2027 Medicare Advantage plan
Aetna Medicare Eagle (HMO): 2027 benefits and costs
Aetna Medicare HMO
CMS plan ID: H2056-018-0 · Plan year: 2027
Aetna Medicare Eagle (HMO) is a 2027 Medicare Advantage plan offered by Aetna Medicare. It is listed in Oregon.
2027 plan costs at a glance
Monthly plan premium$0.00
In-network medical out-of-pocket maximum$5,500.00
- Organization
- Aetna Medicare
- Plan organization
- AETNA BETTER HEALTH OF MICHIGAN INC.
- Parent company
- CVS Health Corporation
- Plan type
- HMO
- Part C premium
- $0.00
- Prescription drug coverage
- No
- 2027 CMS Star Rating
- Standard monthly Medicare Part B premium
- $209.50 (estimated)
- Monthly Part B premium after plan reduction
- $159.50 (estimated)$209.50 standard premium less $50.00 plan reduction.
You must continue to pay your Medicare Part B premium.
- In-network medical deductible
- None
- In-network medical maximum
- $5,500.00
Applies to certain in-network supplemental services.
- Part B premium reduction
- $50.00
2027 benefit summary
Doctor visits and medical care
| Service | In-network | What to know |
|---|---|---|
| Primary care doctor | $0.00 copay
| |
| Specialist visit | $40.00 copay
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| Telehealth | $0.00 to $50.00 copay; 20% coinsurance
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| Emergency care | $130.00 copay | |
| Urgent care | $50.00 copay | |
| Home health | $0.00 copay
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| Dialysis | 20% coinsurance
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| Part B chemotherapy and radiation drugs | 0% to 20% coinsurance
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| Other Part B drugs | 0% to 20% coinsurance
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| Kidney disease education services | 20% coinsurance
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| Medicare-covered chiropractic | $15.00 copay
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| Medicare-covered foot care | $40.00 copay
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| Other health professionals | $0.00 to $40.00 copay
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Hospital, outpatient surgery and observation care
Inpatient stays and skilled nursing care
| Care | Your share of the cost | What to know |
|---|---|---|
| Inpatient hospital stay | $0.00 copay per stay Days 1–5: $325.00 copay per day Days 6–90: $0.00 copay per day |
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| Inpatient mental health care | $0.00 copay per stay Days 1–5: $470.00 copay per day Days 6–90: $0.00 copay per day |
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| Skilled nursing facility | Days 1–20: $10.00 copay per day Days 21–100: $216.00 copay per day |
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See plan documents for out-of-network hospital and skilled nursing costs.
| Service | In-network | What to know |
|---|---|---|
| Outpatient hospital care | $0.00 to $325.00 copay
| |
| Hospital observation services | $325.00 copay
| |
| Ambulatory surgical center | $0.00 to $275.00 copay
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| Outpatient blood | $0.00 copay
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Tests, imaging and laboratory services
| Service | In-network | What to know |
|---|---|---|
| Diagnostic procedures and tests | $0.00 to $20.00 copay
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| Laboratory services | $0.00 copay
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| Diagnostic radiology (CT, MRI) | $0.00 to $275.00 copay
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| Therapeutic radiology | 20% coinsurance
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| X-rays | $10.00 copay
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Mental health and substance use treatment
| Service | In-network | What to know |
|---|---|---|
| Partial hospitalization | $155.00 copay
|
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| Intensive outpatient program | $155.00 copay
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| Substance use treatment, individual sessions | $40.00 copay
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| Substance use treatment, group sessions | $40.00 copay
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| Opioid treatment program | $40.00 copay
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| Mental health, individual sessions | $40.00 copay
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| Mental health, group sessions | $40.00 copay
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| Psychiatry, individual sessions | $40.00 copay
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| Psychiatry, group sessions | $40.00 copay
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Therapy and rehabilitation
| Service | In-network | What to know |
|---|---|---|
| Occupational therapy | $40.00 copay
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| Physical and speech therapy | $40.00 copay
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| Cardiac rehabilitation | $0.00 copay
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| Intensive cardiac rehabilitation | $0.00 copay
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| Pulmonary rehabilitation | $0.00 copay
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| Supervised exercise for peripheral artery disease | $0.00 copay
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Ambulance, medical equipment and supplies
| Service | In-network | What to know |
|---|---|---|
| Ground ambulance | $245.00 copay
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| Air ambulance | 20% coinsurance
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| Durable medical equipment | 20% coinsurance
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| Prosthetic devices | 20% coinsurance
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| Medical supplies | 20% coinsurance
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| Diabetic supplies | 0% to 20% coinsurance
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| Diabetic shoes and inserts | 20% coinsurance
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| Diabetic monitors | 0% to 20% coinsurance
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Dental benefits
| Service | In-network | What to know |
|---|---|---|
| Medicare-covered dental | $40.00 copay | |
| Oral examsAdditional plan benefit | $0.00 copay | |
| Dental X-raysAdditional plan benefit | $0.00 copay | |
| Dental cleaningAdditional plan benefit | $0.00 copay | |
| Restorative dental careAdditional plan benefit | 50% coinsurance | |
| Root canal treatment (endodontics)Additional plan benefit | 50% coinsurance | |
| Gum treatment (periodontics)Additional plan benefit | 50% coinsurance | |
| Removable dentures (prosthodontics)Additional plan benefit | 50% coinsurance | |
| Fixed dental restorations (prosthodontics)Additional plan benefit | 50% coinsurance | |
| Oral surgeryAdditional plan benefit | 50% coinsurance | |
| Other dental servicesAdditional plan benefit | 50% coinsurance |
Vision benefits
| Service | In-network | What to know |
|---|---|---|
| Medicare-covered eye exams | $0.00 copay
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| Routine eye examsAdditional plan benefit | $0.00 copay |
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| Medicare-covered eyewear | $0.00 copay
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| Contact lensesAdditional plan benefit | $0.00 copay |
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| Eyeglasses, lenses and framesAdditional plan benefit | $0.00 copay |
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| Eyeglass lensesAdditional plan benefit | $0.00 copay |
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| Eyeglass framesAdditional plan benefit | $0.00 copay |
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Hearing benefits
| Service | In-network | What to know |
|---|---|---|
| Medicare-covered hearing exams | $0.00 copay
|
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| Routine hearing examsAdditional plan benefit | $0.00 copay |
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| Hearing aid fitting and evaluationAdditional plan benefit | $0.00 copay |
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| Prescription hearing aids (all types)Additional plan benefit | $0.00 copay
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Extra benefits
| Service | In-network | What to know |
|---|---|---|
| Over-the-counter health itemsAdditional plan benefit | $0.00 copay
| |
| Annual physical examAdditional plan benefit | $0.00 copay
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| Fitness benefitAdditional plan benefit | $0.00 copay
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Prescription drug coverage
This plan does not include a Part D prescription drug benefit.
Where this plan is offered
CMS lists this plan in 1 state or territory. Availability can vary by county and ZIP code.