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Allina Health Aetna Medicare Signature (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Allina Health Aetna Medicare Signature (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Allina Health Aetna Medicare Signature (PPO) in 2026, please refer to our full plan details page.
Allina Health Aetna Medicare Signature (PPO) is a PPO plan offered by Allina Health and Aetna Insurance Holding Company available for enrollment in 2025 to people living in Brown and Nicollet Counties. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that Allina Health Aetna Medicare Signature (PPO) 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 Allina Health Aetna Medicare Signature (PPO).
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 Allina Health Aetna Medicare Signature (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $12.00. 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 has a $1500.00 health deductible. This means, every calendar year, you pay this amount towards covered services before your insurance coverage kicks in.
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 combined Maximum Out-Of-Pocket cost of $10100.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $10100.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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 Allina Health Aetna Medicare Signature (PPO) plan features an annual drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic drugs, 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 one-month supply. Higher-tier medications on this plan require coinsurance instead of flat copays. You will pay 24% coinsurance for Tier 3 preferred brand drugs and 25% coinsurance for Tier 4 non-preferred drugs. Tier 5 specialty drugs also carry a 25% coinsurance for a one-month supply regardless of your pharmacy choice.
Additional Benefits
The Allina Health Aetna Medicare Signature (PPO) plan offers robust coverage for everyday healthcare needs, featuring no copays or coinsurance for primary care visits, preventive screenings, and routine home health services. For more intensive medical care, inpatient hospital stays require a daily copay for the first six days with no coinsurance, while emergency room visits carry a $130 copay that is waived if you are admitted. Outpatient services, diagnostic labs, and ambulatory surgeries are also highly accessible, often requiring no copays or low cost-sharing depending on the facility. This plan also includes valuable supplemental benefits, such as routine dental, vision, and hearing exams with no copays or coinsurance. Members receive annual allowances of up to $100 for eyewear and $500 per ear for prescription hearing aids, both with no copay or coinsurance. Specialist visits and Medicare-covered dental services require a $50 copay, while durable medical equipment and dialysis services generally require up to 20% coinsurance.
Inpatient Hospital See details
Inpatient hospital care is covered by Allina Health Aetna Medicare Signature (PPO) with no coinsurance, requiring a $445 daily copay for days 1 to 6 of acute stays and a $390 daily copay for days 1 to 6 of psychiatric stays, followed by no copay for days 7 to 90. This benefit is partially covered as prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Allina Health Aetna Medicare Signature (PPO) covers outpatient hospital services with no coinsurance and copays ranging from $0 to $500, and observation services with no coinsurance and a $445 copay per stay. Ambulatory surgical center and outpatient blood services are covered with no copays or coinsurance, while outpatient substance abuse individual and group sessions have no coinsurance and a $50 copay.
Partial Hospitalization See details
Allina Health Aetna Medicare Signature (PPO) covers partial hospitalization services with a copay of $140.00 or $145.00 and no coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by Allina Health Aetna Medicare Signature (PPO), with ground ambulance services requiring a $350 copay and no coinsurance, and air ambulance services requiring a 20% coinsurance and no copay. Prior authorization is required for ambulance services, and transportation services are not covered.
Emergency Services See details
Emergency services are covered by Allina Health Aetna Medicare Signature (PPO) with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a $50 copay and no coinsurance, while worldwide emergency care and transportation are covered up to a $250,000 maximum with no coinsurance and copays ranging from $130 to $350.
Primary Care See details
Allina Health Aetna Medicare Signature (PPO) covers primary care physician services with no copay and no coinsurance, while specialist visits, therapy, mental health, psychiatric, and opioid treatment services require a $50 copay and no coinsurance. Telehealth services feature a $0 to $50 copay with 20% coinsurance, chiropractic care has a $15 copay and no coinsurance (excluding routine care), and podiatry services are not covered.
Preventive Services See details
Preventive Services are partially covered by the Allina Health Aetna Medicare Signature (PPO), offering an annual physical, health education, and various screenings with no copay and no coinsurance, while kidney disease education requires no copay and a 20% coinsurance. Supplemental services such as in-home safety assessments, personal emergency response systems, medical nutrition therapy, weight management, alternative therapies, therapeutic massage, adult day health, and home-based palliative care are not covered.
Hearing Services See details
Allina Health Aetna Medicare Signature (PPO) covers hearing services, including Medicare-covered exams for a $50 copay and no coinsurance, as well as annual routine exams and fitting evaluations with no copay and no coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance up to $500 per ear annually, though over-the-counter, inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
Allina Health Aetna Medicare Signature (PPO) covers vision services with no coinsurance, featuring a $0 to $50 copay for eye exams and no copay for routine annual exams. Eyewear, including contact lenses and eyeglasses, is covered with no copay and no coinsurance up to a combined maximum benefit of $100 every year.
Dental Services See details
Dental services are partially covered by the Allina Health Aetna Medicare Signature (PPO) plan, offering preventive care like exams, cleanings, and x-rays with no copay and no coinsurance. Medicare-covered dental services require a $50 copay and no coinsurance, while other services such as fluoride, restorative care, endodontics, and orthodontics are not covered.
Home Infusion bundled Services See details
Allina Health Aetna Medicare Signature (PPO) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Medicare Part B insulin drugs have a $35 copay and no coinsurance, while Part B chemotherapy, radiation, and other drugs require no copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered under the Allina Health Aetna Medicare Signature (PPO) plan with no copay and a 20% coinsurance. Prior authorization is required to receive this covered benefit.
Medical Equipment See details
Allina Health Aetna Medicare Signature (PPO) covers medical equipment, including durable medical equipment, prosthetics, and diabetic supplies, with no copays and coinsurance ranging from no coinsurance up to 20 percent. These covered services require prior authorization, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by the Allina Health Aetna Medicare Signature (PPO) plan, with prior authorization required. Diagnostic lab services require no copay and no coinsurance, diagnostic tests range from no copay to a $45 copay with no coinsurance, and radiological services range from no minimum copay for diagnostic imaging to a $30 copay for X-rays and a minimum 20% coinsurance for therapeutic treatments.
Home Health Services See details
Home Health Services are covered by Allina Health Aetna Medicare Signature (PPO) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered with no coinsurance under the Allina Health Aetna Medicare Signature (PPO), though only some services are covered. Standard cardiac rehabilitation (which carries a $20 copay), intensive cardiac rehabilitation ($20 copay), pulmonary rehabilitation ($15 copay), and supervised exercise therapy for peripheral artery disease ($25 copay) are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by Allina Health Aetna Medicare Signature (PPO) with no coinsurance and no prior three-day hospital stay required, though prior authorization is necessary. The benefit is partially covered as additional days beyond the Medicare-covered limit are not covered, with cost-sharing consisting of a $10.00 copay for days 1 to 20, a $218.00 copay for days 21 to 51, and no copay for days 52 to 100.
Other Services See details
Allina Health Aetna Medicare Signature (PPO) provides partial coverage for other services, which includes an annual wellness exam, screening mammography, and additional gFOBT and FIT tests with no copay and no coinsurance. Acupuncture, over-the-counter (OTC) items, and meal benefits are not covered under this plan.
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