A non-government entity
Aetna Medicare Signature (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for 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 Aetna Medicare Signature (PPO) in 2026, please refer to our full plan details page.
Aetna Medicare Signature (PPO) is a PPO plan offered by CVS Health Corporation available for enrollment in 2025 to people living in Rural Oklahoma Counties. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that 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 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 Aetna Medicare Signature (PPO), 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 $300.00 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:
Sign up for Aetna Medicare Signature (PPO)
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 (PPO) plan features an annual prescription drug deductible of $300. Under this plan, Tier 1 preferred generic drugs have no copay when filled at preferred pharmacies or through preferred mail order, while standard pharmacies charge a small copay starting at $2. Tier 2 generic drugs are also highly affordable, with copays starting at $10 at preferred pharmacies and $12 at standard locations. For higher-tier medications, the plan transitions to coinsurance rather than flat copays. Tier 3 preferred brand-name drugs carry a 25% coinsurance, and Tier 4 non-preferred drugs require a 26% coinsurance across all pharmacy and mail-order options. Specialty medications in Tier 5 are covered with a 29% coinsurance for a one-month supply.
Additional Benefits
The Aetna Medicare Signature (PPO) plan offers comprehensive medical coverage with predictable out-of-pocket costs and no coinsurance for many core services. Primary care doctor visits require a low $5 copay, while specialist visits range from no copay to a $55 copay. Inpatient hospital stays require daily copays for the first six days with no copay thereafter, and emergency room visits carry a $130 copay. Routine vision, hearing, and preventive dental services are covered with no copay or coinsurance, alongside yearly allowances for eyewear and hearing aids. Comprehensive dental care is also available with no copay and coinsurance ranging from 20% to 50% up to a $1,000 annual limit. Additionally, home health care and diagnostic lab services are provided with no copay and no coinsurance.
Inpatient Hospital See details
Aetna Medicare Signature (PPO) covers inpatient hospital services with no coinsurance, requiring a copay of $445 for days 1 to 6 of acute stays and $325 for days 1 to 6 of psychiatric stays, with no copay for days 7 to 90. This benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Aetna Medicare Signature (PPO) covers outpatient services with no coinsurance, including ambulatory surgical center and blood services with no copay and no coinsurance. Outpatient hospital services require a copay of $0.00 to $350.00 with no coinsurance, observation services require a $445.00 copay per stay with no coinsurance, and outpatient substance abuse services carry a $45.00 copay with no coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered by Aetna Medicare Signature (PPO) with a copay of either $85.00 or $145.00 and no coinsurance, though prior authorization is required.
Ambulance and Transportation Services See details
Aetna Medicare Signature (PPO) covers ground ambulance services with a $340 copay and no coinsurance, and air ambulance services with a 20% coinsurance and no copay, both requiring prior authorization. Transportation services to plan-approved or any other health-related locations are not covered.
Emergency Services See details
Aetna Medicare Signature (PPO) covers emergency services 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 services are covered up to a $250,000 maximum with no coinsurance and copays of $130 for emergency or urgent care and $340 for emergency transportation.
Primary Care See details
Aetna Medicare Signature (PPO) covers primary care physician visits for a $5 copay and no coinsurance, and specialist visits for no copay to a $55 copay and no coinsurance. Physical, occupational, speech, mental health, psychiatric, and opioid treatment therapies require a $45 copay and no coinsurance, while podiatry and chiropractic services are not covered. Telehealth benefits are also available with no copay to a $50 copay and 20% coinsurance.
Preventive Services See details
Aetna Medicare Signature (PPO) provides partially covered preventive services with no copay and no coinsurance for annual physicals, glaucoma screenings, and fitness benefits, though kidney disease education has no copay and a 20% coinsurance. Sub-services that are not covered include in-home safety assessments, personal emergency response systems (PERS), medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, enhanced disease management, telemonitoring, home safety devices, and counseling.
Hearing Services See details
Aetna Medicare Signature (PPO) covers hearing services, featuring a $55 copay and no coinsurance for Medicare-covered exams, and annual routine exams and fittings with no copay or coinsurance. Prescription hearing aids are covered up to $500 per ear yearly with no copay or coinsurance, though OTC hearing aids and specific prescription types like inner ear, outer ear, and over-the-ear are not covered.
Vision Services See details
Aetna Medicare Signature (PPO) covers vision services with no copay and no coinsurance, including one routine eye exam per year up to a $50 annual limit. Covered eyewear, including contacts, lenses, and frames, also features no copay or coinsurance up to a combined maximum benefit of $125 every year.
Dental Services See details
Dental services under the Aetna Medicare Signature (PPO) are partially covered, offering preventive care with no copay and no coinsurance, and comprehensive services with no copay and 20% to 50% coinsurance up to a $1,000 annual limit. Medicare-covered dental services require a $55 copay and no coinsurance, while fluoride, implants, orthodontics, and maxillofacial prosthetics are not covered.
Home Infusion bundled Services See details
Aetna Medicare Signature (PPO) covers home infusion bundled services with no copay, though prior authorization is required. Covered Medicare Part B chemotherapy, radiation, and other drugs have a 0% to 20% coinsurance and no copay, while Medicare 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 (PPO) plan with no copay and a 20% coinsurance. Prior authorization is required to receive coverage for these services.
Medical Equipment See details
Aetna Medicare Signature (PPO) covers durable medical equipment, medical supplies, and diabetic supplies with no coinsurance to 20% coinsurance, featuring no copay on durable medical equipment and medical supplies. Prosthetic devices are covered with no copay and 20% coinsurance, and diabetic therapeutic shoes have no copay, with prior authorization required.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Aetna Medicare Signature (PPO) with prior authorization required. Lab services have no copay or coinsurance, diagnostic tests carry a $0 to $50 copay with no coinsurance, and radiological services range from a $5 copay plus coinsurance for X-rays to a minimum 20% coinsurance plus a copay for therapeutic treatments.
Home Health Services See details
Home health services are covered under the Aetna Medicare Signature (PPO) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by Aetna Medicare Signature (PPO) with no copay and no coinsurance, though only some services are covered while standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by Aetna Medicare Signature (PPO) with no coinsurance, though prior authorization is required and a prior three-day hospital stay is not needed. There is a $10.00 daily copay for days 1 through 20 and a $218.00 daily copay for days 21 through 100, with no coverage provided for additional days beyond the standard Medicare limit.
Other Services See details
Other services are partially covered by Aetna Medicare Signature (PPO) with no copay and no coinsurance, including annual wellness exams, screening mammography, additional gFOBT and FIT, and up to $15 every three months for over-the-counter items. Acupuncture, meal benefits, and dual-eligible SNP services 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