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You ’re being automatically enrolled into an Aetna Medicare℠ Advantage PPO ESA or HMO plan depending on your current plan design. However, you can switch to another Edison plan during the open enrollment period.

A PPO is a preferred provider organization plan. The Aetna Medicare Advantage PPO ESA plan is different than many other PPO plans.

It allows you to see any provider (whether in the network or not), and you pay the same out-of-pocket cost for both covered in-network and out-of-network medical benefits, as long as the provider is:

• Eligible to receive payment under Medicare
• Willing to bill and accept payment from Aetna
• You can share this important document with your PPO ESA plan provider

Your other Aetna Medicare Advantage plan option is an HMO, which is a health maintenance organization plan. You’ll have to use network providers for covered services. And it covers emergencies and out-of-area urgent care — even out of network.
 

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