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Aetna Medicare Ppo Silver Sneakers

Which Parts Of Medicare Cover Silversneakers

Aetna Medicare Advantage PPO With $0 Premiums?

Original Medicare does not cover gym memberships or fitness programs. Since SilverSneakers falls under this category, original Medicare doesnt cover it.

However, gym memberships and fitness programs, including SilverSneakers, are often covered as an additional benefit in Medicare Part C plans.

Private insurance companies approved by Medicare offer these plans.

Part C plans include the benefits covered by Parts A and B. They also typically have additional benefits like dental, vision, and prescription drug coverage.

Some Medigap policies will also cover gym memberships and fitness programs. Like Part C plans, private insurance companies offer Medigap plans. Medigap plans help to cover costs that original Medicare doesnt.

SilverSneakers members have access to the included benefits free of charge. Youll have to pay for anything that isnt covered in the SilverSneakers program.

If youre unsure about whats included at a specific gym, be sure to ask.

Additionally, its important to note that the specific amenities and classes available to you can vary by gym. You may have to search for a participating gym that meets your specific fitness needs.

SilverSneakers is a fitness program specifically geared toward older adults. It includes:

  • access to gym facilities

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Does Medicare Cover Gym Memberships

Medicare doesnt cover the costs of fitness programs and gym memberships, although some Advantage plans include a gym membership.

Advantage plans can offer extra benefits that arent available through Medicare. People that sign up for an Advantage plan must pay the Part B premium and any plan costs.

Supplement plans are Medigap policies, and they dont include coverage for gym memberships.

Private companies offer different plan options. Beneficiaries should compare plan rates in their area.

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Does Aetna Medicare Cover Silversneakers

The SilverSneakers program is a benefit for people enrolled in some Aetna Medicare Advantage plans. If you want to lose weight, get in shape, or just try new ways to exercise and make friends, you might enjoy having a SilverSneakers membership. Want to know more about SilverSneakers and Aetnas Medicare Advantage plans? Read on for some answers to questions you may have.

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What Is Silver Sneakers

Silver Sneakers is a health and wellness program geared toward people who are 65 or older. Members can access the following:

  • Access to 15,000 gyms and participating fitness centers around the country
  • A community both online and in person
  • Exercise classes geared toward seniors and led by trained instructors
  • Online and a large on-demand video library of workouts

The program offers seniors a mix of activities that can be in and outside of the gym. Non-gym classes can be in locations such as parks, community centers, and churches with options including swimming, hiking, or yoga.

Silver Sneakers also offers a great tool to look up classes and participating locations throughout the United States. You are allowed to use any facility that contracts with Silver Sneakers without additional costs. For many seniors who opt to travel or are snowbirds, the class lookup can be an excellent resource for you to continue to be active even away from home.

Finally, Silver Sneakers offers member-only health seminars and other wellness events.

How Much Does Silver Sneakers Reimburse Gyms

Silver Sneakers Program

Posted: Silver Sneakers is a private health and fitness membership program designed for seniors. Its available at no cost to those enrolled in a participating Medicare Advantage plan. There are over 16,000 participating Silver Sneaker gym facilities and 70 different types of health and fitness

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Start Living The Life You Want With Silversneakers

Our health and fitness program has something for everyone, every body and every level of ability. Youll have everything you need to look and feel your best.

Unlimited Gym Access1

Access thousands of locations nationwide at any time as many times as you like. Use the equipment, take classes, use the amenities. Theyre all yours.

Group Classes

Take classes that are right for you. Build the strength you need to keep doing the things you want. From low impact to high intensity, theres a class designed for every level.

Beyond the Gym

SilverSneakers FLEX® offers more than 70 types of classes like yoga and dance at places like parks and recreation centers.

Feeling Social?

Meet new people or go with friends to make fitness a blast. The SilverSneakers community is a welcoming community.

Online Resources

Get exclusive access to videos and fitness tips that will help get you moving and feeling your best anytime and anywhere.

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Aetna Medicare Supplement Plan F

When it comes to comprehensive coverage, Plan F takes the cake. Whether you decide to go with Aetna or another company, Plan F reviews are top-notch.

All Plan Fs cover Part A and B deductibles as well as coinsurances. Basically, with this policy, you have no out of pocket expenses.

While Plan F is the most comprehensive, Aetna is more competitive with Plans G and N.

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How Does The Silver And Fit Program Work

Online Healthy Aging resources: Silver and Fit gives you access to an online catalog of Healthy Aging materials containing health and well-being resources. Once enrolled, you can opt to receive the Healthy Aging materials via mail. Topics include meditation, staying active, and community involvement.

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Which Parts Of Medicare Cover Silver Sneakers

Medicare and Silver sneakers 2020

None of the parts of Medicare cover Silver Sneakers. Silver Sneakers is a private company that markets to private insurance companies to offer additional benefits to you. Medicare Part C or a Medicare Supplement Plans may offer Silver Sneakers as a benefit, but are not required to do so by Medicare and can end participation in the program at the plans discretion.

Silver Sneakers offers a tool that allows you to look up which Medicare Supplement and Advantage Plans offer Silver Sneakers as a benefit.

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Who Is Eligible For Silversneakers

If youre a beneficiary under 65, you may qualify for an Advantage plan with SilverSneakers. There is NO age requirement!

The program requires the following:

  • Enrollment in a plan that includes a membership
  • If the gym membership costs an extra fee, you must pay the premium.

But, a plan must be available in your area. Some areas have a few options. While the program is helpful, its not suitable for everyone.

For example, those in Charleston, South Carolina might have more options than those in more rural areas.

If the company you want doesnt offer the program, call one us at the number above to find a solution.

What Is Silversneakers And Which Insurance Plans Include It

Find out if plans in your area include this fitness program.

Everyday Health may earn a portion of revenue from purchases of featured products.Shutterstock

Health experts know the benefits of regular physical activity. So do insurance companies, which is why so many Medicare plans offer the SilverSneakers fitness program. If you have a plan with the SilverSneakers benefit, you can work out, take fitness classes, and even get advice from a personal trainer for free.

Whats most important is finding a Medicare plan that includes fitness benefits and meets your other health needs and personal goals. Heres what you need to know about which insurance plans include SilverSneakers or other fitness benefits.

You can only get SilverSneakers if youre enrolled in a participating Medicare Advantage or Medicare Supplement plan. SilverSneakers is a private fitness program only available to people with Medicare. Its not part of your Original Medicare coverage.

Currently, the following major insurance companies offer plans with the SilverSneakers fitness benefit:

  • AARP
  • UnitedHealthcare
  • WellCare

Smaller companies in your area may be offering plans with SilverSneakers, so dont be discouraged if your preferred plan provider isnt on the list. Use the Medicare Plan Finder tool to see whats available. You can also call a Medicare broker for information on local plans.

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How Can I Find A Medicare Plan With Silver Sneakers

If you are eligible for Medicare, you may select to enroll in an advantage or supplement plan which includes Silver Sneakers benefits, if it is available in your geographic area. The program is currently included in many Medicare advantage, Medicare supplement and group retiree plans nationwide. You may use the SilverSneakers Health Plan Locator to find out which plans currently offer Silver Sneakers benefits. Perhaps you will even find out that you have the SilverSneakers benefit already included in your current Medicare health plan? If not, you may be able switch to a plan in your area that offers this fun way of staying healthy for seniors.

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Gym Memberships & Fitness Classes

29 HQ Pictures Silver Sneakers App : Nike S Adapt Auto Max Features ...

Posted: Oct 01, 2021 · 1 Participating locations are not owned or operated by Tivity Health, Inc. or its affiliates. Use of PL facilities and amenities is limited to terms and conditions of PL basic membership. Facilities and amenities vary by PL. 2 Membership includes SilverSneakers instructor-led group fitness classes. Some locations offer members additional classes.

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Do I Need My Doctors Permission To Enroll In Silversneakers

Aetna Medicare Advantage plans dont generally require you to get a doctors sign-off before you enroll in SilverSneakers, but it may be a good idea to check with your doctor before starting a new exercise program. Your doctor can help you decide whether a fitness program is right for you and the best types of exercise activities to help you achieve your goals.

Enter your ZIP code in the box on this page to start looking for an Aetna Medicare Advantage plan today.

See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.

NR_0001_17098_C 09/2019

New To Medicare?

Becoming eligible for Medicare can be daunting. But dont worry, were here to help you understand Medicare in 15 minutes or less.

Medicare Advantage Plans For Every Need

In addition to PPO plans, $ offers you other Medicare Advantage plan options many with a $0 monthly plan premium. We can help you find a plan thats right for you.

$ Medicare Advantage HMO

With many of our HMO plans, an in-network primary care physician coordinates the care you receive to help you achieve your best health.

$ Medicare Advantage HMO-POS plans

With our HMO-POS plans, you can enjoy all the benefits of receiving medical care through a network provider. Most of our HMO-POS plans require you to use a network provider for medical care but provide you with flexibility to go to licensed dentists in or out of network for routine dental care.

$ Medicare Advantage D-SNPs

Our dual-eligible Special Needs Plan is a type of Medicare Advantage plan, available to people who have both Medicare and Medicaid. We can help you find out if you qualify.

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Some Medicare Supplement Plans Cover Silversneakers

If you are enrolled in Original Medicare , adding a Medicare Supplement Insurance plan that offers SilverSneakers as a benefit may help provide you with the coverage you are looking for.

Also known as Medigap, Medicare Supplement Insurance plans are privately sold insurance policies help cover some of Original Medicares out-of-pocket costs, including some deductibles, coinsurance and copayments.

To find Medigap plans in your area that help pay for the SilverSneakers program, speak with a licensed agent at .

If Your Health Plan Doesnt Include Silversneakers

Aetna’s Advantage Plan Benefits

Your plan either offers SilverSneakers or it doesnt you cant add it on separately. If youre interested in joining a Medicare Advantage plan in your area that does include SilverSneakers, one of our licensed insurance agents can help you explore your options.

Find Medicare plans that cover SilverSneakers

Or call 1-800-557-6059TTY Users: 711 to speak with a licensed insurance agent. We accept calls 24/7!

About the author

Christian Worstell is a licensed insurance agent and a Senior Staff Writer for MedicareAdvantage.com. He is passionate about helping people navigate the complexities of Medicare and understand their coverage options.

His work has been featured in outlets such as Vox, MSN, and The Washington Post, and he is a frequent contributor to health care and finance blogs.

Christian is a graduate of Shippensburg University with a bachelors degree in journalism. He currently lives in Raleigh, NC.

Where youve seen coverage of Christians research and reports:

MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC and TruBridge, Inc. represent Medicare Advantage Organizations and Prescription Drug Plans having Medicare contracts enrollment in any plan depends upon contract renewal.

Plan availability varies by region and state. For a complete list of available plans, please contact 1-800-MEDICARE , 24 hours a day/7 days a week or consult www.medicare.gov.

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Getting The Most Out Of Your Medicare Insurance

Too often Medicare insurance policies are purchased and stashed away. Whether you purchase a Supplement or Advantage plan, its important to know about extra benefits. Medicare Advantage plans are allowed to offer ancillary benefits like dental, vision and hearing. Conversely, Supplements, by rule, cannot usually offer as many added benefits.

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How Much Does Silversneakers Cost With An Aetna Medicare Advantage Plan

The SilverSneakers benefit is part of Aetna Medicare Advantage plans at no added cost its included in your monthly plan premium. You wont pay an extra fee to SilverSneakers or to the gyms and exercise centers you visit. Theres no annual deductible and no copayment each time you use your SilverSneakers benefits. You can use it as often as you like at as many different gyms as you like.

What Medicare Supplement Companies Offer The Active And Fit Direct Program

Aetna Medicare Supplement Silver Sneakers

The American Specialty Health Incorporateds new fitness program has millions of members. The Active and Fit Direct Program has been the market a couple of years, and its become the countrys most notable commercial fitness program.

Further, many companies offer programs like Active & Fit. Aetna members may have access to these programs, although supplement insurance may vary.

Learn if your Supplement company offers the Active & Fit Direct Program by contacting your agent.

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Summary Of Benefits For 2021 Aetna Medicare Advantra Silver

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Aetna Medicare Advantra Silver H5522-004 is a 2021 Medicare Advantage Plan or Medicare Part-C plan by Aetna Medicare available to residents in Pennsylvania. This plan includes additional Medicare prescription drug coverage. The Aetna Medicare Advantra Silver has a monthly premium of $0 and has an in-network Maximum Out-of-Pocket limit of $7,550 . This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $7,550 out of pocket. This can be a extremely nice safety net.

Aetna Medicare Advantra Silver is a Local PPO. A preferred provider organization is a Medicare plan that has created contracts with a network of “preferred” providers for you to choose from at reduced rates. You do not need to select a primary care physician and you do not need referrals to see other providers in the network. Offering you a little more flexibility overall. You can get medical attention from a provider outside of the network but you will have to pay the difference between the out-of-network bill and the PPOs discounted rate.

What Does Silversneakers Membership Include

The available amenities and fitness activities can vary by location. But some of the options that may be accessible to SilverSneakers members include:

  • Group exercises
  • Organized classes such as yoga, tai chi and many more
  • Equipment for cardiovascular and strength training
  • Education about health and nutrition
  • Social activities and events
  • Sports teams and leagues exclusively for seniors

Plus, youll have access to facility amenities such as saunas, hot tubs, pools, basketball courts and more.

If theres no SilverSneakers location near you, you may be eligible for a home exercise kit. The kit includes a workout DVD and any associated equipment you might need.

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Aetna Medicare Part D

Aetna does offer Part D plans to cover your prescription medications. You can enroll in a Part D plan to supplement your Aetna Medigap plan. However, just because you choose to enroll in an Aetna Medigap plan, doesnt automatically mean that their Part D options are the best ones for you.

Well do an initial analysis for your Part D coverage thats based on your current medications to ensure you get the most coverage possible on all of them.

What Are The Drug Tier Copay Levels In A Formulary

SERS 2021 Open Enrollment: PrimeTime to Aetna

A Medicare formulary organizes prescription drugs into tiers. Your copay for each drug may differ based on the tier in which the drug fits.

The copay amount you pay will vary from one Aetna Medicare plan to another. So be sure to check your plans Summary of Benefits or Evidence of Coverage. In them youll find the copay or coinsurance amounts you can expect for the plan year.

The formulary copay tiers are as follows:

  • Tier 1: Preferred Generic

Generally speaking, lower-cost drugs appear on lower tiers.

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