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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 Nebraska. 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 $10000.00 (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 $10000.00 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 Extra (PPO)
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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, you will pay no copay when filling your prescription through a preferred pharmacy or preferred mail-order service. If you use a standard pharmacy or standard mail order, your copay starts at $2 for Tier 1 drugs and $12 for Tier 2 drugs for a one-month supply. For brand-name and specialty medications, your costs are based on a percentage of the drug cost rather than a flat copayment. Tier 3 preferred brand drugs require a 24% coinsurance, while Tier 4 non-preferred drugs carry a 25% coinsurance across all pharmacy types. Tier 5 specialty drugs also require a 25% coinsurance and are limited to a one-month supply.
Additional Benefits
The Aetna Medicare Signature Extra (PPO) plan offers comprehensive medical coverage with no coinsurance for many core services, including inpatient hospital stays which require a $415 daily copay for the first six days and no copay thereafter. Primary care doctor visits feature a low $10 copay, while specialist visits require a copay of up to $60, both with no coinsurance. Emergency room visits carry a $130 copay, which is waived if you are admitted, while urgently needed services have a $50 copay. For supplemental care, the plan provides routine vision and hearing exams with no copay, alongside allowances for prescription hearing aids and eyewear. Preventive dental care, including select exams and cleanings, is available with no copay, while Medicare-covered dental services require a $60 copay. Additionally, diagnostic lab tests, home health services, and the first 20 days of skilled nursing facility care are covered with no copay.
Inpatient Hospital See details
Aetna Medicare Signature Extra (PPO) covers inpatient acute hospital stays with no coinsurance, requiring a $415 daily copay for days 1 to 6 and no copay for days 7 and beyond, though upgrades and non-Medicare-covered stays are not covered. Inpatient psychiatric hospital care is also covered with no coinsurance and a $1,871 copay per stay, but additional days and non-Medicare-covered stays are excluded.
Outpatient Services See details
Outpatient services under the Aetna Medicare Signature Extra (PPO) are covered with no coinsurance, featuring no copay for ambulatory surgical center and outpatient blood services. Outpatient hospital services have a copay ranging from $0 to $415, observation services require a $415 copay per stay, and outpatient substance abuse sessions carry a $40 copay.
Partial Hospitalization See details
Partial hospitalization is covered under the Aetna Medicare Signature Extra (PPO) plan 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 Extra (PPO) covers ground ambulance services with a $315 copay and applicable coinsurance, and air ambulance services with a 20% coinsurance and an applicable copay, with prior authorization required for both. Transportation services to plan-approved or other health-related locations are not covered.
Emergency Services See details
Aetna Medicare Signature Extra (PPO) covers emergency services with a $130 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require a $50 copay with no coinsurance, while worldwide emergency services are covered up to a $250,000 maximum limit with no coinsurance and copays of $130 for emergency or urgent care and $315 for emergency transportation.
Primary Care See details
Aetna Medicare Signature Extra (PPO) covers primary care visits for a $10 copay and specialist visits for a copay of up to $60, both with no coinsurance. Physical, occupational, mental health, and psychiatric services are also covered with copays ranging from $40 to $60 and no coinsurance, while chiropractic and podiatry services are not covered.
Preventive Services See details
Aetna Medicare Signature Extra (PPO) preventive services are partially covered, featuring no copay and no coinsurance for annual physical exams, health education, fitness benefits, and various screenings. Kidney disease education is covered with no copay and a 20% coinsurance, while several services such as medical nutrition therapy, weight management, and personal emergency response systems are not covered.
Hearing Services See details
Hearing services are covered by Aetna Medicare Signature Extra (PPO), offering Medicare-covered and routine hearing exams with no copay and no coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance up to $1,250 per ear annually, though OTC hearing aids and inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
Aetna Medicare Signature Extra (PPO) covers vision services with no copay and no coinsurance for both eye exams and eyewear. This benefit includes one routine eye exam per year up to a $50 limit, alongside a $100 annual combined allowance for contacts, frames, lenses, and upgrades.
Dental Services See details
Aetna Medicare Signature Extra (PPO) partially covers dental services, offering Medicare-covered dental with a $60 copay and no coinsurance, and select preventive care with no copay and no coinsurance. Covered preventive services include up to four oral exams, two cleanings, and one X-ray annually, while fluoride, other diagnostics, restorative, endodontics, periodontics, prosthodontics, implants, and oral surgery are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Aetna Medicare Signature Extra (PPO) with no copay and no coinsurance, subject to prior authorization. Under this benefit, Medicare Part B insulin is covered with a $35 copay and no coinsurance, while Part B chemotherapy, radiation, and other drugs require no copay and a 0% to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by Aetna Medicare Signature Extra (PPO) with no copay and a 20% coinsurance, and prior authorization is required.
Medical Equipment See details
Aetna Medicare Signature Extra (PPO) covers medical equipment, including durable medical equipment, prosthetics, and diabetic supplies, with no copays and prior authorization required. Coinsurance ranges from no coinsurance up to 20% depending on the item, with diabetic supplies limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under the Aetna Medicare Signature Extra (PPO) plan, with prior authorization required. Lab services have no copay or coinsurance, while diagnostic tests range from no copay up to a $20 copay with no coinsurance. Outpatient X-rays require a $15 copay plus coinsurance, and therapeutic radiology carries a minimum 20% coinsurance and a copay.
Home Health Services See details
Home Health Services are covered under the Aetna Medicare Signature Extra (PPO) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered with no coinsurance under the Aetna Medicare Signature Extra (PPO), though only some services are covered in practice; cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require copays ranging from $15 to $25.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by Aetna Medicare Signature Extra (PPO) with no coinsurance and require prior authorization, though a prior three-day hospital stay is not required. There is no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, while additional days beyond the standard Medicare benefit are not covered.
Other Services See details
Other Services are partially covered by Aetna Medicare Signature Extra (PPO), offering covered services like annual wellness exams, screening mammographies, and additional gFOBT and FIT with no copay and no coinsurance. However, acupuncture, over-the-counter (OTC) items, and meal benefits are not covered.
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