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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.
This summary reflects 2026 plan information. Where this plan continues in 2027, the full plan details page links to its 2027 benefits and costs.
Aetna Medicare Signature Extra (HMO-POS) is a HMO-POS plan offered by Coventry Health Care of Missouri, Inc. available for the 2026 plan year to people living in Kansas City Metro 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
Health deductible: information not available.
This plan has a $615.00 drug deductible that applies only to drugs in certain tiers. You pay this amount toward covered prescriptions in those tiers before the plan's cost sharing begins; drugs in the other tiers are not subject to the deductible. See the full plan details page for the tier table.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $5200.00 for in-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your out-of-pocket costs reach $5200.00 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 pay no copay when using preferred pharmacies or preferred mail-order services. If you choose standard pharmacies or standard mail order, copays start as low as $2 for Tier 1 and $12 for Tier 2 for a one-month supply. Brand-name and specialty medications are subject to coinsurance rather than flat copays under this plan. Tier 3 preferred brand drugs require a 24% coinsurance, while Tier 4 non-preferred drugs and Tier 5 specialty drugs both require 25% coinsurance across all pharmacy options. Note that Tier 5 specialty medications are only available for a one-month supply.
Additional Benefits
The Aetna Medicare Signature Extra (HMO-POS) plan offers robust medical coverage with no copay and no coinsurance for primary care doctor visits, while specialist visits require a copay between $0 and $50. For hospital care, inpatient stays feature a $370 daily copay for the first six days and no copay for days seven through 90, with no coinsurance required. Emergency room visits require a $130 copay, which is waived if you are admitted within 24 hours, and urgent care is available for a $50 copay. This plan also provides excellent supplemental benefits, including routine dental, vision, and hearing exams with no copay or coinsurance. Members receive generous annual allowances, including up to $2,500 for comprehensive dental services, up to $225 for eyewear, and up to $1,250 per ear for prescription hearing aids. Additionally, home health services and over-the-counter items are covered with no copay, while durable medical equipment and Part B drugs feature no copay and up to 20% coinsurance.
Inpatient Hospital See details
Aetna Medicare Signature Extra (HMO-POS) partially covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $370 daily copay for days 1 through 6 and no copay for days 7 through 90. Unlimited additional acute care days are covered with no copay, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services covered by Aetna Medicare Signature Extra (HMO-POS) feature no coinsurance across all services, with no copays for ambulatory surgical center and outpatient blood services. Outpatient hospital copays range from $0 to $370, observation services require a $370 copay per stay, and outpatient substance abuse sessions have a $50 copay.
Partial Hospitalization See details
Aetna Medicare Signature Extra (HMO-POS) covers partial hospitalization services with a copay of either $55.00 or $145.00 and no coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered under Aetna Medicare Signature Extra (HMO-POS), requiring a $340 copay for ground ambulance services and a 20% coinsurance for air ambulance services, both of which require prior authorization. Transportation services to plan-approved or any other health-related locations are not covered under this plan.
Emergency Services See details
Aetna Medicare Signature Extra (HMO-POS) covers emergency services with a $130 copay (waived if admitted to the hospital within 24 hours) and urgent care with a $50 copay, both with no coinsurance. Worldwide emergency and urgent services are also covered with a $130 copay, and worldwide emergency transportation is covered with a $340 copay, up to a $250,000 maximum benefit with no coinsurance.
Primary Care See details
Aetna Medicare Signature Extra (HMO-POS) covers primary care physician services with no copay and no coinsurance, while specialist, therapy, mental health, and podiatry services require a $0 to $50 copay and no coinsurance. Additional telehealth benefits are covered with a $0 to $50 copay and 20% coinsurance, though chiropractic services are not covered.
Preventive Services See details
Preventive Services are partially covered by Aetna Medicare Signature Extra (HMO-POS), featuring no copay and no coinsurance for annual physicals, diabetes training, glaucoma screenings, and select benefits like fitness, health education, and wigs up to $400. Kidney disease education is covered with no copay and a 20% coinsurance, but excluded services include in-home safety assessments, PERS, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, in-home support, caregiver support, enhanced disease management, telemonitoring, home and bathroom safety modifications, and counseling.
Hearing Services See details
Aetna Medicare Signature Extra (HMO-POS) covers annual routine hearing exams and fitting evaluations with no copay and no coinsurance, while Medicare-covered exams require a $50 copay and no coinsurance. Prescription hearing aids are partially covered with no copay and no coinsurance up to $1,250 per ear yearly, 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 deductible, offering annual routine eye exams and follow-up diabetic exams with no copay or coinsurance, while Medicare-covered exams require a $50 copay and no coinsurance. Eyewear, including contact lenses and eyeglasses, is also covered with no copay or coinsurance up to a $225 annual maximum.
Dental Services See details
Dental services are partially covered by Aetna Medicare Signature Extra (HMO-POS), with Medicare-covered dental requiring a $50 copay and no coinsurance, and preventive services like exams and cleanings available with no copay and no coinsurance. Comprehensive services are covered up to a $2,500 annual limit with no copay and 20% to 50% coinsurance, 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, radiation, and other Part B drugs feature no copay and a coinsurance ranging from 0% to 20%.
Dialysis Services See details
Aetna Medicare Signature Extra (HMO-POS) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive coverage for these services.
Medical Equipment See details
Aetna Medicare Signature Extra (HMO-POS) covers medical equipment, including durable medical equipment, prosthetics, and diabetic supplies, with no copayments. Prior authorization is required for these services, and coinsurance ranges from no coinsurance up to 20% depending on the specific item.
Diagnostic and Radiological Services See details
Aetna Medicare Signature Extra (HMO-POS) covers diagnostic and radiological services with prior authorization required, offering no coinsurance and a $0 to $50 copay for diagnostic procedures, and no copay for lab services. Outpatient X-rays have no copay but require coinsurance, while therapeutic radiological services carry a copay and a minimum 20% coinsurance.
Home Health Services See details
The Aetna Medicare Signature Extra (HMO-POS) plan covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by the Aetna Medicare Signature Extra (HMO-POS) plan with no coinsurance, but only some services are covered because standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a $5 copay.
Skilled Nursing Facility (SNF) See details
Aetna Medicare Signature Extra (HMO-POS) covers skilled nursing facility (SNF) services with no coinsurance, requiring a daily copay of $10 for days 1 through 20 and $218 for days 21 through 100. Prior authorization is required for these services, though a prior three-day inpatient hospital stay is not required for admission.
Other Services See details
Other services are partially covered under Aetna Medicare Signature Extra (HMO-POS), with meal benefits not covered. Acupuncture is covered with a $20 copay and no coinsurance for up to 12 treatments per year, while over-the-counter items, annual wellness exams, and select screenings are covered with no copay and no coinsurance.
Plan Providers
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpringSM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
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* 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.
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