Aetna: New Medicare Advantage Plans in North Carolina, South Carolina and Tennessee- 01/01/2021

As of 01/01/2021- there are 2 new HMO plans that will be available in NC, SC and Tennessee: These plans are Aetna Medicare ValueSM Plan (HMO) and Aetna Medicare Value Plus Plan (HMO)

These plans will require to choose a PCP. However, they will NOT require a referral to see a specialist. This information will be on the member cards, as indicated by the red arrow below:

The following is the list of the plan types:

Supplemental Benefits: NOT all plans will have these available

• Dental (preventive and comprehensive)
• Over-the-counter (OTC)
• Hearing Aids
• Post hospital discharge meal delivery
• Telehealth

Additional Information:

• All members must select a primary care physician.
• There is no referral requirement for specialty care.
• Participating providers can submit pre-authorization requests through our provider portal, or they can also fax the request or call it in to the Provider Service Center.
• These plans include pharmacy Part D coverage.

Note: No out-of-network benefits exist for these plans unless the member follows the approval process. They can start this process by contacting Member Services directly.