2018 Aetna Medicare Basic Plan (HMO) H3152-45-0 in NJ from Aetna | HealthPocket

Aetna Medicare Basic (HMO)

Medicare Advantage Plan for New Jersey

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderAetna
Plan IDH3152-45-0
CMS Rating1
Plan TypeHMO
Annual Deductible$0.00

What To Know About This Plan

  • This is a health coverage only plan with no drug coverage

Why We Like This Plan

  • has no additional premium costs outside of your Medicare Part B premium

Plan Details

Costs and Other Important Information

Plan Year:2018
Prescription Drugs Covered?Yes
Health Plan Deductible$0
Monthly Drug Plan Premium$0
Monthly Health Plan Premium$0

Coverage Area for Aetna Medicare Basic (HMO)

StateNew Jersey
CountyOcean

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Colorectal cancer screening
Annual flu vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Monitoring physical ability
Adult BMI assessment

Managing Chronic Conditions

Special needs plan care management
Not Rated
Care for older adults – medication review
Not Rated
Care for older adults – functional status assessment
Not Rated
Care for older adults – Pain screening
Not Rated
Osteoporosis management in women who had a fracture
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Controlling blood pressure
Rheumatoid arthritis management
Reducing the risk of falling
Plan all-cause readmissions

Member Experience with Health Plan

Getting needed care
Getting appointments and care quickly
Customer service
Overall rating of health care quality
Overall rating of plan
Care Coordination

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health plan
Members choosing to leave the health plan
Beneficiary access and performance problems
Health plan quality improvement

Health Plan Customer Service

Plan makes timely decision about appeals
Reviewing appeals decisions
Call center – foreign language interpreter and TTY/TDD availability - Medical

Drug Plan Customer Service

Call center – foreign language interpreter and TTY/TDD availability - Drugs
Appeals auto-forward
Appeals upheld

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug plan
Members choosing to leave the drug plan
Beneficiary access and performance problems
Drug plan quality improvement

Member Experience with Drug Plan

Rating of drug plan
Getting needed prescription drugs

Drug Pricing and Patient Safety

MPF Price Accuracy
High risk medication
Part D medication adherence for diabetes
Part D medication adherence for hypertension
Part D medication adherence for cholesterol
Medication Therapy Management program completion rate

Physician Finder

Physicians that accept Aetna Medicare Basic (HMO) for New Jersey

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Yap, Wilson
525 Rte. 70w B9-10
Lakewood, NJ 08701
Dertouzos, Christine
500 River Ave
Lakewood, NJ 08701
Nadrowski, Bryan
395 Route 70
Lakewood, NJ 08701
Kohn, Tzivia
920 E County Line Rd Ste 101
Lakewood, NJ 08701
Mattoon, Ryan
1000 Route 70 Ste 14
Lakewood, NJ 08701
Wadler, Tzipporah
140 Regent Dr
Lakewood, NJ 08701
Zbik, Alan
1771 Madison Ave
Lakewood, NJ 08701
Frankel, Esther
27 Windermere St
Lakewood, NJ 08701
Weingarten, Goldie
613 Hope Chapel Rd
Lakewood, NJ 08701
Fleischer, Gilbert
101 2nd St
Lakewood, NJ 08701
Pavlinec, Kenneth
870 River Ave
Lakewood, NJ 08701
Sandhu, Surinderjeet
700 Airport Rd
Lakewood, NJ 08701
Meyer, Shira
101 2nd St
Lakewood, NJ 08701
Gupta, Geeta
637 River Avenue
Lakewood, NJ 08701
Kohn, Rachel
930 E County Line Rd Ste 4
Lakewood, NJ 08701
Patel, Sizan
500 River Ave Ste 140
Lakewood, NJ 08701
Brown, Yehudis
140 Regent Dr
Lakewood, NJ 08701
Sitorsky, Chaya
685 River Ave
Lakewood, NJ 08701
Muller, Michelle
500 River Ave
Lakewood, NJ 08701
Waldman, Devorah
24 Cushman St
Lakewood, NJ 08701
Details
Wilson Yap, M.D.
Phone Number
(732) 730-8074
Office Locations
525 Rte. 70w B9-10
Lakewood, NJ 08701
525 Rte. 70w B9-10 Lakewood NJ, 08701

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