A non-government entity
Aetna Medicare Signature Extra (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Aetna Medicare Signature Extra (HMO). 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) in 2026, please refer to our full plan details page.
Aetna Medicare Signature Extra (HMO) is a HMO plan offered by CVS Health Corporation available for enrollment in 2025 to people living in San Antonio and Austin Counties. 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) 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).
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), 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 $3800.00 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 Extra (HMO)
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 Extra (HMO) plan features an annual drug deductible of $615. For Tier 1 preferred generics and Tier 2 generics, members pay no copay when using a preferred pharmacy or preferred mail order service for up to a three-month supply. If standard pharmacies or standard mail orders are used, Tier 1 copays range from $2 to $6, while Tier 2 copays range from $12 to $36 depending on the supply duration. For higher-tier medications, costs shift to coinsurance across all pharmacy types. 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. Additionally, Tier 5 specialty medications are restricted to a one-month supply.
Additional Benefits
The Aetna Medicare Signature Extra (HMO) plan offers robust healthcare coverage with no copays for primary care doctor visits, routine home health services, and annual preventive physicals. Specialist office visits carry a low copay of up to $40, while inpatient hospital stays require a $395 daily copay for the first six days and no copay for additional days. Emergency room visits require a $150 copay, which is waived if you are admitted, and urgent care services carry a $65 copay. In addition to medical care, this plan provides valuable extra benefits including no copays for routine dental, vision, and hearing exams. Members benefit from a $2,500 annual dental allowance, a $150 yearly eyewear allowance, and up to $1,000 per ear annually for hearing aids with no copays. Over-the-counter items are also covered with a $50 quarterly allowance, while standard lab services, X-rays, and durable medical equipment feature no copays.
Inpatient Hospital See details
Aetna Medicare Signature Extra (HMO) covers inpatient acute and psychiatric hospital stays with no coinsurance, though prior authorization is required. For acute stays, you pay a $395 daily copay for days 1 through 6 and no copay for days 7 and beyond, while psychiatric stays require a $300 daily copay for days 1 through 6 and no copay for days 7 through 90. Upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Aetna Medicare Signature Extra (HMO) covers outpatient services with no coinsurance, featuring no copays for ambulatory surgical center and blood services. Outpatient hospital services carry a copay of $0 to $275, observation services require a $395 copay per stay, and outpatient substance abuse sessions have a $35 copay with no coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered by Aetna Medicare Signature Extra (HMO) with a copay of either $100.00 or $180.00 and no coinsurance, and prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are partially covered by Aetna Medicare Signature Extra (HMO), offering ground ambulance services for a $300 copay and no coinsurance, and air ambulance services for a 20% coinsurance and no copay. Prior authorization is required for ambulance services, while transportation services to plan-approved or any health-related locations are not covered.
Emergency Services See details
Aetna Medicare Signature Extra (HMO) covers emergency services with a $150 copay (waived if admitted to the hospital within 24 hours) and urgently needed services with a $65 copay, both with no coinsurance. Worldwide emergency, urgent, and transportation services are also covered with no coinsurance up to a $250,000 maximum limit, carrying copays of $150 for emergency or urgent care and $300 for emergency transportation.
Primary Care See details
Aetna Medicare Signature Extra (HMO) provides primary care physician services with no copay and no coinsurance, while specialist visits require a $0 to $40 copay and no coinsurance. Physical, occupational, mental health, and psychiatric therapies are covered with a $35 copay and no coinsurance, but podiatry and routine chiropractic services are not covered. Additional telehealth benefits are also available with a $0 to $65 copay and 20% coinsurance.
Preventive Services See details
Preventive services are partially covered by Aetna Medicare Signature Extra (HMO), featuring no copays and no coinsurance for annual physicals, health education, and screenings, while kidney disease education has no copay but requires a 20% coinsurance. Non-covered sub-services include 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 and bathroom safety devices, and counseling.
Hearing Services See details
Hearing services are partially covered by Aetna Medicare Signature Extra (HMO) with no deductible and no coinsurance, featuring routine exams and fitting evaluations for no copay alongside Medicare-covered exams for a $40 copay. Prescription hearing aids are covered up to $1,000 per ear yearly with no copay, but inner ear, outer ear, over the ear, and over-the-counter hearing aids are not covered.
Vision Services See details
Aetna Medicare Signature Extra (HMO) provides vision services with no copays, no coinsurance, and no deductibles for covered benefits. This coverage includes one routine eye exam per year and up to a $150 annual maximum benefit for eyewear, including contact lenses and eyeglasses.
Dental Services See details
Dental services are partially covered by Aetna Medicare Signature Extra (HMO), offering Medicare-covered dental at a $40 copay and no coinsurance, and preventive services like cleanings and exams with no copay and no coinsurance. Comprehensive dental benefits are covered up to $2,500 yearly with no copay and 20% to 50% coinsurance, but fluoride, implants, orthodontics, maxillofacial prosthetics, and other diagnostic or preventive services are not covered.
Home Infusion bundled Services See details
Aetna Medicare Signature Extra (HMO) covers home infusion bundled services with no copay, though prior authorization is required. Medicare Part B insulin drugs require a $35 copay and no coinsurance, while chemotherapy and other Part B drugs are covered with no copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by Aetna Medicare Signature Extra (HMO) with no copay and a 20% coinsurance. Prior authorization is required for these covered services.
Medical Equipment See details
Aetna Medicare Signature Extra (HMO) covers durable medical equipment, prosthetics, and diabetic supplies with no copays, though prior authorization is required. Depending on the specific item, you will pay between no coinsurance and 20% coinsurance, with prosthetic devices specifically requiring 20% coinsurance.
Diagnostic and Radiological Services See details
Aetna Medicare Signature Extra (HMO) covers diagnostic services with no coinsurance, featuring no copay for lab services and a $0 to $50 copay for diagnostic procedures. Covered radiological services include outpatient X-rays with no copay and therapeutic services with a minimum 20% coinsurance, with prior authorization and referrals required for certain benefits.
Home Health Services See details
Aetna Medicare Signature Extra (HMO) covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services under the Aetna Medicare Signature Extra (HMO) require a referral and have no coinsurance, but some services are covered as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered. Copays for these non-covered services range from $15 to $25.
Skilled Nursing Facility (SNF) See details
Aetna Medicare Signature Extra (HMO) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring a $20 daily copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization is required, and while a 3-day inpatient hospital stay is not required prior to admission, additional days beyond the 100-day Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by Aetna Medicare Signature Extra (HMO) with no copay and no coinsurance for covered benefits, which include annual wellness exams, additional FIT/gFOBT screenings, and up to $50 every three months for over-the-counter items. Acupuncture and meal benefits 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