A non-government entity
Aetna Medicare Signature Care (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Aetna Medicare Signature Care (HMO-POS). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Aetna Medicare Signature Care (HMO-POS) in 2026, please refer to our full plan details page.
Aetna Medicare Signature Care (HMO-POS) is a HMO-POS plan offered by CVS Health Corporation available for enrollment in 2025 to people living in Toledo Area. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that Aetna Medicare Signature Care (HMO-POS) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Aetna Medicare Signature Care (HMO-POS).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For Aetna Medicare Signature Care (HMO-POS), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $500.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $5500.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for Aetna Medicare Signature Care (HMO-POS)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The Aetna Medicare Signature Care (HMO-POS) plan features an annual drug deductible of $500. For Tier 1 preferred generics and Tier 2 generics, members enjoy no copay when using preferred pharmacies or preferred mail-order services for any supply length. Standard pharmacies and standard mail-order options are also available with low copays starting at $2 for Tier 1 and $12 for Tier 2. For higher-tier medications, costs transition to coinsurance percentages across all pharmacy and mail-order options. Tier 3 preferred brands require a 22% coinsurance, while Tier 4 non-preferred drugs carry a 25% coinsurance. Specialty Tier 5 medications are covered at a 27% coinsurance for a one-month supply.
Additional Benefits
The Aetna Medicare Signature Care (HMO-POS) plan offers comprehensive medical coverage with no copay and no coinsurance for primary care visits, home health services, and routine preventive care. For inpatient hospital stays, members pay a $380 daily copay for the first six days and no copay for days seven through 90. Emergency room visits require a $130 copay, while specialist visits and Medicare-covered dental services carry a $40 copay with no coinsurance. Routine vision and hearing exams are available with no copay, and the plan provides annual allowances of up to $175 for eyewear and $1,250 per ear for prescription hearing aids. Comprehensive dental services are covered up to a $1,000 annual limit with no copay and 20% to 50% coinsurance. Additionally, members can access durable medical equipment with no copays and up to 20% coinsurance, alongside a quarterly allowance of $75 for over-the-counter items.
Inpatient Hospital See details
Aetna Medicare Signature Care (HMO-POS) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $380 copay per day for days 1 through 6 and no copay for days 7 through 90. Unlimited additional acute care days are covered with no copay, but additional psychiatric days, room upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Aetna Medicare Signature Care (HMO-POS) covers outpatient services with no coinsurance, including ambulatory surgical center and blood services with no copay and no coinsurance. Outpatient hospital services feature copays ranging from no copay to $380, observation services require a $380 copay per stay, and outpatient substance abuse sessions carry a $40 copay with no coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered by Aetna Medicare Signature Care (HMO-POS) with a copay of either $55.00 or $145.00 and no coinsurance. Prior authorization is required to access these services.
Ambulance and Transportation Services See details
Aetna Medicare Signature Care (HMO-POS) covers ambulance services with a $290 copay for ground transport and a 20% coinsurance for air transport, with prior authorization required. While some transportation services are covered, trips to plan-approved health-related locations and any health-related locations are not covered.
Emergency Services See details
Emergency Services are covered by Aetna Medicare Signature Care (HMO-POS) with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a $50 copay and no coinsurance, while worldwide emergency services are covered up to a $250,000 maximum with no coinsurance and copays ranging from $130 to $290.
Primary Care See details
Aetna Medicare Signature Care (HMO-POS) provides primary care physician services with no copay and no coinsurance, while specialist, therapy, and mental health services require a $40 copay and no coinsurance. Chiropractic care is partially covered, offering routine visits for a $10 copay and no coinsurance but excluding other chiropractic services, and telehealth benefits are available with a $0 to $50 copay and 20% coinsurance.
Preventive Services See details
Preventive services are partially covered under Aetna Medicare Signature Care (HMO-POS), with no copay and no coinsurance for annual physicals, health education, fitness, and screenings, though kidney disease education requires a 20% coinsurance and no copay. Sub-services that are not covered include in-home safety assessments, personal emergency response systems, medical nutrition therapy, weight management, and nutritional benefits.
Hearing Services See details
Aetna Medicare Signature Care (HMO-POS) partially covers hearing services, offering routine exams and fitting evaluations with no copay and no coinsurance, while Medicare-covered exams require a $40 copay and no coinsurance. Prescription hearing aids are covered with no copay and no coinsurance up to $1,250 per ear annually, but inner ear, outer ear, over-the-ear, and over-the-counter hearing aids are not covered.
Vision Services See details
Vision services are covered by Aetna Medicare Signature Care (HMO-POS) with no coinsurance and no deductible, featuring no copay for annual routine eye exams and follow-up diabetic exams. Medicare-covered eye exams have a copay ranging from $0.00 to $40.00, and eyewear is covered with no copay up to a combined maximum of $175.00 per year.
Dental Services See details
Aetna Medicare Signature Care (HMO-POS) offers partially covered dental services, with no coverage for fluoride treatments, implants, orthodontics, maxillofacial prosthetics, other diagnostic services, and other preventive services. Medicare-covered dental services require a $40 copay and no coinsurance, while other covered preventive services have no copay and no coinsurance, and comprehensive services feature no copay and 20% to 50% coinsurance up to a $1,000 annual maximum.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Aetna Medicare Signature Care (HMO-POS) with no copay, although prior authorization is required. Under this benefit, Medicare Part B insulin is covered with a $35 copay and no coinsurance, while chemotherapy and other Part B drugs have a coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis Services are covered under Aetna Medicare Signature Care (HMO-POS) with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
Medical equipment is covered by Aetna Medicare Signature Care (HMO-POS) with no copays for durable medical equipment (DME), prosthetics, medical supplies, and diabetic therapeutic shoes. Depending on the item, coinsurance ranges from no coinsurance up to 20%, and prior authorization is required.
Diagnostic and Radiological Services See details
Aetna Medicare Signature Care (HMO-POS) covers diagnostic and radiological services with prior authorization, offering lab services with no copay or coinsurance and diagnostic radiology starting at a $0 copay. Diagnostic procedures and tests carry a copay of $0 to $125 with no coinsurance, outpatient X-rays require a $10 copay, and therapeutic radiological services have a 20% coinsurance.
Home Health Services See details
Aetna Medicare Signature Care (HMO-POS) covers home health services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Aetna Medicare Signature Care (HMO-POS) covers Cardiac Rehabilitation Services with no copay and no coinsurance, though only some services are covered in practice. Specifically, key sub-services are not covered, including standard cardiac rehabilitation ($20 copay), intensive cardiac rehabilitation ($20 copay), pulmonary rehabilitation ($15 copay), and supervised exercise therapy for symptomatic peripheral artery disease ($25 copay).
Skilled Nursing Facility (SNF) See details
Aetna Medicare Signature Care (HMO-POS) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, and additional days beyond the standard 100-day Medicare limit are not covered.
Other Services See details
Other Services under Aetna Medicare Signature Care (HMO-POS) are partially covered, offering no copay and no coinsurance for over-the-counter (OTC) items up to $75 every three months, annual wellness exams, screening mammographies, and additional gFOBT and FIT screenings. Acupuncture and meal benefits are not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved