aetna will offer MAPD plans in 44 states and Washington, D.C., increasing access to 662,000 additional Medicare-eligible beneficiaries.
  • $0 Premium Plans: Approximately 83% of Medicare-eligible individuals in the U.S. will have access to $0 monthly premium MA plans.
  • Dual Eligible Special Needs Plans (D-SNPs): Expanding into new states, Aetna’s D-SNPs provide tailored benefits addressing social barriers, with the Aetna Medicare Extra Benefits Card for purchasing essential items.
  • Chronic Condition Special Needs Plans (C-SNPs): Launching in Illinois and Pennsylvania, these plans target members with chronic illnesses, offering $0 copays for primary care and lower costs for essential medications.
  • Aetna Medicare Eagle® MA-only Plans: Expanded to 43 states, these plans include additional benefits for veterans, featuring $0 premiums and copays for essential services.
  • SmartFit Plans: Targeted at those switching from a prescription drug plan to MA, these $0 premium plans include essential health benefits.

Key Member Benefits for 2025

Aetna is committed to providing plans that prioritize member health needs:

  • Core Benefits: All plans feature $0 premiums, primary care copays, and copays for Tier 1 drugs, along with dental, vision, hearing, and SilverSneakers benefits.
  • Dental, Hearing, and Vision Care: Comprehensive coverage includes routine exams and allowances for dental services and eyewear.
  • Integrated Aetna Medicare Extra Benefits Card: This new card simplifies access to various benefits, allowing members to use it at CVS and other participating retailers.
  • Fitness Benefits: All MA members will have access to SilverSneakers, promoting physical and mental well-being.
  • Cost-Effective Prescription Drug Coverage: Plans include a $2,000 out-of-pocket maximum for medications and $0 copays for Tier 1 drugs at preferred pharmacies.

Additional Support and Resources

Aetna members benefit from CVS Health’s extensive resources:

  • Convenient Care Access: Members can visit MinuteClinic locations with regular PCP copays, ensuring age-friendly care.
  • OTC Benefits: Members can purchase over-the-counter health products with the Aetna Medicare Extra Benefits Card at CVS and other locations.
  • Home Health Visits: Annual Healthy Home Visits will be provided at no cost, allowing members to receive comprehensive assessments in their homes.
  • Fall Prevention Benefits: Plans will include allowances for home safety items to reduce fall risks.
  • Community Support Services: CVS Health Resources For Living® connects members with vital community resources, addressing social determinants of health.

Simplified Prescription Drug Plans

In 2025, Aetna will streamline its stand-alone prescription drug plans (PDPs) into SilverScript® Choice (PDP), available nationwide with competitive premiums and a network of over 63,000 pharmacies.

Comprehensive Coverage Options

Aetna also offers competitively priced Medicare Supplement plans and ancillary products across various states, ensuring comprehensive support for members’ diverse needs.

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