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Aetna Medicare Signature Extra (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Aetna Medicare Signature Extra (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 Extra (HMO-POS) in 2026, please refer to our full plan details page.
Aetna Medicare Signature Extra (HMO-POS) is a HMO-POS plan offered by CVS Health Corporation available for enrollment in 2025 to people living in Topeka and surrounding areas. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that Aetna Medicare Signature Extra (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 Extra (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 Extra (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 $4150.00 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 Extra (HMO-POS) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic medications, you will enjoy no copay when filling your prescriptions through a preferred pharmacy or preferred mail order service. Standard pharmacies and standard mail order options charge a low copay for these generic tiers, starting at $2 for Tier 1 and $12 for Tier 2 for a one-month supply. For brand-name and specialty medications, costs are based on coinsurance rather than flat copays. Tier 3 preferred brand drugs require a 24% coinsurance, while Tier 4 non-preferred drugs and Tier 5 specialty drugs require a 25% coinsurance. These coinsurance percentages remain the same whether you use preferred or standard pharmacies or mail-order delivery.
Additional Benefits
The Aetna Medicare Signature Extra (HMO-POS) plan offers comprehensive coverage with no copay and no coinsurance for primary care visits, routine preventive services, and home health care. For hospital services, inpatient acute stays require a $375 daily copay for the first six days with no copay for subsequent days, while outpatient hospital copays range from no copay up to $325 with no coinsurance. Specialist visits and mental health services are also highly affordable, requiring a copay of up to $35 and no coinsurance. This plan features robust supplemental benefits, including routine vision and hearing exams with no copay and no coinsurance, alongside allowances for eyewear and hearing aids. Dental care is also well-supported, offering preventive services with no copay and comprehensive dental coverage up to a $2,000 annual limit with no copay and 20% to 50% coinsurance. Additionally, emergency care is covered worldwide with a $150 copay, which is waived if you are admitted to the hospital within 24 hours.
Inpatient Hospital See details
Aetna Medicare Signature Extra (HMO-POS) offers partially covered inpatient hospital services with no coinsurance, though upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered. Acute stays require a $375 daily copay for days 1 through 6 with no copay for subsequent and unlimited additional days, while psychiatric stays require a $310 daily copay for days 1 through 6 and no copay for days 7 through 90.
Outpatient Services See details
Outpatient services are covered by Aetna Medicare Signature Extra (HMO-POS) with no coinsurance, including no copays for ambulatory surgical center and blood services. Outpatient hospital copays range from $0 to $325, observation services require a $375 copay per stay, and outpatient substance abuse sessions carry a $35 copay.
Partial Hospitalization See details
Aetna Medicare Signature Extra (HMO-POS) covers partial hospitalization with no coinsurance and a copay of either $55.00 or $180.00, depending on the service. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
Aetna Medicare Signature Extra (HMO-POS) covers ambulance services with a $295 copay and no coinsurance for ground transport, and a 20% coinsurance with no copay for air transport, both requiring prior authorization. Transportation services are not covered under this plan.
Emergency Services See details
Aetna Medicare Signature Extra (HMO-POS) covers emergency services with a $150 copay (waived if admitted within 24 hours) and urgently needed services with a $35 copay, both with no coinsurance. Worldwide emergency, urgent, and transportation services are also covered with no coinsurance up to a $250,000 limit, with copays of $150 for emergency or urgent care and $295 for emergency transportation.
Primary Care See details
Aetna Medicare Signature Extra (HMO-POS) covers primary care physician services with no copay and no coinsurance, while specialist visits, therapy, and mental health services require a copay of up to $35 and no coinsurance. Chiropractic services are not covered in practice, and additional telehealth benefits are covered with a $0 to $35 copay and 20% coinsurance.
Preventive Services See details
Preventive services are partially covered by Aetna Medicare Signature Extra (HMO-POS), offering annual physicals, screenings, and health education with no copay and no coinsurance, while kidney disease education requires no copay and a 20% coinsurance. Several supplemental benefits are not covered, including personal emergency response systems, medical nutrition therapy, and weight management programs.
Hearing Services See details
Aetna Medicare Signature Extra (HMO-POS) covers Medicare-covered hearing exams for a $35 copay and no coinsurance, while annual routine exams and fitting evaluations have no copay and no coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance up to a $1,250 maximum per ear every year, though OTC hearing aids and inner ear, outer ear, or over-the-ear prescription models are not covered.
Vision Services See details
Aetna Medicare Signature Extra (HMO-POS) covers vision services with no copays, no coinsurance, and no deductibles for both eye exams and eyewear. This benefit includes one routine eye exam per year and a $125 annual maximum allowance for eyewear, including contacts, eyeglasses, lenses, frames, and upgrades.
Dental Services See details
Aetna Medicare Signature Extra (HMO-POS) provides partially covered dental benefits, featuring Medicare-covered dental services for a $35 copay and no coinsurance, and preventive care like cleanings and exams with no copay and no coinsurance. Comprehensive dental services are covered up to a $2,000 annual limit with no copay and 20% to 50% coinsurance, while fluoride, implants, orthodontics, maxillofacial prosthetics, other diagnostic, and other preventive services are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Aetna Medicare Signature Extra (HMO-POS) with no copay and no coinsurance, though prior authorization is required. Under this benefit, Medicare Part B insulin drugs have a $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs have no copay and a 0% to 20% coinsurance.
Dialysis Services See details
Aetna Medicare Signature Extra (HMO-POS) covers dialysis services with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
Aetna Medicare Signature Extra (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 services, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Aetna Medicare Signature Extra (HMO-POS) covers diagnostic and radiological services with prior authorization, featuring no coinsurance for diagnostic services, no copay for lab services, and diagnostic procedure copays ranging from $0 to $35. Radiological services require copays starting at $0 for diagnostic radiology, no copay for outpatient X-rays (subject to coinsurance), and a copay plus a minimum 20% coinsurance for therapeutic radiology.
Home Health Services See details
Aetna Medicare Signature Extra (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 Extra (HMO-POS) with no coinsurance, but some services are covered while standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
Aetna Medicare Signature Extra (HMO-POS) covers skilled nursing facility (SNF) care with no coinsurance, requiring a $5 daily copay for days 1 through 20 and a $200 daily copay for days 21 through 100. Prior authorization is required and a prior three-day hospital stay is not needed, though additional days beyond the standard 100-day limit are not covered.
Other Services See details
Aetna Medicare Signature Extra (HMO-POS) provides partially covered other services, including acupuncture for a $20 copay and no coinsurance up to 12 treatments per year, and over-the-counter (OTC) items with no copay and no coinsurance up to $30 every three months. Annual wellness exams, screening mammographies, and additional colorectal screenings are covered with no copay and no coinsurance, while meal benefits are not covered.
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