| Benefits |
Aetna Golden Medicare Plan |
Aetna Golden Choice Plan (out-of-network benefit) |
| Doctor and Hospital Choice |
You must go to network doctors, specialists, and hospitals. You need a referral to go to network hospitals and certain doctors, including specialists for certain services. |
You do not need a referral to go to network doctors, specialists and hospitals. You can go to doctors, specialists, and hospitals in orout of the network. Higher costs apply for out-of-network services. |
| Monthly Premium |
$0-$25 |
$95-$130 |
| Inpatient Hospital Care |
$100-$150/day for days 1-5, $0 days 6-90 |
$350 for each Medicare-covered stay in a network hospital, no copayment for additional days in a network hospital, covered for unlimited days each benefit period |
| Skilled Nursing Facility |
$20-$25/day for days 1-100 for Medicare-covered stay |
No copayment, covered for 100 days each benefit period |
| Home Health Care |
$20 for Medicare-covered visits |
No copayment |
| Doctor Office Visits |
$10-$30 for each primary care doctor office visit; $15-$35 for each specialist visit |
$10-$20 for each primary care doctor office visit, $20 for each specialist visit |
| Prescription Drugs |
You pay 100% for most prescription drugs; some plans offer $10 for each prescription or refill of generic drugs up to a 30-day supply and $20 for mail order generic drugs up to a 90-day supply |
For each prescription or refill, $15 for generic drugs up to a 30-day supply, $30 for mail order generic drugs up to a 90-day supply |
| Routine Physical Exam |
$10-$20 for each exam, covered for 1 exam every year |
$20 for each exam, covered for 1 exam every year |
