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Y0001_H3152_080_HQ53_EOC22_C OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2022 Evidence of Coverage: Your Medicare Health Benefits ...TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Aetna Medicare Explorer Elite (HMO) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 (see Plan Premium Details below) Annual Deductible: $100 (Tier 1 and 2 excluded from the Deductible.) Annual Initial Coverage Limit (ICL):After the total drug costs paid by you and the plan reach $4,660, up to the out-of-pocket threshold of $6,350. For all other drugs, you pay 25% for generic drugs and 25% for …Number of Members enrolled in this plan in (H3152 - 080): 5,075 members : Plan’s Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...2020 Aetna Medicare Prime Value (HMO) - H3152-080-0 in NJ Plan Benefits Details 2021 Medicare Part D Browse a Plan Formulary (Drug List) - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by …This page features plan details for 2023 Aetna Medicare Prime Value (HMO-POS) H3152 – 080 – 0 available in Counties: BR, HT, MR, MN, MO, PS, SM, SX, UN, WR. …2021 Medicare Part D Browse a Plan Formulary (Drug List) - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by …H3152-080 1-800-832-2640 aetnamedicare.com Aetna Medicare Prime Credit PPO (formerly Credit Value PPO) ... ... M080 32d. Grace E w. " Gus r818 A K) carp M636 Biona dr. Gust L (Ida. 114. Hamilton. Guy ... h3152 Clay av :: i~~d,iff3r1ig Cons Aircraft Corp rl465 Beech.Compare 2023 Medicare Advantage Plans in Bergen county and learn the average premium, deductible Star Rating and more for plans in your county.... H3152+FS. £5,830.52. H3156+FS. £7,220.77. H315X. £181.61. H316+FS. £221.80. H3160+FS ... IHN080/115V. IHN080/230V. IHN120/400V. IHN300/400V. IHN800/400V. J1020- ...Summary of Benefits 2022 Aetna Medicare Explorer Value (HMO) H3152 - 082 January 1, 2022 - December 31, 2022 H3152-082 1 Call us or go online for more information.2021 Medicare Part D Browse a Plan Formulary (Drug List) - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by …

N080 · N084 · N088 · N092 · N096 · N500 · N530 · N560 · N600 · N630 · N670 · N710 · N750 · N800 · N850 ... H3152 · H3156 · H3160...H3152 - 080 January 1, 2021 - December 31, 2021 H3152-080 1_A Call us or go online for more information. 1-833-859-6031 (TTY: 711) October 1 to March 31: 7 days a week from …Copayment for Urgent Care $55.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Emergency room visit. $100 If you are admitted to the hospital within 0 hours your cost share may be waived, for more information see the Evidence of Coverage. Ambulance transportation. $300.The table below outlines some of the specific plan details for Aetna Inc. Medicare Advantage plans available in New Jersey in 2023. Plan Name. Plan Code. Monthly Premium. Deductible. Out of. Pocket Max. Prescription Drug Coverage. Medicare.Number of Members enrolled in this plan in (H3152 - 080): 5,075 members : Plan’s Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...

2023 Medicare Part D Browse a Plan Formulary (Drug List) - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by …Aetna Medicare Prime Value (HMO) | H3152-080 | $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. …

Reader Q&A - also see RECOMMENDED ARTICLES & FAQs. The average monthly premium for Medicare Advantage. Possible cause: 011-H3152. 186 cm (73”) PUR Ambrato Set per Infusione, Perforatore con.