A non-government entity
Aetna Medicare Eagle Giveback (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Aetna Medicare Eagle Giveback (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Aetna Medicare Eagle Giveback (PPO) in 2026, please refer to our full plan details page.
Aetna Medicare Eagle Giveback (PPO) is a PPO plan offered by CVS Health Corporation available for enrollment in 2025 to people living in Ohio. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that Aetna Medicare Eagle Giveback (PPO) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Aetna Medicare Eagle Giveback (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 Eagle Giveback (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. Additionally, this plan comes with a Part B Premium reduction of $105.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
Out-of-Pocket Maximums
This plan has a combined Maximum Out-Of-Pocket cost of $9550.00 (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 $9550.00 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 Eagle Giveback (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
Prescription drugs are not covered by Aetna Medicare Eagle Giveback (PPO).
Additional Benefits
The Aetna Medicare Eagle Giveback (PPO) offers robust medical coverage with many essential services requiring no copay or coinsurance. Primary care visits, home health care, and most preventive services feature no copay, while specialist visits and outpatient therapies have a low copay of up to $35. For hospital care, there is no coinsurance, though acute inpatient stays require a $380 daily copay for the first seven days before dropping to no copay for subsequent days. This plan also includes valuable dental, vision, and hearing benefits to help reduce your out-of-pocket costs. Routine vision and hearing exams are available with no copay, and the plan provides allowances of up to $200 annually for eyewear and $1,250 per ear for prescription hearing aids. Additionally, preventive dental services have no copay, while comprehensive dental care is covered up to a $2,000 annual limit with no copay and coinsurance ranging from 20% to 50%.
Inpatient Hospital See details
Aetna Medicare Eagle Giveback (PPO) partially covers inpatient hospital services with no coinsurance, requiring prior authorization. For acute stays, there is a $380 daily copay for days 1 to 7 and no copay for days 8 and beyond, while psychiatric stays require a $290 daily copay for days 1 to 7 and no copay for days 8 to 90. Hospital upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by Aetna Medicare Eagle Giveback (PPO) with no coinsurance, featuring no copay for ambulatory surgical center and blood services, and a $40 copay for outpatient substance abuse sessions. Outpatient hospital and observation services also have no coinsurance, with copays ranging from $0 to $380 depending on the service.
Partial Hospitalization See details
Aetna Medicare Eagle Giveback (PPO) covers partial hospitalization benefits with a copay of either $70.00 or $110.00 and no coinsurance. Prior authorization is required to access these covered services.
Ambulance and Transportation Services See details
Aetna Medicare Eagle Giveback (PPO) covers ground ambulance services with a $300 copay and no coinsurance, and air ambulance services with a 20% coinsurance and no copay, with prior authorization required for both. Transportation services to plan-approved or other health-related locations are not covered under this plan.
Emergency Services See details
Aetna Medicare Eagle Giveback (PPO) covers emergency services with a $115 copay (waived if admitted within 24 hours) and urgently needed services with a $40 copay, both with no coinsurance. Worldwide emergency, urgent, and transportation services are also covered up to a $250,000 maximum with no coinsurance, requiring a $115 copay for emergency or urgent care and a $300 copay for transportation.
Primary Care See details
Aetna Medicare Eagle Giveback (PPO) provides primary care physician visits with no copay and no coinsurance, and specialist visits with a $0 to $35 copay and no coinsurance. Physical, occupational, speech, and podiatry therapies require a $35 copay and no coinsurance, while chiropractic services are only partially covered since routine and other chiropractic services are not covered. Mental health, psychiatric, and opioid treatments have a $40 copay and no coinsurance, and telehealth benefits are available with a $0 to $40 copay and 20% coinsurance.
Preventive Services See details
Preventive Services are partially covered by the Aetna Medicare Eagle Giveback (PPO) with no copay and no coinsurance for most care, though kidney disease education requires a 20% coinsurance and no copay. Excluded sub-services that are not covered include in-home safety assessments, personal emergency response systems, medical nutrition therapy, medication reconciliation, re-admission prevention, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, disease management, telemonitoring, home safety modifications, and counseling.
Hearing Services See details
Hearing services are partially covered by the Aetna Medicare Eagle Giveback (PPO), 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 $1,250 per ear annually with no copay or coinsurance, but OTC hearing aids and inner-ear, outer-ear, or over-the-ear prescription hearing aids are not covered.
Vision Services See details
Vision services are covered by Aetna Medicare Eagle Giveback (PPO) with no deductibles or coinsurance, featuring no copay for routine annual eye exams and a copay of up to $35 for other eye exams. Eyewear, including lenses, frames, and contacts, is also covered with no copay up to a $200 yearly limit, while eye exams have a $50 annual limit.
Dental Services See details
Dental services are partially covered under the Aetna Medicare Eagle Giveback (PPO), offering preventive care like exams and cleanings with no copay and no coinsurance, and Medicare-covered dental services for a $35 copay and no coinsurance. Comprehensive dental benefits are covered up to a $2,000 annual maximum with no copay and 20% to 50% coinsurance, though fluoride, implants, orthodontics, maxillofacial prosthetics, and other diagnostic or preventive services are not covered.
Home Infusion bundled Services See details
Aetna Medicare Eagle Giveback (PPO) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs carry no copay and 0% to 20% coinsurance, while Part B insulin is covered with a $35 copay and no coinsurance.
Dialysis Services See details
Dialysis services are covered by the Aetna Medicare Eagle Giveback (PPO) with no copay and a 20% coinsurance, and prior authorization is required.
Medical Equipment See details
Aetna Medicare Eagle Giveback (PPO) covers medical equipment, including durable medical equipment (DME), prosthetics, and medical supplies, with no copays and coinsurance ranging from no coinsurance to 20%. Diabetic supplies also have no coinsurance to 20% coinsurance, while diabetic therapeutic shoes and inserts are covered with no copay.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Aetna Medicare Eagle Giveback (PPO), featuring no coinsurance for diagnostic services, no copay for lab or diagnostic radiological services, and a $0 to $150 copay for diagnostic procedures and tests. Outpatient X-rays require a $10 copay and therapeutic radiological services have a 20% coinsurance, with prior authorization required for both diagnostic and radiological services.
Home Health Services See details
Home health services are covered under the Aetna Medicare Eagle Giveback (PPO) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by the Aetna Medicare Eagle Giveback (PPO) with no coinsurance, although in practice only some services are covered. Specifically, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy for peripheral artery disease are not covered and require copays of $15 to $20.
Skilled Nursing Facility (SNF) See details
Aetna Medicare Eagle Giveback (PPO) covers skilled nursing facility services with no coinsurance, requiring prior authorization and allowing admission without a prior three-day inpatient hospital stay. There is no copay for days 1 through 20, a $218 copay for days 21 through 100, and additional days beyond the Medicare-covered period are not covered.
Other Services See details
Aetna Medicare Eagle Giveback (PPO) covers select other services with no copay and no coinsurance, including annual wellness exams, screening mammographies, and up to $75 every three months for over-the-counter (OTC) items. However, acupuncture and meal benefits are not covered under this plan.
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