13 Days
Medicare Open Enrollment

Open Enrollment starts October 15

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1-on-1 Medicare for Californians

San Fernando Valley, California

MA 2027 plan HMO

Aetna Medicare Eagle (HMO) H0523-099

Plan information effective January 1, 2027.

Aetna Medicare Plan ID H0523-099-000 Plan #99 MA

Plan costs & ratings

Monthly premium$0.00
Medical premium$0.00
Drug premium$0.00
Annual premium$0.00
Medical deductible$0
Max OOP in network$4,450
Max OOP out of network$0
Catastrophic limit$2,400

Availability

Available in 9 California counties

Alameda County, CA, Los Angeles County, CA, Orange County, CA, Sacramento County, CA, San Diego County, CA, San Francisco County, CA, San Mateo County, CA, Santa Clara County, CA, Yolo County, CA

Available Cities

This plan is available in 242+ cities in California.

Benefits

Primary care In Network

In-Network $0

Inpatient hospital In Network

In-Network $150 per day, days 1-5; $0 per day, days 6-90

Skilled nursing In Network

In-Network $20 per day, days 1-20; $221 per day, days 21-100

Emergency care In Network

$150 If you are admitted to the hospital within 24 hours your cost share may be waived

Urgently needed care In Network

In-Network: $50 copay for Medicare-covered urgently-needed-care visits.

Ambulance In Network

In-Network $245

Highlights

Notes

No

Plan Overview

CarrierAetna Medicare
Plan typeMA
PlanHMO
Marketing nameAetna Medicare
Drug coverageNot included
Enrollment hours8 AM to 8 PM, local time, 7 days a week from 10/1 to 3/31; 8 AM to 8 PM, local time, Monday to Friday from 4/01 to 9/30
Carrier websiteOpen website

Plan identifiers

Plan IDH0523-099-000
Plan number99
ContractH0523
Segment0
DRX ID1N5LC8QTMS
Carrier ID6

Carrier contact

Carrier phone8445096254
Enrollment phone8445096254
Enrollment TTY711
Carrier hours8 AM to 8 PM, local time, 7 days a week from 10/1 to 3/31; 8 AM to 8 PM, local time, Monday to Friday from 4/01 to 9/30

Network & documents

Preferred pharmacy networkYes
Preferred retail pharmacyYes
Preferred mail pharmacyNo
Mail drug benefitsNo
Provider searchYes

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