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Aetna Medicare Signature Extra (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Aetna Medicare Signature Extra (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 Extra (PPO) in 2026, please refer to our full plan details page.
Aetna Medicare Signature Extra (PPO) is a PPO plan offered by CVS Health Corporation available for enrollment in 2025 to people living in Panhandle/Northwest FL. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that Aetna Medicare Signature Extra (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 Extra (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 Extra (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 $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 Aetna Medicare Signature Extra (PPO) plan features an annual prescription drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic medications, members pay no copay when using preferred pharmacies or preferred mail order services. If standard pharmacies or standard mail order services are used, copays range from $2 to $12 for a one-month supply. For higher-tier 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 are limited to a one-month supply under this plan.
Additional Benefits
The Aetna Medicare Signature Extra (PPO) plan offers comprehensive medical coverage with no copays for primary care physician visits, home health services, and most preventive care. Specialist office visits range from no copay to a $60 copay, while inpatient hospital stays require a $335 daily copay for the first six days and no copay for days seven through 90. Emergency room visits have a $130 copay, which is waived if you are admitted to the hospital within 24 hours. Routine dental, vision, and hearing exams are covered with no copay, though annual limits apply to comprehensive dental services, eyewear, and hearing aids. For durable medical equipment and dialysis, members will pay no copay but can expect a coinsurance of up to 20%. Skilled nursing facility stays are also highly affordable, featuring no copay for the first 20 days of care.
Inpatient Hospital See details
Aetna Medicare Signature Extra (PPO) partially covers inpatient hospital services with no coinsurance, requiring a $335 daily copay for days 1 through 6 and no copay for days 7 through 90. Unlimited additional acute care days are covered at no copay, but upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Aetna Medicare Signature Extra (PPO) covers outpatient services with no coinsurance, featuring a $0 to $335 copay for outpatient hospital services and a $335 copay per stay for observation services. Ambulatory surgical center and blood services have no copay, while outpatient substance abuse sessions require a $30 copay with no coinsurance.
Partial Hospitalization See details
Partial hospitalization services are covered by Aetna Medicare Signature Extra (PPO) with a copay of either $55.00 or $145.00 and no coinsurance. Prior authorization is required to receive these covered services.
Ambulance and Transportation Services See details
Ambulance and Transportation Services under Aetna Medicare Signature Extra (PPO) cover ground ambulance services with a $275 copay and no coinsurance, and air ambulance services with a 20% coinsurance and no copay. Prior authorization is required for ambulance services, and transportation services are not covered.
Emergency Services See details
Aetna Medicare Signature Extra (PPO) covers emergency services with a $130 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services have a $35 copay and no coinsurance, while worldwide emergency services are covered up to a $250,000 limit with no coinsurance and copays ranging from $130 to $275.
Primary Care See details
Aetna Medicare Signature Extra (PPO) covers primary care physician visits with no copay and no coinsurance, and specialist visits with a $0 to $60 copay and no coinsurance. Other services like physical therapy and mental health have copays up to $60 and no coinsurance (telehealth has 20% coinsurance), while podiatry is not covered, and only some chiropractic services are covered because routine and other chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by Aetna Medicare Signature Extra (PPO), offering key services like annual physicals, glaucoma screenings, and diabetes training with no copay and no coinsurance, while kidney disease education has no copay but requires a 20% coinsurance. Excluded from coverage are 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/bathroom safety devices, and counseling.
Hearing Services See details
Aetna Medicare Signature Extra (PPO) covers Medicare-covered hearing exams with a $60 copay and no coinsurance, while routine hearing exams and fitting evaluations are covered once per year with no copay and no coinsurance. Prescription hearing aids are partially covered with no coinsurance and copays ranging from $0 to $1,700 for up to two devices per year, though OTC hearing aids and inner ear, outer ear, and over the ear prescription aids are not covered.
Vision Services See details
Aetna Medicare Signature Extra (PPO) covers vision services with no copay and no coinsurance, featuring a $50 annual limit for eye exams and a $150 annual maximum for eyewear. Covered benefits include routine and diabetic eye exams, contact lenses, eyeglasses, frames, and upgrades with no deductible.
Dental Services See details
Dental services are partially covered by Aetna Medicare Signature Extra (PPO), with no coverage for maxillofacial prosthetics, implant services, and orthodontics. Medicare-covered dental services require a $60 copay and no coinsurance, while other covered preventive and comprehensive services have no copay and no coinsurance up to a combined annual maximum of $1,000.
Home Infusion bundled Services See details
Aetna Medicare Signature Extra (PPO) covers home infusion bundled services with no copay, although prior authorization is required. Under this benefit, Medicare Part B chemotherapy and other Part B drugs require a 0% to 20% coinsurance, while Part B insulin is covered with a $35 copay and no coinsurance.
Dialysis Services See details
Aetna Medicare Signature Extra (PPO) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Medical equipment is covered by Aetna Medicare Signature Extra (PPO) with no copays, though coinsurance ranges from no coinsurance to 20% depending on the item. Prior authorization is required for durable medical equipment, prosthetics, and diabetic supplies.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under the Aetna Medicare Signature Extra (PPO) plan, with prior authorization required for both. Diagnostic services feature no coinsurance, offering no copay for lab services and a $0 to $100 copay for tests, while radiological services feature no copay for outpatient X-rays and a minimum 20% coinsurance for therapeutic services.
Home Health Services See details
Home Health Services are covered by the Aetna Medicare Signature Extra (PPO) with no copay and no coinsurance. Prior authorization is required to access this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under Aetna Medicare Signature Extra (PPO) with no copay and no coinsurance, though only some services are covered in practice. Standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease (PAD) rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
Aetna Medicare Signature Extra (PPO) covers skilled nursing facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no 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
Other Services are partially covered by Aetna Medicare Signature Extra (PPO), offering 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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