A non-government entity
Aetna Medicare Signature (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Aetna Medicare Signature (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 Signature (HMO-POS) in 2026, please refer to our full plan details page.
Aetna Medicare Signature (HMO-POS) is a HMO-POS plan offered by CVS Health Corporation available for enrollment in 2025 to people living in Connecticut. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that Aetna Medicare Signature (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 Signature (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 Signature (HMO-POS), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $72.00. 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 $6750.00 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 (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 Signature (HMO-POS) plan has an annual prescription drug deductible of $615. You will pay no copay for Tier 1 (Preferred Generic) and Tier 2 (Generic) drugs when using preferred pharmacies or preferred mail-order services. Standard pharmacies and standard mail orders charge copays ranging from $2 to $6 for Tier 1 and $12 to $36 for Tier 2 medications. For brand-name and specialty drugs, you will pay a percentage of the cost rather than a flat copay. Tier 3 (Preferred Brand) drugs carry a 24% coinsurance, while Tier 4 (Non-Preferred Drug) and Tier 5 (Specialty Tier) drugs require a 25% coinsurance. These coinsurance rates apply across all preferred, standard, and mail-order pharmacy options.
Additional Benefits
The Aetna Medicare Signature (HMO-POS) plan offers robust healthcare coverage with no copay or coinsurance for primary care physician visits and home health services. Specialist visits feature a copay ranging from no copay to $55, while emergency room services require a $130 copay that is waived upon hospital admission. For inpatient hospital stays, members pay a daily copay of $335 for the first six days, with no copay required for day seven and beyond. Routine dental cleanings, annual hearing exams, and routine eye exams are covered with no copay and no coinsurance. Diagnostic lab services and annual physical exams also feature no copay, while standard durable medical equipment carries no copay and a coinsurance between 0% and 25%. This plan ensures predictable costs for essential medical care, though some specialized services like transportation and acupuncture are not covered.
Inpatient Hospital See details
Aetna Medicare Signature (HMO-POS) offers partially covered inpatient hospital services with no coinsurance, excluding upgrades, non-Medicare-covered stays, and additional psychiatric days. For acute stays, there is a $335 daily copay for days 1-6 and no copay for days 7 and beyond, while psychiatric stays require a $320 daily copay for days 1-6 and no copay for days 7-90.
Outpatient Services See details
Outpatient services are covered by Aetna Medicare Signature (HMO-POS) with no coinsurance, including no copays for ambulatory surgical center and blood services. Outpatient hospital copays range from $0 to $335, observation services require a $335 copay per stay, and outpatient substance abuse sessions carry a $55 copay.
Partial Hospitalization See details
Aetna Medicare Signature (HMO-POS) covers partial hospitalization services with a copay of $70.00 or $145.00 and no coinsurance. Prior authorization is required for these covered benefits.
Ambulance and Transportation Services See details
Aetna Medicare Signature (HMO-POS) covers ground ambulance services with a $285 copay and no coinsurance, and air ambulance services with a 20% coinsurance and no copay, both of which require prior authorization. These fees are not waived upon hospital admission, and transportation services are not covered.
Emergency Services See details
Emergency services are covered by Aetna Medicare Signature (HMO-POS) 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 with no coinsurance, and worldwide emergency services are covered up to a $250,000 maximum limit with no coinsurance and copays ranging from $130 to $285.
Primary Care See details
Aetna Medicare Signature (HMO-POS) covers primary care physician services with no copay and no coinsurance, while specialist visits have a $0 to $55 copay and no coinsurance. Physical, occupational, speech, and mental health therapies are covered with copays ranging from $50 to $55 and no coinsurance, but podiatry and routine chiropractic care are not covered. Telehealth services are available with a 20% coinsurance and copays up to $55, with prior authorization required for certain benefits.
Preventive Services See details
Preventive services under the Aetna Medicare Signature (HMO-POS) are partially covered, offering no copay and no coinsurance for annual physical exams, glaucoma screenings, diabetes training, and select supplemental benefits like fitness. Kidney disease education is covered with no copay but requires a 20% coinsurance, while several other services, including personal emergency response systems, nutritional therapy, and alternative therapies, are not covered.
Hearing Services See details
Hearing services are partially covered by Aetna Medicare Signature (HMO-POS), offering Medicare-covered exams for a $55 copay and no coinsurance, alongside annual routine exams and fitting evaluations with no copay and no coinsurance. Prescription hearing aids are covered with no coinsurance and copays ranging from no copay to $1,700, but OTC hearing aids as well as inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
Aetna Medicare Signature (HMO-POS) covers vision services with no coinsurance and no deductible, offering eye exams with copays ranging from no copay up to $55.00. Routine eye exams and eyewear, including contacts and eyeglasses, are available with no copay, subject to a combined maximum plan benefit of $100.00 per year for eyewear.
Dental Services See details
Dental services are partially covered by Aetna Medicare Signature (HMO-POS), featuring no copay and no coinsurance for routine cleanings, oral exams, and x-rays, and a $55 copay with no coinsurance for Medicare-covered dental. However, fluoride, restorative, endodontic, periodontic, prosthodontic, oral surgery, implant, and orthodontic services are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Aetna Medicare Signature (HMO-POS) with no copay and require prior authorization. Under this benefit, Medicare Part B insulin drugs have a $35 copay and no coinsurance, while Medicare Part B chemotherapy, radiation, and other Part B drugs carry a coinsurance ranging from 0% to 20%.
Dialysis Services See details
Aetna Medicare Signature (HMO-POS) covers Dialysis Services with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
Aetna Medicare Signature (HMO-POS) covers medical equipment with no copays, though prior authorization is required. Durable medical equipment and medical supplies have a 0% to 25% coinsurance, prosthetic devices require a 25% coinsurance, and diabetic supplies from specified manufacturers carry a 0% to 20% coinsurance.
Diagnostic and Radiological Services See details
Aetna Medicare Signature (HMO-POS) covers diagnostic and radiological services with prior authorization required. Diagnostic services feature no coinsurance, offering lab services with no copay and diagnostic tests with a copay ranging from no copay to $45, while radiological services require a $10 copay for X-rays, no copay for diagnostic radiology, and a minimum 20% coinsurance for therapeutic radiology.
Home Health Services See details
The Aetna Medicare Signature (HMO-POS) plan covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are offered by Aetna Medicare Signature (HMO-POS) with no coinsurance, though some services are covered while standard cardiac rehabilitation ($20 copay), intensive cardiac rehabilitation ($20 copay), pulmonary rehabilitation ($15 copay), and supervised exercise therapy (SET) for peripheral artery disease (PAD) ($25 copay) are not covered.
Skilled Nursing Facility (SNF) See details
Aetna Medicare Signature (HMO-POS) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring a $10 copayment for days 1 through 20 and a $218 copayment for days 21 through 100. Prior authorization is required, a prior three-day hospital stay is not necessary, and additional days beyond the standard 100 days are not covered.
Other Services See details
Aetna Medicare Signature (HMO-POS) partially covers other services, providing a chronic illness meal benefit, annual wellness exams, screening mammographies, and additional gFOBT and FIT screenings with no copay and no coinsurance. Acupuncture and over-the-counter (OTC) items are not covered under this benefit.
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