Aetna Medicare Value Plus Signature (PPO)
H5521 - 474 - 0
Plan Not Rated
Aetna Medicare Value Plus Signature (PPO) is a Medicare Advantage Plan by Aetna Medicare.
This page features plan details for 2025 Aetna Medicare Value Plus Signature (PPO) H5521 – 474 – 0 available in select counties in Louisiana.
IMPORTANT: This page has been updated with plan and premium data for 2025. Data may be incomplete or inaccurate until Annual Enrollment begins on October 15th.
Locations
Aetna Medicare Value Plus Signature (PPO) is offered in the following locations.
Plan Overview
Aetna Medicare Value Plus Signature (PPO) offers the following coverage and cost-sharing.
| Insurer: | Aetna Medicare |
| Health Plan Deductible: | |
| MOOP: | $6,900.00 |
| Drugs Covered: | Yes |
Ready to sign up for Aetna Medicare Value Plus Signature (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 Value Plus Signature (PPO) has a monthly premium of $20.00. This amount includes your Part C and D premiums but does not include your Part B premium. The following is a breakdown of your monthly premium with Part B costs included.| Part B | Part C | Part D | Part B Give Back | Total |
|---|---|---|---|---|
| $185.00 | $0.00 | $20.00 | $0.00 | $205.00 |
- Your Part B premium may differ based on factors including late enrollment, income, and disability status.
- You may also qualify for “Extra Help” on drug costs. See the Part D Premium Reduction section below for more details.
Drug Info
Aetna Medicare Value Plus Signature (PPO) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.
| Drug Deductible: | $0.00 |
| Drug Out-Of-Pocket maximum: | $2,000.00 |
| Drug Benefit Type: | Enhanced Alternative |
Part D Premium Reduction
The Low-Income Subsidy (also known as LIS or “Extra Help”) helps people with Medicare lower the cost of prescription drugs.
The table below shows how the LIS impacts the Part D premium of this plan.
| Part D | LIS Full |
|---|---|
| $20.00 | $0.00 |
Initial Coverage Phase
After you pay your $0.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $2,000.00. Once you reach that amount, you will enter the next coverage phase.
30 Day
60 Day
90 Day
30 Day
60 Day
90 Day
Catastrophic Coverage Phase
After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $2,000.00, you pay nothing for Medicare Part D covered drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit. Please note, that this plan has a Enhanced Alternative benefit type.
Ready to sign up for Aetna Medicare Value Plus Signature (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