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Aetna Medicare Signature Plus (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Aetna Medicare Signature Plus (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 Plus (HMO-POS) in 2026, please refer to our full plan details page.
Aetna Medicare Signature Plus (HMO-POS) is a HMO-POS plan offered by CVS Health Corporation available for enrollment in 2025 to people living in Danville and Surrounding Area. This plan received an overall rating of 3 out of 5 stars in 2026.
It's important to know that Aetna Medicare Signature Plus (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 Plus (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 Plus (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 Plus (HMO-POS)
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Drug Coverage
The Aetna Medicare Signature Plus (HMO-POS) prescription drug plan features an annual deductible of $615. For Tier 1 preferred generic and Tier 2 generic medications, 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 service, copays start 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 across all pharmacy and mail-order options. Tier 3 preferred brand drugs require a 24% coinsurance, while Tier 4 non-preferred drugs and Tier 5 specialty drugs both carry a 25% coinsurance. Specialty drugs under Tier 5 are limited to a one-month supply.
Additional Benefits
The Aetna Medicare Signature Plus (HMO-POS) plan offers comprehensive medical coverage with predictable costs, featuring no copay or coinsurance for primary care doctor visits and a maximum $20 copay for specialists. If you require inpatient hospital services, the plan features a $330 daily copay for days 1 through 7 with no copay or coinsurance thereafter, while emergency room visits require a flat $150 copay. Outpatient hospital services range from no copay to a $330 copay with no coinsurance. Routine dental, vision, and hearing benefits are highly accessible, offering no copay for preventive dental cleanings, annual eye exams, and routine hearing tests. The plan also provides up to $1,500 per ear annually for prescription hearing aids, a $100 yearly eyewear allowance, and up to $60 every three months for over-the-counter items with no copay. Other essential services like home health care feature no copay, while durable medical equipment and dialysis services generally require up to 20% coinsurance.
Inpatient Hospital See details
Aetna Medicare Signature Plus (HMO-POS) covers inpatient hospital services with no coinsurance and prior authorization, featuring a $330 daily copay for acute days 1-7 (no copay thereafter) and a $335 daily copay for psychiatric days 1-7 (no copay for days 8-90). Upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered under these benefits.
Outpatient Services See details
Outpatient services under Aetna Medicare Signature Plus (HMO-POS) are covered with no coinsurance, featuring a $0 to $330 copay for outpatient hospital services and a $330 copay per stay for observation services. Ambulatory surgical center and outpatient blood services have no copay or coinsurance, while individual and group outpatient substance abuse sessions require a $40 copay.
Partial Hospitalization See details
Aetna Medicare Signature Plus (HMO-POS) covers partial hospitalization services with a copayment of $175 or $180 and no coinsurance. Prior authorization is required to access these covered services.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by Aetna Medicare Signature Plus (HMO-POS), with ground ambulance requiring a $275 copay and no coinsurance, and air ambulance requiring a 20% coinsurance and no copay, both subject to prior authorization. While some transportation services are covered, trips to plan-approved or any health-related locations are not covered.
Emergency Services See details
Aetna Medicare Signature Plus (HMO-POS) covers emergency services with a $150 copay and no coinsurance, which is waived if admitted to the hospital within 24 hours, and urgently needed services with a $40 copay and no coinsurance. Worldwide emergency and urgent care are covered with a $150 copay, while worldwide emergency transportation has a $275 copay, all featuring no coinsurance up to a $250,000 maximum benefit limit.
Primary Care See details
Primary care benefits under Aetna Medicare Signature Plus (HMO-POS) feature no copay and no coinsurance for primary care doctor visits, while specialist visits, therapy services, and mental health care require a copay of up to $20 and no coinsurance. Podiatry and chiropractic services are not covered, though telehealth is available with a $0 to $40 copay and 20% coinsurance.
Preventive Services See details
Preventive services are partially covered by Aetna Medicare Signature Plus (HMO-POS), with most covered benefits like annual physicals and glaucoma screenings requiring no copay and no coinsurance, while kidney disease education has no copay and a 20% coinsurance. Non-covered services under this benefit include in-home safety assessments, personal emergency response systems, medical nutrition therapy, weight management programs, and therapeutic massage.
Hearing Services See details
Aetna Medicare Signature Plus (HMO-POS) covers Medicare-covered hearing exams with a $20 copay and no coinsurance, while routine exams and fitting evaluations have no copay, no coinsurance, and no deductible. Prescription hearing aids are covered with no copay, coinsurance, or deductible up to a $1,500 annual limit per ear, though OTC hearing aids and inner, outer, or over-the-ear prescription models are not covered.
Vision Services See details
Aetna Medicare Signature Plus (HMO-POS) covers vision services with no coinsurance, featuring a $0 to $20 copay for eye exams and no copay for yearly routine exams. Eyewear is also covered with no copay and no coinsurance up to a combined maximum benefit of $100 per year.
Dental Services See details
Aetna Medicare Signature Plus (HMO-POS) dental services are partially covered, featuring preventive care like exams and cleanings with no copay and no coinsurance, and comprehensive care with no copay and 20% to 50% coinsurance up to a $2,000 annual limit. Medicare-covered dental services require a $20 copay and no coinsurance, while fluoride, implants, orthodontics, and maxillofacial prosthetics are not covered.
Home Infusion bundled Services See details
Aetna Medicare Signature Plus (HMO-POS) covers home infusion bundled services with no copay, subject to prior authorization. Under this benefit, Medicare Part B insulin drugs have a $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs require no copay and a 0% to 20% coinsurance.
Dialysis Services See details
Aetna Medicare Signature Plus (HMO-POS) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required for these covered services.
Medical Equipment See details
Aetna Medicare Signature Plus (HMO-POS) covers durable medical equipment and medical supplies with no copay and no coinsurance to 20% coinsurance, subject to prior authorization. Prosthetic devices are covered with no copay and 20% coinsurance, while diabetic therapeutic shoes have no copay and diabetic supplies require no coinsurance to 20% coinsurance from specified manufacturers.
Diagnostic and Radiological Services See details
Aetna Medicare Signature Plus (HMO-POS) covers diagnostic and radiological services, requiring prior authorization for both. Diagnostic procedures and tests carry a $0 to $100 copay with no coinsurance, lab services and outpatient X-rays have no copay, and therapeutic radiological services require a minimum 20% coinsurance.
Home Health Services See details
Home health services are covered by Aetna Medicare Signature Plus (HMO-POS) 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 Aetna Medicare Signature Plus (HMO-POS) plan, meaning some services are covered, but cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by Aetna Medicare Signature Plus (HMO-POS) with no coinsurance, requiring a daily copay of $20 for days 1 through 20 and $168 for days 21 through 100. Prior authorization is required and a prior three-day hospital stay is not needed, but additional days beyond the standard 100-day Medicare benefit are not covered.
Other Services See details
Aetna Medicare Signature Plus (HMO-POS) partially covers other services with no copay and no coinsurance for over-the-counter (OTC) items up to $60 every three months, annual wellness exams, and additional colorectal screenings. However, acupuncture and meal benefits are not covered.
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