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Aetna Medicare Eagle Giveback (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Aetna Medicare Eagle Giveback (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Aetna Medicare Eagle Giveback (PPO) in 2026, please refer to our full plan details page.
Aetna Medicare Eagle Giveback (PPO) is a PPO plan offered by CVS Health Corporation available for enrollment in 2025 to people living in Select Counties Statewide in AR. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that Aetna Medicare Eagle Giveback (PPO) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Aetna Medicare Eagle Giveback (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 Eagle Giveback (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. Additionally, this plan comes with a Part B Premium reduction of $100.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
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:
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Drug Coverage
Prescription drugs are not covered by Aetna Medicare Eagle Giveback (PPO).
Additional Benefits
The Aetna Medicare Eagle Giveback (PPO) offers robust medical coverage with no copay for primary care visits and most preventive services. For hospital stays, there is no coinsurance, though patients will pay a $345 daily copay for the first seven days of acute inpatient care and up to a $345 copay for outpatient hospital services. Emergency care is available with a $115 copay, which is waived if you are admitted, while ground ambulance services require a $265 copay. This plan also includes valuable supplemental benefits, featuring preventive dental, routine vision, and annual hearing exams with no copay. Additionally, members receive a $300 annual allowance for eyewear, up to $500 per ear annually for prescription hearing aids, and a $150 allowance every three months for over-the-counter items. Comprehensive dental services are also covered up to a $4,000 annual limit with 20% to 50% coinsurance.
Inpatient Hospital See details
Aetna Medicare Eagle Giveback (PPO) partially covers inpatient hospital services with no coinsurance, requiring a $345 daily copay for days 1-7 of acute stays (no copay for days 8-90) and days 1-5 of psychiatric stays (no copay for days 6-90). Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by Aetna Medicare Eagle Giveback (PPO) with no coinsurance, featuring no copay for ambulatory surgical center and outpatient blood services. Patients will pay a copay of $0 to $345 for outpatient hospital services, $345 per stay for observation services, and $30 per session for outpatient substance abuse services.
Partial Hospitalization See details
Partial hospitalization benefits are covered by the Aetna Medicare Eagle Giveback (PPO) with a copay ranging from $105.00 to $110.00 and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Aetna Medicare Eagle Giveback (PPO) partially covers ambulance and transportation services, as transportation to plan-approved or any other health-related locations is not covered. Covered ground ambulance services require a $265 copay and no coinsurance, while air ambulance services require a 20% coinsurance and no copay.
Emergency Services See details
Aetna Medicare Eagle Giveback (PPO) covers emergency services with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with a $40 copay and no coinsurance, and worldwide emergency services are available with copays ranging from $115 to $265 and no coinsurance up to a $250,000 limit.
Primary Care See details
Primary care benefits are partially covered by Aetna Medicare Eagle Giveback (PPO), as podiatry services and routine chiropractic care are not covered. Covered visits with a primary care physician require no copay and no coinsurance, while other services have copays ranging from $0 to $40 with no coinsurance, except for telehealth which carries a 20% coinsurance.
Preventive Services See details
Preventive services are partially covered by the Aetna Medicare Eagle Giveback (PPO), offering no copay and no coinsurance for most covered services like annual physicals, while kidney disease education requires a 20% coinsurance and no copay. Several sub-services are not covered under this plan, including weight management, alternative therapies, nutritional benefits, and in-home support services.
Hearing Services See details
Hearing services are covered by Aetna Medicare Eagle Giveback (PPO), which offers Medicare-covered exams for a $30 copay and no coinsurance, alongside annual routine exams and fittings with no copay or coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance up to $500 per ear annually, but OTC, inner ear, outer ear, and over-the-ear models are not covered.
Vision Services See details
Aetna Medicare Eagle Giveback (PPO) covers vision services with no coinsurance, offering annual eye exams with a copay ranging from $0 to $30, which includes one routine exam at no copay. Eyewear, including contacts and glasses, is also covered with no copay and no coinsurance up to a combined maximum of $300 every year.
Dental Services See details
Aetna Medicare Eagle Giveback (PPO) provides partially covered dental services, with fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics excluded from coverage. Covered preventive care features no copay and no coinsurance, while Medicare-covered dental services require a $30 copay and no coinsurance. Other comprehensive services are subject to no copay and 20% to 50% coinsurance, up to a $4,000 annual maximum benefit.
Home Infusion bundled Services See details
Aetna Medicare Eagle Giveback (PPO) covers home infusion bundled services with prior authorization, offering Medicare Part B insulin drugs for a $35 copay and no coinsurance. Other covered Part B chemotherapy, radiation, and miscellaneous drugs require no copay and carry a coinsurance ranging from no coinsurance up to 20%.
Dialysis Services See details
Aetna Medicare Eagle Giveback (PPO) covers dialysis services with a 20% coinsurance and no copay. Prior authorization is required to access these covered services.
Medical Equipment See details
Medical equipment is covered by Aetna Medicare Eagle Giveback (PPO), with durable medical equipment, prosthetics, and medical supplies requiring a 20% coinsurance and no copay. Diabetic supplies carry no coinsurance to 20% coinsurance, and diabetic therapeutic shoes or inserts are covered with no copay.
Diagnostic and Radiological Services See details
Aetna Medicare Eagle Giveback (PPO) covers diagnostic and radiological services, with prior authorization required for care. Under this plan, lab services feature no copay or coinsurance, diagnostic tests have a $0 to $50 copay with no coinsurance, diagnostic radiology has a $0 to $300 copay with no coinsurance, therapeutic radiology has a 20% coinsurance with no copay, and outpatient X-rays have no copay.
Home Health Services See details
Home health services are covered by Aetna Medicare Eagle Giveback (PPO) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the Aetna Medicare Eagle Giveback (PPO) plan. This includes cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services, none of which are covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are covered by Aetna Medicare Eagle Giveback (PPO) with no copay for days 1 to 20 and a $218 daily copay for days 21 to 100, with no coinsurance required. Prior authorization is required, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by Aetna Medicare Eagle Giveback (PPO), offering no copay and no coinsurance for over-the-counter items up to $150 every three months, chronic illness meal benefits, and select wellness exams and screenings. Acupuncture and Dual Eligible SNPs with Highly Integrated Services are not covered.
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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.
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