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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 Greater Central Ohio 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)
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Drug Coverage
The Aetna Medicare Signature Care (HMO-POS) plan has an annual prescription drug deductible of $500. For Tier 1 preferred generics and Tier 2 generics, you will pay no copay when using preferred pharmacies or preferred mail-order services. If you choose standard pharmacies or standard mail-order services, Tier 1 copays range from $2 to $6, while Tier 2 copays range from $12 to $36 depending on the supply. For higher-tier medications, cost-sharing transitions to coinsurance for all pharmacy and mail-order options. Tier 3 preferred brand drugs require a 22% coinsurance, and Tier 4 non-preferred drugs have a 25% coinsurance. Tier 5 specialty drugs are covered with a 27% coinsurance for a one-month supply.
Additional Benefits
The Aetna Medicare Signature Care (HMO-POS) plan offers comprehensive coverage with no copays for primary care visits, routine vision and hearing exams, and annual wellness exams. For more intensive medical care, inpatient hospital stays require a $330 daily copay for the first seven days, while emergency room visits carry a $130 copay, both with no coinsurance. Outpatient hospital services and diagnostic tests feature variable copays ranging from no copay to $330, with no coinsurance for most outpatient care. Supplemental benefits include no-copay preventive dental care, a $200 annual eyewear allowance with no copay, and up to $1,250 per ear annually for prescription hearing aids with no copay or coinsurance. Comprehensive dental services are covered up to $1,000 annually with 20% to 50% coinsurance and no copay, while over-the-counter items are covered up to $50 every three months with no copay. Additionally, skilled nursing facility stays require no copay for the first 20 days, followed by a $218 daily copay with no coinsurance.
Inpatient Hospital See details
Inpatient hospital care is covered by Aetna Medicare Signature Care (HMO-POS) with no coinsurance, requiring a $330 daily copay for days 1 through 7 and no copay for days 8 through 90. This benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional psychiatric days 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. Outpatient hospital services require a copay of $0 to $330, observation services carry a $330 copay per stay, and outpatient substance abuse sessions have a $40 copay.
Partial Hospitalization See details
Aetna Medicare Signature Care (HMO-POS) covers partial hospitalization services with a copayment of either $55.00 or $145.00 and no coinsurance. Prior authorization is required for these covered benefits.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered under Aetna Medicare Signature Care (HMO-POS) with a $260 copay (no coinsurance) for ground ambulance and a 20% coinsurance (no copay) for air ambulance, requiring prior authorization. For transportation services, some services are covered but transportation to plan-approved health-related locations and any health-related locations is not covered.
Emergency Services See details
Aetna Medicare Signature Care (HMO-POS) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours, and urgent care with a $50 copay and no coinsurance. Worldwide emergency, urgent, and transportation services are also covered up to a $250,000 lifetime maximum with no coinsurance and copays ranging from $130 to $260.
Primary Care See details
Aetna Medicare Signature Care (HMO-POS) covers primary care physician services with no copay and no coinsurance, while most specialist, therapy, and mental health services require a $40 copay and no coinsurance. Chiropractic benefits are partially covered, offering routine care for a $15 copay and no coinsurance while 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 by Aetna Medicare Signature Care (HMO-POS), offering no copay and no coinsurance for annual physical exams, health education, fitness benefits, and glaucoma screenings, while kidney disease education requires no copay and a 20% coinsurance. Non-covered services include in-home safety assessments, PERS, medical nutrition therapy, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, in-home support, caregiver support, enhanced disease management, telemonitoring, home/bathroom safety, and counseling.
Hearing Services See details
Aetna Medicare Signature Care (HMO-POS) covers Medicare-covered hearing exams for a $40 copay and no coinsurance, while annual routine exams and fitting evaluations have no copay and no coinsurance. Prescription hearing aids are covered up to $1,250 per ear annually with no copay or coinsurance, but OTC hearing aids and inner-ear, outer-ear, or over-the-ear prescription hearing aids are not covered.
Vision Services See details
Aetna Medicare Signature Care (HMO-POS) covers vision services with no coinsurance or deductibles, offering routine annual eye exams and follow-up diabetic exams with no copay, and Medicare-covered exams with a $0 to $40 copay. Eyewear, including contacts, lenses, and frames, is also covered with no copay up to a combined maximum benefit of $200 per year.
Dental Services See details
Dental Services are partially covered under Aetna Medicare Signature Care (HMO-POS), offering preventive care like exams and cleanings with no copay and no coinsurance, and Medicare-covered dental with a $40 copay and no coinsurance. Comprehensive services are covered up to a $1,000 annual limit with no copay and 20% to 50% coinsurance, though fluoride, implants, orthodontics, other diagnostic or preventive services, and maxillofacial prosthetics are not covered.
Home Infusion bundled Services See details
Aetna Medicare Signature Care (HMO-POS) covers home infusion bundled services with no copay and no coinsurance, subject to prior authorization. Part B insulin drugs require a $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs have no copay and a coinsurance ranging from 0% to 20%.
Dialysis Services See details
Dialysis services are covered by Aetna Medicare Signature Care (HMO-POS) with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Aetna Medicare Signature Care (HMO-POS) covers durable medical equipment, prosthetics, medical supplies, and diabetic equipment with no copays. Depending on the service, you will pay between no coinsurance and 20% coinsurance, and prior authorization is required.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under Aetna Medicare Signature Care (HMO-POS) with prior authorization required. Diagnostic services have no coinsurance, featuring no copay for lab services and a $0 to $100 copay for other tests, while radiological services require a $15 copay and coinsurance for X-rays, a copay starting at $0 for diagnostic radiology, and a minimum 20% coinsurance for therapeutic radiology.
Home Health Services See details
Aetna Medicare Signature Care (HMO-POS) covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Aetna Medicare Signature Care (HMO-POS) covers Cardiac Rehabilitation Services with no coinsurance, though only some services are covered in practice. 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) are not covered.
Skilled Nursing Facility (SNF) See details
Aetna Medicare Signature Care (HMO-POS) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no preceding 3-day hospital stay. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100; additional days beyond the standard Medicare benefit are not covered.
Other Services See details
Aetna Medicare Signature Care (HMO-POS) partially covers other services with no copay and no coinsurance for benefits like annual wellness exams, screening mammographies, additional gFOBT and FIT screenings, and over-the-counter (OTC) items up to $50 every three months. Acupuncture and meal benefits are not covered under this plan.
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