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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 2026 to people living in South FL, Treasure Coast 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) prescription drug plan has an annual drug deductible of $615. You will pay no copay for Tier 1 preferred generic and Tier 2 generic medications when using a preferred pharmacy or preferred mail-order service for any supply length. If you use a standard pharmacy or standard mail-order service, Tier 1 copays start at $2 and Tier 2 copays start at $12 for a one-month supply. For brand-name and specialty medications, this plan transitions to a coinsurance model instead of flat copays. Tier 3 preferred brand drugs require a 24% coinsurance, while Tier 4 non-preferred drugs carry a 25% coinsurance across all pharmacy options. Tier 5 specialty drugs also require a 25% coinsurance and are limited to a one-month supply.
Additional Benefits
The Aetna Medicare Signature Extra (PPO) plan offers robust coverage with no copay and no coinsurance for primary care doctor visits, while specialist visits require a $60 copay. For hospital care, inpatient acute stays carry a $425 daily copay for the first six days and no copay thereafter, while outpatient services feature no coinsurance and copays ranging up to $425. Emergency services are available with a $130 copay, which is waived if you are admitted to the hospital within 24 hours. This plan also includes key supplemental benefits, providing routine vision exams and eyewear with no copay, no coinsurance, and no deductible, alongside select preventive dental services with no copay. Hearing health is supported with no copay for annual routine exams and fitting evaluations, plus coverage for up to two prescription hearing aids per year. Additionally, home health services and routine preventive care like annual physicals are fully covered with no copay and no coinsurance.
Inpatient Hospital See details
Inpatient hospital services are covered by Aetna Medicare Signature Extra (PPO) with no coinsurance, though prior authorization is required. For acute care, you pay a $425 daily copay for days 1 through 6 and no copay for days 7 and beyond, while psychiatric stays require a $390 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
Outpatient services are covered by Aetna Medicare Signature Extra (PPO) with no coinsurance, featuring a $0 to $425 copay for outpatient hospital services and a $425 copay per stay for observation services. There is no copay and no coinsurance for ambulatory surgical center and outpatient blood services, while outpatient substance abuse services require a $25 to $30 copay and no coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered by Aetna Medicare Signature Extra (PPO) with a copay of $55.00 or $145.00 and no coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by Aetna Medicare Signature Extra (PPO), with ground ambulance services requiring a $275 copay and no coinsurance, and air ambulance services requiring a 20% coinsurance and no copay. Prior authorization is required for ambulance services, and while some transportation services are covered, transportation to plan-approved or any health-related locations is not covered.
Emergency Services See details
Emergency services under the Aetna Medicare Signature Extra (PPO) are covered with a $130 copay and no coinsurance, which is 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 $250,000 with no coinsurance and copays of $130 for emergency or urgent care and $275 for emergency transportation.
Primary Care See details
Primary care services under Aetna Medicare Signature Extra (PPO) feature no copay and no coinsurance for primary care doctor visits, while specialist visits require a $60 copay with no coinsurance. Physical, occupational, and speech therapy require a $40 copay with no coinsurance, but podiatry and routine chiropractic services are not covered.
Preventive Services See details
Preventive services under Aetna Medicare Signature Extra (PPO) are partially covered, with most included benefits like annual physicals, glaucoma screenings, and fitness programs requiring no copay and no coinsurance. However, kidney disease education has a 20% coinsurance with no copay, and several services including in-home safety assessments, personal emergency response systems, and weight management programs are not covered.
Hearing Services See details
Hearing services are partially covered by Aetna Medicare Signature Extra (PPO), featuring no coinsurance for all covered benefits. Medicare-covered exams require a $60 copay, while annual routine exams and fitting evaluations have no copay. Up to two prescription hearing aids are covered per year with copays ranging from $0 to $1,700, but OTC, inner ear, outer ear, and over-the-ear hearing aids are not covered.
Vision Services See details
Aetna Medicare Signature Extra (PPO) covers vision services with no copay, no coinsurance, and no deductible for both eye exams and eyewear. This benefit includes one routine eye exam per year up to a $50 limit and a combined $100 annual allowance for contacts, frames, lenses, and upgrades.
Dental Services See details
Aetna Medicare Signature Extra (PPO) partially covers dental services, offering Medicare-covered dental for a $60.00 copay and no coinsurance, alongside select preventive care with no copay and no coinsurance. Covered preventive services are limited to four oral exams, one x-ray, and two cleanings per year, while fluoride, orthodontic, restorative, and other comprehensive dental services are not covered.
Home Infusion bundled Services See details
Aetna Medicare Signature Extra (PPO) covers home infusion bundled services with no copay, though prior authorization and step therapy are required. Under this benefit, Medicare Part B insulin drugs have a $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs require a 0% to 20% coinsurance.
Dialysis Services See details
Aetna Medicare Signature Extra (PPO) 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 Extra (PPO) covers medical equipment, including durable medical equipment, prosthetics, and diabetic supplies, with no copays for all covered items. Coinsurance ranges from no coinsurance to 20% depending on the equipment, with diabetic therapeutic shoes and inserts featuring no coinsurance, and prior authorization is required.
Diagnostic and Radiological Services See details
Aetna Medicare Signature Extra (PPO) covers diagnostic and radiological services, both of which require prior authorization. Diagnostic services carry no coinsurance, with no copay for lab services and a $0 to $100 copay for other tests, while radiological services feature no copay for X-rays, a $0 minimum copay for diagnostic radiology, and a minimum 20% coinsurance for therapeutic radiology.
Home Health Services See details
Home health services are covered under the Aetna Medicare Signature Extra (PPO) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Aetna Medicare Signature Extra (PPO) covers cardiac rehabilitation services with no coinsurance, though only some services are covered in practice. Specifically, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for peripheral artery disease (PAD) services are not covered, although they require no copay.
Skilled Nursing Facility (SNF) See details
Aetna Medicare Signature Extra (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, a prior three-day hospital stay is not required, and 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), providing coverage for an annual wellness exam, screening mammography, and additional gFOBT and FIT screenings with no copay and no coinsurance. However, acupuncture, over-the-counter (OTC) items, and meal benefits are not covered.
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