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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 SW MO / SE KS Area. 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 $4200.00 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 Extra (HMO-POS)
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Drug Coverage
The Aetna Medicare Signature Extra (HMO-POS) plan features an annual prescription drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic medications, you will enjoy no copay when using preferred pharmacies or preferred mail-order services. If you choose standard pharmacies or standard mail order, copays start at $2 for Tier 1 and $12 for Tier 2 for a one-month supply. For brand-name and specialty drugs, your costs are calculated as a percentage of the drug cost rather than a flat fee. Tier 3 preferred brand drugs require a 24% coinsurance across all pharmacy and mail-order options. Tier 4 non-preferred drugs and Tier 5 specialty drugs carry a 25% coinsurance for a one-month supply.
Additional Benefits
The Aetna Medicare Signature Extra (HMO-POS) plan offers comprehensive medical coverage with no copay for primary care physician visits and copays up to $35 for specialist visits and diagnostic services. For hospital care, inpatient stays feature a daily copay of $310 to $350 for the first six days with no copay thereafter, while emergency room visits carry a $150 copay. Outpatient services, home health care, and preventive care are also highly accessible, with many of these services requiring no copay or coinsurance. This plan also includes valuable wellness benefits, featuring no copay or coinsurance for routine vision and hearing exams, alongside allowances for eyewear and hearing aids. Preventive dental care is available with no copay, while comprehensive dental services are covered with a 20% to 50% coinsurance up to a $1,500 annual limit. Additionally, members benefit from no copay on home health services, over-the-counter items, and select medical equipment.
Inpatient Hospital See details
Inpatient hospital care is partially covered by Aetna Medicare Signature Extra (HMO-POS) with no coinsurance, requiring prior authorization and a daily copay of $350 for days 1-6 of acute stays and $310 for days 1-6 of psychiatric stays, with no copay for subsequent covered days. Upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Aetna Medicare Signature Extra (HMO-POS) covers outpatient services with no coinsurance, featuring copays of $0 to $350 for outpatient hospital services and $350 per stay for observation services. There is no copay or coinsurance for ambulatory surgical center and blood services, while outpatient substance abuse sessions require a $35 copay and no coinsurance.
Partial Hospitalization See details
Partial Hospitalization is covered under the Aetna Medicare Signature Extra (HMO-POS) plan with a copay of either $55.00 or $180.00 and no coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
Aetna Medicare Signature Extra (HMO-POS) covers ground ambulance services with a $295 copay and no coinsurance, and air ambulance services with a 20% coinsurance and no copay, both of which require prior authorization. Additional transportation services to health-related locations are not covered.
Emergency Services See details
Aetna Medicare Signature Extra (HMO-POS) covers emergency services with a $150 copay, which is waived if admitted to the hospital within 24 hours, and urgently needed services with a $35 copay, both with no coinsurance. Worldwide emergency and urgent services are also covered up to a $250,000 maximum benefit with no coinsurance, requiring a $150 copay for emergency or urgent care and a $295 copay for emergency transportation.
Primary Care See details
Primary care benefits under Aetna Medicare Signature Extra (HMO-POS) feature no copay and no coinsurance for primary care physician visits, while specialist visits require a $0 to $35 copay and no coinsurance. Other services such as physical, occupational, and mental health therapies carry a $35 copay and no coinsurance, though for chiropractic care, some services are covered but routine and other chiropractic services are not.
Preventive Services See details
Aetna Medicare Signature Extra (HMO-POS) provides partially covered preventive services with no copay and no coinsurance for annual physicals, diabetes self-management, and fitness benefits. Kidney disease education is covered with no copay but has a 20% coinsurance, while several services like weight management, personal emergency response systems, and medical nutrition therapy are not covered.
Hearing Services See details
Aetna Medicare Signature Extra (HMO-POS) covers hearing exams with a $35 copay and no coinsurance for Medicare-covered visits, and no copay or coinsurance for annual routine exams and fittings. Prescription hearing aids are partially covered up to $1,250 per ear annually with no copay or coinsurance, though inner ear, outer ear, over-the-ear, and OTC hearing aids are not covered.
Vision Services See details
Aetna Medicare Signature Extra (HMO-POS) covers vision services with no copay, no coinsurance, and no deductible. This benefit includes one routine eye exam per year and up to a $100 annual maximum allowance for eyewear, including contact lenses, eyeglasses, frames, and upgrades, all with no copays or coinsurance.
Dental Services See details
Dental services are partially covered by the Aetna Medicare Signature Extra (HMO-POS) plan, offering preventive care like cleanings, exams, and X-rays with no copay and no coinsurance, and Medicare-covered dental with a $35 copay and no coinsurance. Comprehensive benefits such as restorative care and periodontics are covered with no copay and 20% to 50% coinsurance up to a $1,500 annual maximum, though fluoride, implants, and orthodontics 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, though prior authorization is required. Under this benefit, Medicare Part B insulin drugs require a $35 copay and no coinsurance, while chemotherapy and other Part B drugs have a coinsurance of 0% to 20%.
Dialysis Services See details
Dialysis Services are covered under the Aetna Medicare Signature Extra (HMO-POS) plan 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 (DME), prosthetics, and diabetic supplies, with no copay and prior authorization required. Coinsurance ranges from no coinsurance to 20% for DME, medical supplies, and diabetic supplies, while prosthetic devices and diabetic therapeutic shoes or inserts require a 20% coinsurance.
Diagnostic and Radiological Services See details
Aetna Medicare Signature Extra (HMO-POS) covers diagnostic services with no coinsurance, featuring no copay for lab services and a $0 to $35 copay for diagnostic procedures and tests. Covered radiological services require prior authorization and include outpatient x-rays with no copay, diagnostic radiology with a $0 minimum copay, and therapeutic radiology with a minimum 20% coinsurance.
Home Health Services See details
Home Health Services are covered by Aetna Medicare Signature Extra (HMO-POS) with no copay and no coinsurance. Prior authorization is required to access this benefit.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by Aetna Medicare Signature Extra (HMO-POS) with no coinsurance. While some services are covered, 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) services with no coinsurance, requiring prior authorization and no prior three-day inpatient hospital stay. You will pay a $20 daily copay for days 1 through 20 and a $218 daily copay for days 21 through 100, with no coverage provided for additional days.
Other Services See details
Other Services are partially covered by Aetna Medicare Signature Extra (HMO-POS), which excludes meal benefits. Covered benefits include acupuncture with a $20 copay and no coinsurance for up to 12 treatments yearly, as well as over-the-counter items, annual wellness exams, screening mammographies, and additional colorectal screenings with no copay and no coinsurance.
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