Aetna Medicare Eagle (PPO)
H1608 - 060 - 0
(4 / 5)
Aetna Medicare Eagle (PPO) is a Medicare Advantage Plan by Aetna Medicare.
This page features plan details for 2022 Aetna Medicare Eagle (PPO) H1608 – 060 – 0.
IMPORTANT: This page features the 2022 version of this plan. See the 2025 version using the link below:
No 2025 version found. You can use the location links below to find 2025 plans in your area.
Locations
Aetna Medicare Eagle (PPO) is offered in the following locations.
Plan Overview
Aetna Medicare Eagle (PPO) offers the following coverage and cost-sharing.
| Insurer: | Aetna Medicare |
| Health Plan Deductible: | $0 |
| MOOP: | $5,000.00 |
| Drugs Covered: | No |
Ready to sign up for Aetna Medicare Eagle (PPO) ?
Get help from a licensed insurance agent.
Call 1-877-354-4611 / TTY 711.
M-F: 8:00 am – 10:00 pm EST
Sat-Sun: 8:00 am – 9:00 pm EST
Premium Breakdown
Aetna Medicare Eagle (PPO) has a monthly premium of $0.00. This amount includes your Part C premium but does not include your Part B premium.| Part B | Part C | Part B Give Back | Total |
|---|---|---|---|
| $170.10 | $0.00 | $0.00 | $ |
- Your Part B premium may differ based on factors including late enrollment, income, and disability status.
Additional Benefits
Aetna Medicare Eagle (PPO) also provides the following benefits.
Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?
| In-Network: No |
Dental (comprehensive)
| Diagnostic services: | In-Network: $0 copay (limits may apply) (authorization required) |
| Diagnostic services: | Out-of-Network: $0 copay (limits may apply) (authorization required) |
| Endodontics: | In-Network: $0 copay (limits may apply) (authorization required) |
| Endodontics: | Out-of-Network: $0 copay (limits may apply) (authorization required) |
| Extractions: | In-Network: $0 copay (limits may apply) (authorization required) |
| Extractions: | Out-of-Network: $0 copay (limits may apply) (authorization required) |
| Non-routine services: | In-Network: $0 copay (limits may apply) (authorization required) |
| Non-routine services: | Out-of-Network: $0 copay (limits may apply) (authorization required) |
| Periodontics: | In-Network: $0 copay (limits may apply) (authorization required) |
| Periodontics: | Out-of-Network: $0 copay (limits may apply) (authorization required) |
| Prosthodontics, other oral/maxillofacial surgery, other services: | In-Network: $0 copay (limits may apply) (authorization required) |
| Prosthodontics, other oral/maxillofacial surgery, other services: | Out-of-Network: $0 copay (limits may apply) (authorization required) |
| Restorative services: | In-Network: $0 copay (limits may apply) (authorization required) |
| Restorative services: | Out-of-Network: $0 copay (limits may apply) (authorization required) |
Dental (preventive)
| Cleaning: | In-Network: $0 copay (limits may apply) |
| Cleaning: | Out-of-Network: $0 copay (limits may apply) |
| Dental x-ray(s): | In-Network: $0 copay (limits may apply) |
| Dental x-ray(s): | Out-of-Network: $0 copay (limits may apply) |
| Fluoride treatment: | In-Network: $0 copay (limits may apply) |
| Fluoride treatment: | Out-of-Network: $0 copay (limits may apply) |
| Oral exam: | In-Network: $0 copay (limits may apply) |
| Oral exam: | Out-of-Network: $0 copay (limits may apply) |
Diagnostic procedures/lab services/imaging
| Diagnostic radiology services (e.g., MRI): | In-Network: $0-110 copay (authorization required) |
| Diagnostic radiology services (e.g., MRI): | Out-of-Network: 35% coinsurance (authorization required) |
| Diagnostic tests and procedures: | In-Network: $0-40 copay (authorization required) |
| Diagnostic tests and procedures: | Out-of-Network: 35% coinsurance (authorization required) |
| Lab services: | In-Network: $0 copay (authorization required) |
| Lab services: | Out-of-Network: 35% coinsurance (authorization required) |
| Outpatient x-rays: | In-Network: $0 copay (authorization required) |
| Outpatient x-rays: | Out-of-Network: 35% coinsurance (authorization required) |
Doctor visits
| Primary: | In-Network: $0 copay |
| Primary: | Out-of-Network: 35% coinsurance per visit |
| Specialist: | In-Network: $40 copay per visit |
| Specialist: | Out-of-Network: 35% coinsurance per visit |
Emergency care/Urgent care
| Emergency: | $90 copay per visit (always covered) |
| Urgent care: | $40 copay per visit (always covered) |
Foot care (podiatry services)
| Foot exams and treatment: | In-Network: $40 copay |
| Foot exams and treatment: | Out-of-Network: 35% coinsurance |
| Routine foot care: | In-Network: $40 copay (limits may apply) |
| Routine foot care: | Out-of-Network: 35% coinsurance (limits may apply) |
Ground ambulance
| In-Network: $300 copay | |
| Out-of-Network: $300 copay |
Health plan deductible
| $0.00 |
Health plan deductibles (other)
| In-Network: No |
Hearing
| Fitting/evaluation: | In-Network: $0 copay (limits may apply) |
| Fitting/evaluation: | Out-of-Network: 35% coinsurance (limits may apply) |
| Hearing aids: | In-Network: $0 copay (limits may apply) |
| Hearing aids: | Out-of-Network: $0 copay (limits may apply) |
| Hearing exam: | In-Network: $40 copay |
| Hearing exam: | Out-of-Network: 35% coinsurance |
Hospital coverage (inpatient)
| In-Network: $335 per day for days 1 through 6 $0 per day for days 7 through 90 (authorization required) | |
| Out-of-Network: 35% per stay (authorization required) |
Hospital coverage (outpatient)
| In-Network: $0-275 copay per visit (authorization required) | |
| Out-of-Network: 35% coinsurance per visit (authorization required) |
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)
| $11,300 In and Out-of-network $5,000 In-network |
Medical equipment/supplies
| Diabetes supplies: | In-Network: 0-20% coinsurance per item (authorization required) |
| Diabetes supplies: | Out-of-Network: 0-20% coinsurance per item (authorization required) |
| Durable medical equipment (e.g., wheelchairs, oxygen): | In-Network: 20% coinsurance per item (authorization required) |
| Durable medical equipment (e.g., wheelchairs, oxygen): | Out-of-Network: 30% coinsurance per item (authorization required) |
| Prosthetics (e.g., braces, artificial limbs): | In-Network: 20% coinsurance per item (authorization required) |
| Prosthetics (e.g., braces, artificial limbs): | Out-of-Network: 30% coinsurance per item (authorization required) |
Medicare Part B drugs
| Chemotherapy: | In-Network: 20% coinsurance (authorization required) |
| Chemotherapy: | Out-of-Network: 35% coinsurance (authorization required) |
| Other Part B drugs: | In-Network: 20% coinsurance (authorization required) |
| Other Part B drugs: | Out-of-Network: 35% coinsurance (authorization required) |
Mental health services
| Inpatient hospital – psychiatric: | In-Network: $310 per day for days 1 through 6 $0 per day for days 7 through 90 (authorization required) |
| Inpatient hospital – psychiatric: | Out-of-Network: 35% per stay (authorization required) |
| Outpatient group therapy visit with a psychiatrist: | In-Network: $40 copay (authorization required) |
| Outpatient group therapy visit with a psychiatrist: | Out-of-Network: 35% coinsurance (authorization required) |
| Outpatient group therapy visit: | In-Network: $40 copay (authorization required) |
| Outpatient group therapy visit: | Out-of-Network: 35% coinsurance (authorization required) |
| Outpatient individual therapy visit with a psychiatrist: | In-Network: $40 copay (authorization required) |
| Outpatient individual therapy visit with a psychiatrist: | Out-of-Network: 35% coinsurance (authorization required) |
| Outpatient individual therapy visit: | In-Network: $40 copay (authorization required) |
| Outpatient individual therapy visit: | Out-of-Network: 35% coinsurance (authorization required) |
Optional supplemental benefits
| No |
Preventive care
| In-Network: $0 copay | |
| Out-of-Network: 0-35% coinsurance |
Rehabilitation services
| Occupational therapy visit: | In-Network: $40 copay (authorization required) |
| Occupational therapy visit: | Out-of-Network: 35% coinsurance (authorization required) |
| Physical therapy and speech and language therapy visit: | In-Network: $40 copay (authorization required) |
| Physical therapy and speech and language therapy visit: | Out-of-Network: 35% coinsurance (authorization required) |
Skilled Nursing Facility
| In-Network: $0 per day for days 1 through 20 $188 per day for days 21 through 100 (authorization required) | |
| Out-of-Network: 35% per stay (authorization required) |
Transportation
| Not covered |
Vision
| Contact lenses: | In-Network: $0 copay (limits may apply) |
| Contact lenses: | Out-of-Network: $0 copay (limits may apply) |
| Eyeglass frames: | In-Network: $0 copay (limits may apply) |
| Eyeglass frames: | Out-of-Network: $0 copay (limits may apply) |
| Eyeglass lenses: | In-Network: $0 copay (limits may apply) |
| Eyeglass lenses: | Out-of-Network: $0 copay (limits may apply) |
| Eyeglasses (frames and lenses): | In-Network: $0 copay (limits may apply) |
| Eyeglasses (frames and lenses): | Out-of-Network: $0 copay (limits may apply) |
| Other: | In-Network: $0 copay |
| Other: | Out-of-Network: 35% coinsurance |
| Routine eye exam: | In-Network: $0 copay (limits may apply) |
| Routine eye exam: | Out-of-Network: 35% coinsurance (limits may apply) |
| Upgrades: | In-Network: $0 copay (limits may apply) |
| Upgrades: | Out-of-Network: $0 copay (limits may apply) |
Wellness programs (e.g., fitness, nursing hotline)
| Covered |
Ready to sign up for Aetna Medicare Eagle (PPO) ?
Get help from a licensed insurance agent.
Call 1-877-354-4611 / TTY 711.
M-F: 8:00 am – 10:00 pm EST
Sat-Sun: 8:00 am – 9:00 pm EST