Aetna details 2025 Medicare plan offering for members
Aetna, a CVS Health company, shared its 2025 Medicare products offerings will include a wide array of plan options, including $0 monthly plan premium, $0 primary care copay, $0 copay for Tier 1 drugs, plus dental, vision and hearing benefits.
“We’ll also continue to provide an expansive product portfolio — including Medicare Advantage Prescription Drug, MA-only, prescription drug plan, Special Needs Plan, Medicare Supplement and ancillary products — to support the diverse needs of consumers,” the company said.
“For 2025, our continued focus is ensuring members have the peace of mind that comes with access to reliable, affordable health care when and where they need it,” said Anand Shukla, president of Aetna Medicare. “Our plans are backed by our excellent customer service, deep experience and steadfast commitment to serving members at every stage of their health journey.”
Aetna has served Medicare beneficiaries since 1966, when it paid the nation’s first Medicare claim. Aetna now serves about 10.5 million Medicare members nationwide, including 4.3 million currently enrolled in an Aetna individual or employer group MA plan.
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Individual MA plans to support diverse need:
In 2025 Aetna will offer preferred provider organization products for those who value flexibility, health maintenance organization products for members focused on affordability and Special Needs Plans for those who need added support. Plan highlights include:
Footprint: For 2025, Aetna will offer MAPD plans in 44 states plus Washington, D.C. It also added 76 new counties across the country, providing 662,000 more Medicare-eligible beneficiaries access to an Aetna plan. In total, Aetna will offer MAPD plans in 2,259 counties in 2025, accessible by 59 million Medicare-eligible beneficiaries.
$0 premium plan options: Aetna estimates 83% of the Medicare-eligible beneficiaries in the United States will have access to a $0 monthly premium Aetna MA plan.
Dual Eligible Special Needs Plans (D-SNPs): For members who qualify for Medicare and Medicaid, it's expanding D-SNP into a new state (Oklahoma) and bringing D-SNP PPO plan options to five new states (Michigan, North Carolina, Oklahoma, South Carolina and West Virginia). Aetna D-SNPs offer benefits designed to help members address their unique health and social barriers, such as food and housing instability and access to care through transportation.
New Chronic Condition Special Needs Plans (C-SNPs): Aetna will launch C-SNPs in Illinois (Chicago) and Pennsylvania (Philadelphia and Pittsburgh). Aetna C-SNPs are designed to support members with diabetes, chronic heart failure and cardiovascular disease through collaboration with Oak Street Health, a CVS Health company, and other high-quality primary care providers who specialize in caring for Medicare members like Dedicated Senior Medical Center in Pennsylvania and JenCare and One Medical Seniors in Illinois.
Expanded Aetna Medicare Eagle MA-only plans: The company will expand these MA-only plans to 43 states plus D.C. (adding Rhode Island, Maryland and the District of Columbia) and 2,060 counties — reaching more than 7.1 million veterans over age 65 in 2025. These plans offer additional benefits for veterans or individuals who already have prescription drug coverage.
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Aetna Medicare SmartFit plans: Available in 10 states, these plans are designed for prescription drug plan customers considering switching to a Medicare Advantage plan. These $0 monthly premium plans include dental, vision and hearing. There also is a variety of benefits like $0 in-network primary care visits and labs and a $0 copay for Tier 1 and Tier 2 drugs at preferred pharmacies and through mail order.