New plan provides access to coordinated, high-quality care with a $27 monthly plan premium
FAYETTEVILLE, N.C. — Aetna today announced a new Aetna Medicare Advantage preferred provider organization (PPO) plan. This plan has a $27 monthly plan premium for Medicare beneficiaries in the Sandhills area, including Chatham, Cumberland, Harnett, Lee, Moore and Sampson counties. The Aetna Medicare Value℠ Plan (PPO) will provide access to the Community Care Physician Network, LLC (CCPN).
The CCPN physicians and other health care providers that are covered at in-network rates include:
- Clinton Medical Center;
- Moore Family Medicine;
- Lillington Family Medical Center;
- StatCare Urgent and Primary Care;
- Fayetteville Internal Medicine;
- Village Family Care Center, PA;
- Cumberland Internal Medicine; and
- Southern Regional Area Health Education Center (AHEC).
CCPN patients, especially those with chronic or complex health needs, who enroll in this Medicare Advantage plan will experience more coordinated care. They’ll benefit from improved information flow to the CCPN physicians providing care. Aetna nurse case managers will assist CCPN care providers with care coordination, outreach and follow-up services.
Plan highlights include a $0 copay for primary care physician office visits, preferred generic drugs at preferred pharmacies and routine vision and eye exams, along with $0 medical annual deductible. Members also have access to a SilverSneakers® gym membership at no extra cost.
“Aetna has a long history of working with provider groups to create solutions that improve the health care experience and outcomes for our members,” said Jim Bostian, president of Aetna’s operations in North Carolina. “We will work closely with the doctors and health care professionals at CCPN to provide each member with a personalized and coordinated health care experience.”
“This partnership will help us better provide patient-centered care that is focused on health and wellness to Medicare beneficiaries throughout the Sandhills region by helping us enhance care coordination,” said Denise Levis Hewson, Chief Operating Officer of CCPN.
This plan will be available in the Sandhills area, including Chatham, Cumberland, Harnett, Lee, Moore and Sampson counties. You can enroll during the Medicare Annual Enrollment Period from October 15 to December 7. The effective date of the plan will be January 1, 2018.
For more information about the plan, please visit www.AetnaMedicare.com.
Aetna is one of the nation’s leading diversified health care benefits companies, serving an estimated 44.7 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, behavioral health, group life and disability 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, see www.aetna.com.
Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or co-payments/co-insurance may change on January 1 of each year. Other providers are available in our network. The pharmacy network and/or provider network may change at any time. You will receive notice when necessary. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Aetna. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change. You must continue to pay your Medicare Part B premium. Members who get “Extra Help” are not required to fill prescriptions at preferred network pharmacies in order to get Low Income Subsidy (LIS) copays. 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.
CCPN is a physician-led, high performing clinically integrated network of independent primary care clinicians focused on delivering high-quality and cost efficient care. With approximately 2050 clinicians in 640 practices, CCPN has engaged physicians and an eight member physician Board of Managers that work closely with Community Care of North Carolina (CCNC) to provide population wrap-around support to participating practices. CCPN participants and leaders work together to share accountability, hit quality targets and better serve their patients.