Aetna Medicare PPO Plan in Pennsylvania awarded 5-Star rating | CVS Health

Aetna Medicare PPO Plan in Pennsylvania awarded 5-Star rating

A healthcare provider walks with a senior patient using a walker.
Thursday, November 11, 2021

Plan helps provide access to high-quality care for members across Pennsylvania

WOONSOCKET, R.I. — Aetna®, a CVS Health® company (NYSE: CVS), announced its 2022 Medicare Advantage Prescription Drug (MAPD) PPO plan serving Pennsylvania has been awarded 5 stars out of 5 by the Centers for Medicare & Medicaid Services (CMS).

The CMS Medicare Star Ratings rank the performance and quality of Medicare Advantage and Medicare prescription drug plans to help beneficiaries and their families compare plans.

“Our Five-Star rating demonstrates our long-term commitment to providing quality care and innovative programs for Medicare beneficiaries across Pennsylvania,” said Bob O’Connor, chief Medicare officer for the Aetna Pennsylvania market. “We are focused on simplifying health care by working closely with health care providers to enhance care coordination and patient satisfaction through valuable, easy-to-use products.”

Medicare Advantage plans are rated on how well they perform in five different categories:

  • Staying healthy

  • Managing chronic (long-term) conditions

  • Member experience with the health plan

  • Member complaints

  • Health plan customer service

MAPD plans are also rated on how well they perform in three additional categories:

  • Drug plan customer service

  • Member experience with drug plan

  • Drug safety

Aetna Medicare offers this highly rated PPO plan (H5522 Health Assurance Pennsylvania, Inc.) in 63 of Pennsylvania’s 67 counties across the state. Aetna is the largest providerCMS.gov. MA Enrollment by SSC 2021 09. September 2021. Available at: www.cms.gov. Accessed October 26, 2021. of Medicare Advantage plans in Pennsylvania.

Aetna 5-Star Rated Contracts:

  • H5522-001    Aetna Medicare Advantra Premier Plus (PPO)    Allegheny County

  • H5522-018    Aetna Medicare Advantra Premier (PPO)    Allegheny County

  • H5522-020    Aetna Medicare Advantra Central Value (PPO)    Altoona Johnstown Huntingdon State College area

  • H5522-002    Aetna Medicare Advantra Premier Plus (PPO)    Central Pennsylvania

  • H5522-004    Aetna Medicare Advantra Silver (PPO)    Central Pennsylvania

  • H5522-013    Aetna Medicare Advantra Silver Plus (PPO)    Central Pennsylvania

  • H5522-017    Aetna Medicare Advantra Credit Value (PPO)    Pennsylvania

  • H5522-014    Aetna Medicare Advantra Silver Plus (PPO)    Southeastern Pennsylvania

  • H5522-005    Aetna Medicare Advantra Silver (PPO)    Western Pennsylvania

Aetna Medicare Advantage and prescription drug plans are available to Medicare beneficiaries for selection during the Annual Enrollment Period, which started on October 15, 2021, and runs through December 7, 2021. Enrollment becomes effective on January 1, 2022.

The Star Ratings are posted at Medicare.gov. Visit AetnaMedicare.com to learn more about the 2022 Aetna Medicare plans. Or call 1-844-588-0041 (TTY: 711), 7 days a week, 8 AM to 8 PM. A licensed agent may answer your call.

NOTE: Information in this release is based on 2022 Star Ratings data published by CMS on October 8, 2021, and Medicare Advantage and Medicare prescription drug plan enrollment as of September 2021.

About CVS Health

CVS Health is the leading health solutions company, delivering care like no one else can. We reach more people and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues — including more than 40,000 physicians, pharmacists, nurses, and nurse practitioners. Wherever and whenever people need us, we help them with their health — whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system — and their personal health care — by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day. Learn more at www.cvshealth.com.

About Aetna

Aetna, a CVS Health business, serves an estimated 34 million people with information and resources to help them make better informed decisions about their health care. Aetna offers a broad range of traditional, voluntary and consumer-directed health insurance products and related services, including medical, pharmacy, dental and behavioral health plans, and medical management capabilities, Medicaid health care management services, workers' compensation administrative services and health information technology products and services. Aetna's customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups and expatriates. For more information, visit www.aetna.com and explore how Aetna is helping to build a healthier world

Aetna Medicare is a HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. 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. 

SilverScript is a Prescription Drug Plan with a Medicare contract marketed through Aetna Medicare. Enrollment in SilverScript depends on contract renewal. Every year, Medicare evaluates plans based on a 5-star rating system. ©2021 Aetna Inc.

Media contact

Tara Burke
203-212-1059
Burket1@CVSHealth.com 

Investor contact

Katie Durant
401-770-6442
Katherine.Durant@CVSHealth.com