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Aetna Medicare Signature Plus (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Aetna Medicare Signature Plus (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 Plus (PPO) in 2026, please refer to our full plan details page.
Aetna Medicare Signature Plus (PPO) is a PPO plan offered by CVS Health Corporation available for enrollment in 2025 to people living in Select Counties Across AR. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that Aetna Medicare Signature Plus (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 Plus (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 Plus (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 $13900.00 (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 $13900.00 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:
Sign up for Aetna Medicare Signature Plus (PPO)
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Drug Coverage
The Aetna Medicare Signature Plus (PPO) plan features an Enhanced Alternative drug benefit with an annual prescription drug deductible of $615.00. After meeting this deductible, you will pay no copay for Tier 1 preferred generic drugs at standard pharmacies. For Tier 2 standard generics, Tier 3 preferred brands, and Tier 4 non-preferred drugs, you will pay a 25% coinsurance during the initial coverage phase. Once your yearly out-of-pocket drug expenses reach $2,100.00, you enter the catastrophic coverage phase and pay nothing for covered Part D medications. Additionally, individuals who qualify for full low-income subsidies will pay nothing for their Part D coverage.
Additional Benefits
The Aetna Medicare Signature Plus (PPO) plan offers comprehensive medical coverage with predictable costs, featuring no copays for primary care physician visits and a $0 to $40 copay for specialists. Emergency care is available with a $115 copay, which is waived if you are admitted, while acute inpatient hospital stays require a daily copay of $375 for the first seven days and no copay thereafter. Additionally, diagnostic lab services, outpatient X-rays, and home health services are fully covered with no copays or coinsurance. For routine wellness, the plan features preventive dental care, annual eye exams, and routine hearing tests with no copays or coinsurance. Members also benefit from a $175 annual eyewear allowance, up to $500 per ear yearly for prescription hearing aids, and comprehensive dental coverage with 20% to 50% coinsurance up to a $2,000 maximum. Skilled nursing facility stays are also covered with no copay for the first 20 days, followed by a $218 daily copay for days 21 through 100.
Inpatient Hospital See details
Aetna Medicare Signature Plus (PPO) partially covers inpatient hospital services with no coinsurance, though upgrades, psychiatric additional days, and non-Medicare-covered stays are not covered. Acute stays require a $375 daily copay for days 1 to 7 and no copay for days 8 and beyond, while psychiatric stays require a $407 daily copay for days 1 to 5 and no copay for days 6 to 90.
Outpatient Services See details
Outpatient services are covered by Aetna Medicare Signature Plus (PPO) with no coinsurance, featuring no copays for ambulatory surgical center and blood services. Copays range from $0 to $395 for outpatient hospital services, while observation services cost a $375 copay per stay and outpatient substance abuse sessions require a $35 copay.
Partial Hospitalization See details
Partial hospitalization is covered by Aetna Medicare Signature Plus (PPO) with a copay of $105 or $110 and no coinsurance. Prior authorization is required to receive these covered services.
Ambulance and Transportation Services See details
Aetna Medicare Signature Plus (PPO) partially covers ambulance and transportation services, as transportation services to plan-approved or any health-related locations are not covered. Covered ground ambulance services require a $340 copay and no coinsurance, while air ambulance services require a 20% coinsurance and no copay.
Emergency Services See details
Aetna Medicare Signature Plus (PPO) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a $40 copay with no coinsurance, while worldwide emergency services are covered up to a $250,000 limit with copays ranging from $115 to $340 and no coinsurance.
Primary Care See details
Primary care benefits are partially covered by Aetna Medicare Signature Plus (PPO), excluding podiatry and routine chiropractic services. There is no copay or coinsurance for primary care physician visits, while specialist visits range from a $0 to $40 copay with no coinsurance. Telehealth services require a 20% coinsurance and a $0 to $40 copay, while therapy and mental health services carry a $35 copay and no coinsurance.
Preventive Services See details
Aetna Medicare Signature Plus (PPO) partially covers preventive services, offering annual exams, health education, and select screenings with no copay and no coinsurance, while kidney disease education requires a 20% coinsurance and no copay. Several sub-services are not covered, including in-home safety assessments, PERS, medical nutrition therapy, medication reconciliation, re-admission prevention, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, disease management, telemonitoring, home safety modifications, and counseling.
Hearing Services See details
Aetna Medicare Signature Plus (PPO) partially covers hearing services, offering routine hearing exams and fitting evaluations with no copay or coinsurance, while Medicare-covered exams require a $40 copay and no coinsurance. Prescription hearing aids (all types) are covered with no copay or coinsurance up to a $500 annual limit per ear, but OTC hearing aids and prescription aids for the inner, outer, or over the ear are not covered.
Vision Services See details
Aetna Medicare Signature Plus (PPO) covers vision services with no copay and no coinsurance for both eye exams and eyewear. Members receive up to a $50 annual allowance for eye exams, including one routine exam, and a $175 yearly allowance for eyewear upgrades, contacts, and eyeglasses.
Dental Services See details
Dental services are partially covered by Aetna Medicare Signature Plus (PPO), excluding fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics. Preventive care has no copay or coinsurance, Medicare dental services require a $40 copay and no coinsurance, and other covered comprehensive services have no copay and 20% to 50% coinsurance up to a $2,000 annual maximum.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Aetna Medicare Signature Plus (PPO) with prior authorization. Medicare Part B insulin drugs require a $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs have no copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis services are covered under the Aetna Medicare Signature Plus (PPO) plan with a 20% coinsurance and no copay. Prior authorization is required to receive these covered services.
Medical Equipment See details
Aetna Medicare Signature Plus (PPO) covers medical equipment, including durable medical equipment, prosthetics, and diabetic equipment, with no copays. Members generally pay a 20% coinsurance for these items, though diabetic supplies range from no coinsurance to 20% coinsurance, and prior authorization is required.
Diagnostic and Radiological Services See details
Aetna Medicare Signature Plus (PPO) covers diagnostic and radiological services, with no copay or coinsurance for lab services and outpatient X-rays. Diagnostic procedures and tests carry a copay of $0 to $95 with no coinsurance, diagnostic radiological services range from no copay to a $300 copay with no coinsurance, and therapeutic radiological services require a 20% coinsurance with no copay.
Home Health Services See details
Home Health Services are covered under the Aetna Medicare Signature Plus (PPO) plan with no copay and no coinsurance. Prior authorization is required to receive these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services, including intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD), are not covered under the Aetna Medicare Signature Plus (PPO) plan.
Skilled Nursing Facility (SNF) See details
Aetna Medicare Signature Plus (PPO) covers Skilled Nursing Facility (SNF) services with prior authorization, offering no copay for days 1 to 20, a $218 daily copay for days 21 to 100, and no coinsurance. This benefit is partially covered because additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered under the Aetna Medicare Signature Plus (PPO) plan with no copay and no coinsurance for covered benefits, though acupuncture and Dual Eligible SNPs are not covered. Covered benefits include a $15 quarterly over-the-counter allowance, meal benefits for chronic illnesses, and select wellness exams and screenings.
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