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...Plan guide nyc queens below are in network costs for some of our medicare benefits it s not a complete list more information about these plans refer to the summary visit website aetnamedicare com or call us at tty listed aetna discover services received elite ppo value hmo premier eagle and per unless h otherwise stated monthly premium service area ny bronx kings nassau new york richmond rockland suffolk westchester deductible certain out combined annual maximum pocket amount does include prescription drugs will apply following inpatient hospital psychiatric skilled nursing facility therapeutic radiology outpatient including observation ambulatory surgery center asc dialysis see evidence coverage details stay after day days covers unlimited copay additional lower cost sharing is other than up benefit period pg doctor visits primary care physician pcp referrals required this doesn t require referral specialist...