A non-government entity
Aetna Medicare Signature (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Aetna Medicare Signature (HMO). 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) in 2026, please refer to our full plan details page.
Aetna Medicare Signature (HMO) is a HMO plan offered by CVS Health Corporation available for enrollment in 2025 to people living in Oklahoma City and Surrounding Counties. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that Aetna Medicare Signature (HMO) 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).
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), 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 $6750.00 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:
Sign up for Aetna Medicare Signature (HMO)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The Aetna Medicare Signature (HMO) plan features an annual drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic medications, you will pay no copay when using a preferred pharmacy or preferred mail-order service. If you choose a standard pharmacy or standard mail-order, Tier 1 copays start at $2 and Tier 2 copays start at $12 for a 1-month supply. For brand-name and specialty medications, your costs are based on coinsurance regardless of the pharmacy type you use. Tier 3 preferred brand drugs require a 24% coinsurance, while Tier 4 non-preferred drugs and Tier 5 specialty drugs require a 25% coinsurance. Specialty tier medications are limited to a 1-month supply under these cost-sharing terms.
Additional Benefits
The Aetna Medicare Signature (HMO) plan offers comprehensive medical coverage with no copay for primary care visits, annual physicals, or home health services. Specialist visits range from no copay up to a $45 copay, while emergency room visits require a $130 copay with no coinsurance. For hospital stays, inpatient acute care requires a $425 daily copay for the first seven days, while outpatient hospital services range from no copay up to $275. Routine dental, vision, and hearing exams are highly accessible with no copays, and the plan includes annual allowances for eyewear and hearing aids. Diagnostic lab work and X-rays are also covered with no copay, helping to keep routine healthcare costs predictable. However, specialized services such as dialysis, durable medical equipment, and select dental procedures require coinsurance of up to 20% or 50%.
Inpatient Hospital See details
Aetna Medicare Signature (HMO) partially covers inpatient hospital services with no coinsurance, requiring a $425 daily copay for days 1 through 7 of acute stays and a $275 daily copay for days 1 through 7 of psychiatric stays, with no copay for subsequent covered days. Prior authorization is required, and upgrades, additional psychiatric days, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Aetna Medicare Signature (HMO) covers outpatient services with no coinsurance, offering ambulatory surgical center and blood services with no copays. Outpatient hospital services feature a copay ranging from no copay up to $275 (with a $425 copay per stay for observation services), while outpatient substance abuse services require a $40 copay and no coinsurance.
Partial Hospitalization See details
Aetna Medicare Signature (HMO) covers partial hospitalization services with a copay of either $85.00 or $145.00 and no coinsurance. Prior authorization is required for this covered benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by Aetna Medicare Signature (HMO), which requires a $300 copay for ground ambulance services and a 20% coinsurance for air ambulance services. Prior authorization is required for ambulance services, and routine transportation to plan-approved or health-related locations is not covered.
Emergency Services See details
Aetna Medicare Signature (HMO) covers emergency services with a $130 copay (waived if admitted within 24 hours) and urgently needed services with a $50 copay, both with no coinsurance. Worldwide emergency and urgent services are covered up to a $250,000 limit with no coinsurance, requiring a $130 copay for medical care and a $300 copay for emergency transportation.
Primary Care See details
Primary care services are covered under the Aetna Medicare Signature (HMO) with no copay and no coinsurance for primary care visits, and a $0 to $45 copay with no coinsurance for specialists. Physical, occupational, speech, and mental health therapies require a $40 copay and no coinsurance, while podiatry is not covered and chiropractic care is only partially covered with a $15 copay and no coinsurance, excluding routine and other chiropractic services.
Preventive Services See details
Preventive services under Aetna Medicare Signature (HMO) are partially covered, featuring no copay and no coinsurance for annual physicals, health education, and select screenings, while kidney disease education requires a 20% coinsurance and no copay. Several sub-services are not covered, including in-home safety assessments, personal emergency response systems, medical nutrition therapy, weight management programs, and therapeutic massage.
Hearing Services See details
Hearing services are partially covered by Aetna Medicare Signature (HMO), with Medicare-covered exams requiring a referral, a $45 copay, and no coinsurance. Routine exams, fitting evaluations, and prescription hearing aids have no copay and no coinsurance, with a $1,000 annual maximum per ear for prescription aids, though OTC hearing aids and inner ear, outer ear, and over the ear prescription models are not covered.
Vision Services See details
Aetna Medicare Signature (HMO) covers vision services with no deductible, no copays, and no coinsurance for both eye exams and eyewear. Covered benefits include one routine eye exam per year and a combined maximum plan allowance of $100 annually for eyewear, including contacts, eyeglasses, lenses, frames, and upgrades.
Dental Services See details
Dental services are partially covered under the Aetna Medicare Signature (HMO) plan, featuring a $45 copay and no coinsurance for Medicare-covered dental, and no copay and no coinsurance for covered preventive services like exams and cleanings. Covered comprehensive services have no copay and 20% to 50% coinsurance up to a $1,000 annual maximum, but fluoride, implants, orthodontics, maxillofacial prosthetics, other diagnostic, and other preventive services are not covered.
Home Infusion bundled Services See details
Aetna Medicare Signature (HMO) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy and other Part B drugs require 0% to 20% coinsurance, while Part B insulin is covered with a $35 copay and no coinsurance.
Dialysis Services See details
Dialysis services are covered under the Aetna Medicare Signature (HMO) with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
Medical Equipment is covered by Aetna Medicare Signature (HMO) with no copays for durable medical equipment (DME), prosthetics, medical supplies, and diabetic therapeutic shoes or inserts. Prior authorization is required, and coinsurance ranges from no coinsurance to 20% for DME, medical supplies, and diabetic supplies, while prosthetic devices require 20% coinsurance.
Diagnostic and Radiological Services See details
Aetna Medicare Signature (HMO) covers diagnostic and radiological services with no copay for lab work, outpatient X-rays, and diagnostic radiology, while diagnostic tests and procedures carry a copay of $0 to $50. There is no coinsurance for diagnostic services, but therapeutic radiological services require a 20% coinsurance, and prior authorization or referrals may be required.
Home Health Services See details
Aetna Medicare Signature (HMO) covers Home Health Services 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 Signature (HMO) plan, as none of the individual sub-services, including intensive cardiac, pulmonary, and SET for PAD rehabilitation, are covered in practice.
Skilled Nursing Facility (SNF) See details
Aetna Medicare Signature (HMO) covers skilled nursing facility services with no coinsurance, requiring a $10 daily copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, prior hospital stays of less than three days are allowed, and additional days beyond the standard 100 days are not covered.
Other Services See details
Other services are partially covered by Aetna Medicare Signature (HMO), which offers an annual wellness exam, screening mammography, and additional gFOBT and FIT with no copay and no coinsurance. However, acupuncture, over-the-counter (OTC) items, and meal benefits are not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
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.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved