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Aetna Medicare Signature (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Aetna Medicare Signature (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 (HMO-POS) in 2026, please refer to our full plan details page.
Aetna Medicare Signature (HMO-POS) is a HMO-POS 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 4 out of 5 stars in 2026.
It's important to know that Aetna Medicare Signature (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 (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 (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 $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 Maximum Out-Of-Pocket cost of $3900.00 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:
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Drug Coverage
The Aetna Medicare Signature (HMO-POS) plan features an annual drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic medications, members pay no copay when using preferred pharmacies or preferred mail-order services. If standard pharmacies or mail-order options are used, copays range from $2 to $6 for Tier 1 and $12 to $36 for Tier 2 depending on the supply length. For higher-tier prescription drugs, cost-sharing is based on coinsurance rather than 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. Specialty drugs under Tier 5 are limited to a one-month supply.
Additional Benefits
The Aetna Medicare Signature (HMO-POS) plan offers comprehensive medical coverage with affordable cost-sharing, featuring no copays or coinsurance for primary care visits and most preventive services. For hospital stays, members pay no coinsurance, though inpatient services require a $270 daily copay for the first six days, while outpatient services range from no copay to a $325 copay. Emergency care is accessible with a $150 copay, which is waived upon admission, and urgent care visits carry a low $30 copay. Specialty care, including vision and hearing, is highly accessible, with routine eye exams and eyewear covered up to $375 annually at no copay or coinsurance, alongside hearing aid coverage up to $1,250 per ear. Dental benefits include preventive care with no copay, while comprehensive dental services are covered up to a $3,500 annual limit with no copay and 20% to 50% coinsurance. Other essential benefits like home health care feature no copay, while dialysis and medical equipment require up to 20% coinsurance with no copays.
Inpatient Hospital See details
Aetna Medicare Signature (HMO-POS) covers inpatient hospital services with no coinsurance, requiring a $270 daily copay for days 1 through 6 and no copay for days 7 through 90. Unlimited additional acute care days are covered at no copay, though upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services covered under the Aetna Medicare Signature (HMO-POS) plan feature no coinsurance for all services. Ambulatory surgical center and blood services have no copay, outpatient hospital services range from no copay to a $325 copay, observation services require a $270 copay per stay, and outpatient substance abuse sessions require a $30 copay.
Partial Hospitalization See details
Partial hospitalization is covered by Aetna Medicare Signature (HMO-POS) with no coinsurance, though patients will pay a copay of either $55.00 or $180.00 and prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by Aetna Medicare Signature (HMO-POS), with ground ambulance services requiring a $280 copay and no coinsurance, and air ambulance services requiring a 20% coinsurance and no copay. Prior authorization is required for ambulance services, while transportation services to health-related locations are not covered.
Emergency Services See details
Emergency services are covered by Aetna Medicare Signature (HMO-POS) with a $150 copay—which is waived if admitted to the hospital within 24 hours—and no coinsurance, while urgent care has a $30 copay and no coinsurance. Worldwide emergency, urgent, and transportation services are also covered with no coinsurance and copays ranging from $150 to $280, up to a maximum benefit limit of $250,000.
Primary Care See details
Primary care benefits under Aetna Medicare Signature (HMO-POS) feature no copay and no coinsurance for primary care physician visits, while specialist visits, physical therapy, and mental health services require a $0 to $30 copay and no coinsurance. Chiropractic services are only partially covered as routine and other chiropractic care are not covered, and additional telehealth benefits are available with a $0 to $30 copay and 20% coinsurance.
Preventive Services See details
Aetna Medicare Signature (HMO-POS) covers most preventive services with no copay and no coinsurance, including annual physical exams, although kidney disease education services require a 20% coinsurance with no copay. This benefit is partially covered, as several supplemental services are not covered, including in-home safety assessments, personal emergency response systems, medical nutrition therapy, and weight management programs.
Hearing Services See details
Hearing services are partially covered by Aetna Medicare Signature (HMO-POS), offering Medicare-covered exams for a $30 copay and no coinsurance, as well as annual routine exams and fitting evaluations with no copay and no coinsurance. Prescription hearing aids are covered up to $1,250 per ear annually with no copay and no coinsurance, but OTC hearing aids and inner ear, outer ear, or over-the-ear prescription models are not covered.
Vision Services See details
Vision services are covered by Aetna Medicare Signature (HMO-POS) with no copay, no coinsurance, and no deductible, including one routine eye exam annually and follow-up diabetic eye exams. Eyewear, such as contact lenses, eyeglasses, and upgrades, is also covered with no copay or coinsurance up to a $375 maximum plan benefit limit every year.
Dental Services See details
Dental Services are partially covered by Aetna Medicare Signature (HMO-POS), featuring preventive care like exams and cleanings with no copay and no coinsurance, and Medicare-covered dental services for a $30 copay and no coinsurance. Comprehensive dental services such as restorative care, endodontics, periodontics, prosthodontics, and oral surgery are covered up to a $3,500 annual limit with no copay and 20% to 50% coinsurance, while fluoride, implants, orthodontics, maxillofacial prosthetics, and other diagnostic or preventive services are not covered.
Home Infusion bundled Services See details
Aetna Medicare Signature (HMO-POS) covers home infusion bundled services with no copay, though prior authorization is required. Medicare Part B insulin drugs have a $35 copay and no coinsurance, while chemotherapy and other Part B drugs have a coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis services are covered by Aetna Medicare Signature (HMO-POS) with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
Aetna Medicare Signature (HMO-POS) covers medical equipment, including durable medical equipment, prosthetics, and diabetic supplies, with no copay and coinsurance ranging from no coinsurance to 20%. Prior authorization is required for these covered items, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Aetna Medicare Signature (HMO-POS) with prior authorization required. Diagnostic procedures and tests have no coinsurance and a $0 to $30 copay, while lab services feature no copay and no coinsurance. Diagnostic radiological services have a copay starting at $0, outpatient X-rays require coinsurance with no copay, and therapeutic radiological services require a copay and a minimum 20% coinsurance.
Home Health Services See details
Aetna Medicare Signature (HMO-POS) covers home health services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by Aetna Medicare Signature (HMO-POS) with no copay and no coinsurance. While some services are covered, specific benefits including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered in practice.
Skilled Nursing Facility (SNF) See details
Aetna Medicare Signature (HMO-POS) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring a $20 daily copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by Aetna Medicare Signature (HMO-POS), featuring acupuncture for a $20 copay and no coinsurance, and over-the-counter items, annual wellness exams, screening mammographies, and gFOBT/FIT screenings for no copay and no coinsurance. Meal benefits are not covered.
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