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Aetna Medicare Signature Extra (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Aetna Medicare Signature Extra (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Aetna Medicare Signature Extra (PPO) in 2026, please refer to our full plan details page.
Aetna Medicare Signature Extra (PPO) is a PPO plan offered by CVS Health Corporation available for enrollment in 2025 to people living in Wichita Kansas Area. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that Aetna Medicare Signature Extra (PPO) 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 Extra (PPO).
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 Extra (PPO), 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 $615.00 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 combined Maximum Out-Of-Pocket cost of $6300.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $6300.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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:
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Drug Coverage
The Aetna Medicare Signature Extra (PPO) plan features an annual prescription drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic medications, policyholders pay no copay when using a preferred pharmacy or preferred mail-order service. If you use a standard pharmacy or standard mail-order service, copays start at $2.00 for Tier 1 drugs and $12.00 for Tier 2 drugs for a one-month supply. Higher-tier medications on this plan require coinsurance instead of flat copays. Tier 3 preferred brand drugs carry a 24% coinsurance, while Tier 4 non-preferred drugs and Tier 5 specialty drugs require a 25% coinsurance. These coinsurance rates apply across all preferred and standard pharmacy and mail-order options.
Additional Benefits
The Aetna Medicare Signature Extra (PPO) plan provides comprehensive medical coverage designed to keep your out-of-pocket costs low. You will pay no copay and no coinsurance for primary care doctor visits, while specialist visits and outpatient therapies require a low copay of $0 to $35. For hospital stays, inpatient care features no coinsurance and a $295 daily copay for days one through six, after which there is no copay. This plan also features excellent coverage for supplemental healthcare needs, including routine dental, vision, and hearing services. Preventive dental cleanings, routine eye exams, and annual hearing evaluations all require no copay and no coinsurance. Furthermore, you will receive allowance benefits for prescription hearing aids and eyewear, as well as home health services with no copay or coinsurance.
Inpatient Hospital See details
Aetna Medicare Signature Extra (PPO) partially covers inpatient hospital stays with no coinsurance, requiring a $295 daily copay for days 1 through 6 and no copay for days 7 through 90. Unlimited additional days for acute care are covered with no copay, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Aetna Medicare Signature Extra (PPO) covers outpatient services with no coinsurance, including ambulatory surgical center and blood services with no copays. Outpatient hospital services have a copay of $0 to $350, observation services require a $295 copay per stay, and outpatient substance abuse sessions carry a $35 copay.
Partial Hospitalization See details
Aetna Medicare Signature Extra (PPO) covers partial hospitalization services with a copayment of either $55.00 or $180.00 and no coinsurance. Prior authorization is required for these benefits.
Ambulance and Transportation Services See details
Aetna Medicare Signature Extra (PPO) covers ground ambulance services with a $280 copay and no coinsurance, and air ambulance services with a 20% coinsurance and no copay. Prior authorization is required for ambulance services, and transportation services to health-related locations are not covered.
Emergency Services See details
Emergency services are covered under the Aetna Medicare Signature Extra (PPO) with a $150 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services have a $35 copay and no coinsurance, while worldwide emergency and urgent services are covered up to a $250,000 limit with no coinsurance and copays ranging from $150 to $280.
Primary Care See details
Aetna Medicare Signature Extra (PPO) provides primary care physician services with no copay and no coinsurance, while specialists, therapies, and mental health services range from a $0 to $35 copay with no coinsurance. Some chiropractic services are covered, though routine and other chiropractic services are not covered, and telehealth benefits carry a $0 to $35 copay and 20% coinsurance.
Preventive Services See details
Preventive services are partially covered by the Aetna Medicare Signature Extra (PPO) plan, with most covered benefits like annual physical exams, health education, and fitness programs requiring no copay and no coinsurance. While kidney disease education has no copay but requires a 20% coinsurance, several services including weight management, medical nutrition therapy, and in-home safety assessments are not covered.
Hearing Services See details
Hearing services under Aetna Medicare Signature Extra (PPO) are partially covered, featuring a $35 copay for Medicare-covered exams and no copay or coinsurance for annual routine exams and fitting evaluations. Prescription hearing aids are covered up to $750 per ear annually with no copay or coinsurance, but OTC, inner ear, outer ear, and over-the-ear hearing aids are not covered.
Vision Services See details
Aetna Medicare Signature Extra (PPO) covers vision services with no copay, no coinsurance, and no deductible for both eye exams and eyewear. This includes one routine eye exam per year up to a $50 limit and a $150 annual combined maximum benefit for contact lenses, eyeglasses, frames, and upgrades.
Dental Services See details
Dental services are partially covered by Aetna Medicare Signature Extra (PPO), offering no copay and no coinsurance for preventive services like exams, cleanings, and X-rays, while Medicare-covered dental requires a $35 copay and no coinsurance. Comprehensive services have no copay and 20% to 50% coinsurance up to a $1,500 annual limit, though fluoride, implants, orthodontics, maxillofacial prosthetics, and other diagnostic or preventive dental services are not covered.
Home Infusion bundled Services See details
Aetna Medicare Signature Extra (PPO) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Medicare Part B insulin drugs have a $35 copay and no coinsurance, while Part B chemotherapy and other Part B drugs have no copay and a coinsurance ranging from 0% to 20%.
Dialysis Services See details
Dialysis services are covered under the Aetna Medicare Signature Extra (PPO) with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
Aetna Medicare Signature Extra (PPO) covers durable medical equipment, prosthetics, medical supplies, and diabetic equipment with no copays, though prior authorization is required. Coinsurance ranges from no coinsurance to 20% for durable medical equipment, medical supplies, and diabetic supplies, while prosthetic devices and diabetic therapeutic shoes or inserts carry a flat 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by the Aetna Medicare Signature Extra (PPO) with prior authorization required. Diagnostic tests and procedures have no coinsurance and a copay of $0 to $35, while lab services and outpatient X-rays feature no copay. Diagnostic radiological services require a minimum $0 copay, and therapeutic radiological services require a minimum 20% coinsurance.
Home Health Services See details
Home health services are covered under the Aetna Medicare Signature Extra (PPO) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are offered with no coinsurance under the Aetna Medicare Signature Extra (PPO). Although some services are covered, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for peripheral artery disease are not covered and require a $5 copay.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is partially covered by Aetna Medicare Signature Extra (PPO) with no coinsurance, requiring a $20 daily copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization is required and a prior three-day hospital stay is not needed, but additional days beyond the standard 100 Medicare-covered days are not covered.
Other Services See details
Other services are partially covered under the Aetna Medicare Signature Extra (PPO), which offers acupuncture with a $20 copay and no coinsurance for up to 12 treatments per year, and annual wellness exams, screening mammographies, and additional gFOBT and FIT screenings with no copay and no coinsurance. Over-the-counter (OTC) items, meal benefits, and dual-eligible SNP services are not covered.
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