A non-government entity
Aetna Medicare Advantra Signature Plus (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Aetna Medicare Advantra 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 Advantra Signature Plus (HMO-POS) in 2026, please refer to our full plan details page.
Aetna Medicare Advantra Signature Plus (HMO-POS) is a HMO-POS plan offered by CVS Health Corporation available for enrollment in 2025 to people living in Western Pennsylvania. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that Aetna Medicare Advantra 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 Advantra 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 Advantra 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 $500.00 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 $5500.00 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 Advantra Signature Plus (HMO-POS)
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 Advantra Signature Plus (HMO-POS) plan features a $500 annual prescription drug deductible. For Tier 1 preferred generic and Tier 2 generic medications, you will pay no copay when utilizing preferred pharmacies or preferred mail-order services. If you choose standard pharmacies or standard mail-order services, Tier 1 copays start at $2.00 and Tier 2 copays start at $12.00 for a one-month supply. For higher-tier medications, cost-sharing transitions to coinsurance under this plan. You will pay a 22% coinsurance for Tier 3 preferred brand drugs and a 25% coinsurance for Tier 4 non-preferred drugs across all pharmacy and mail-order options. Tier 5 specialty drugs require a 27% coinsurance for a one-month supply regardless of whether you use preferred or standard pharmacies.
Additional Benefits
The Aetna Medicare Advantra Signature Plus (HMO-POS) plan offers comprehensive medical coverage featuring no copay and no coinsurance for primary care visits, home health services, and standard preventive care. Specialist visits, outpatient therapy, and mental health services require a copay of up to $35 with no coinsurance. For inpatient hospital stays, members pay daily copays of $260 for acute care (days 1 to 7) and $176 for psychiatric care (days 1 to 9) with no coinsurance required. Routine dental, vision, and hearing exams are covered with no copay and no coinsurance, while prescription hearing aids and eyewear are covered up to annual plan limits. Emergency room visits require a $130 copay with no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Additionally, members receive no-copay coverage for diagnostic lab tests and up to $30 every three months for over-the-counter items.
Inpatient Hospital See details
Aetna Medicare Advantra Signature Plus (HMO-POS) covers inpatient hospital services with no coinsurance, requiring prior authorization. Acute care requires a $260 daily copay for days 1 to 7 with no copay thereafter, while psychiatric care requires a $176 daily copay for days 1 to 9 with no copay thereafter. This benefit is partially covered as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by Aetna Medicare Advantra Signature Plus (HMO-POS) with no coinsurance, featuring a $0 to $260 copay for outpatient hospital services and a $260 copay per stay for observation services. Ambulatory surgical center and blood services are provided with no copay and no coinsurance, while outpatient substance abuse sessions require a $35 copay and no coinsurance.
Partial Hospitalization See details
Aetna Medicare Advantra Signature Plus (HMO-POS) covers partial hospitalization services with no coinsurance and either no copay or a $145 copay. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
Ambulance services under the Aetna Medicare Advantra Signature Plus (HMO-POS) plan require prior authorization, with ground ambulance services costing a $275 copay plus coinsurance and air ambulance services requiring a 20% coinsurance plus a copay. While transportation benefits are technically covered, trips to plan-approved or any health-related locations are not covered.
Emergency Services See details
Emergency services under the Aetna Medicare Advantra Signature Plus (HMO-POS) plan are covered with a $130 copay and no coinsurance, with the copay 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 limit with no coinsurance and copays ranging from $130 to $275.
Primary Care See details
Aetna Medicare Advantra Signature Plus (HMO-POS) covers primary care physician services with no copay and no coinsurance, while specialists, therapy, and mental health services require a copay of up to $35 and no coinsurance. Chiropractic services are partially covered, with routine and other chiropractic care not covered, and telehealth benefits feature a $0 to $50 copay and 20% coinsurance.
Preventive Services See details
Preventive services are partially covered by Aetna Medicare Advantra Signature Plus (HMO-POS), with most services like annual physicals and screenings requiring no copay and no coinsurance, while kidney education services have no copay and a 20% coinsurance. The plan does not cover in-home safety assessments, personal emergency response systems, 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 modifications, or counseling.
Hearing Services See details
Hearing services are partially covered by Aetna Medicare Advantra Signature Plus (HMO-POS), featuring a $35 copay and no coinsurance for Medicare-covered exams, and no copay or coinsurance for annual routine exams and fitting evaluations. Prescription hearing aids are covered up to $500 per ear annually with no copay or coinsurance, though OTC hearing aids and inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
Aetna Medicare Advantra Signature Plus (HMO-POS) covers vision services with no deductibles and no coinsurance, offering eye exams with a $0 to $35 copay and routine annual exams at no copay. Covered eyewear, including contact lenses and eyeglasses, is available with no copay and no coinsurance up to a $175 annual maximum plan benefit.
Dental Services See details
Aetna Medicare Advantra Signature Plus (HMO-POS) offers partially covered dental services, featuring Medicare-covered dental care for a $35 copay and no coinsurance, and preventive services like cleanings and exams with no copay and no coinsurance. Comprehensive benefits have no copay and 20% to 50% coinsurance up to a $750 yearly limit, though fluoride, implants, orthodontics, maxillofacial prosthetics, other preventive, and other diagnostic services are not covered.
Home Infusion bundled Services See details
Aetna Medicare Advantra Signature Plus (HMO-POS) 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 chemotherapy and other Part B drugs carry no copay and a coinsurance ranging from 0% to 20%.
Dialysis Services See details
Dialysis Services are covered under the Aetna Medicare Advantra Signature Plus (HMO-POS) plan with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Aetna Medicare Advantra Signature Plus (HMO-POS) covers medical equipment, including durable medical equipment (DME), prosthetics, and diabetic supplies, with no copay and prior authorization required. Coinsurance for these covered services ranges from no coinsurance to 20%, depending on the specific item.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under Aetna Medicare Advantra Signature Plus (HMO-POS) with no copay and no coinsurance for lab services, diagnostic procedures, and diagnostic radiology. Outpatient x-rays require a $20 copay, therapeutic radiology is subject to a 20% coinsurance, and prior authorization is required for these services.
Home Health Services See details
The Aetna Medicare Advantra Signature Plus (HMO-POS) plan covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Aetna Medicare Advantra Signature Plus (HMO-POS) offers cardiac rehabilitation services with no copay and 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 Advantra Signature Plus (HMO-POS) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is a $10 daily copay for days 1 through 20 and a $218 daily copay for days 21 through 100, though additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Aetna Medicare Advantra Signature Plus (HMO-POS) partially covers other services, with acupuncture being not covered. Covered benefits—including chronic illness meals, annual wellness exams, additional colorectal screenings, and up to $30 every three months for over-the-counter items—are eligible for no copay and no coinsurance.
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