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Aetna Medicare Eagle (PPO) (Aetna) — Florida Medicare Advantage Plan

Mitchell Budwig, Licensed Insurance Agent

By Mitchell Budwig, Licensed Insurance Agent

Aetna Medicare Eagle (PPO) is a PPO Medicare Advantage plan from Aetna with a $29 monthly premium, a CMS rating of 4.5 out of 5 stars, and a $6,700 annual out-of-pocket maximum. Prescription drug coverage is not included. Included benefits: dental, vision, hearing, fitness membership.

  • 4.5+ Star Rated
  • Includes Dental
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Takes about a minute · A licensed agent completes the application with you

At a glance

Aetna Medicare Eagle (PPO) at a glance
DetailValue
Monthly plan premium$29 per month
Annual medical deductible$0
Annual out-of-pocket maximum$6,700
CMS star rating4.5 out of 5 stars
Plan typePPO
Contract / plan IDH5521-372

What this plan covers

Medical (Part B)

Part B services with nationwide PPO access, plus a strong set of preventive and wellness benefits.

Hospital (Part A)

Part A inpatient, skilled nursing, and home health coverage.

Prescription drugs (Part D)

This plan does not include Part D. Most members pair it with a standalone prescription drug plan, or already have creditable drug coverage through the VA or an employer.

Extra benefits

  • Dental
  • Vision
  • Hearing
  • Fitness membership

Costs and copays

Typical copays for Aetna Medicare Eagle (PPO)
ServiceYou pay in network
Primary care visit$0
Specialist visit$40
Urgent care$40
Emergency room$120 (waived if admitted)
Inpatient hospital (per stay)$350 per day, days 1–5
Lab work$0
Diagnostic imaging (MRI, CT)$200
Generic drugs (Tier 1)Not covered — add a standalone Part D plan
Preferred brand drugs (Tier 3)Not covered — add a standalone Part D plan

Typical in-network cost sharing. Amounts shown are standard cost shares for this plan and can change each plan year — always confirm against the plan's Summary of Benefits before enrolling.

Who this plan may fit

  • Veterans and others who already get prescriptions through the VA or TRICARE
  • People who want a highly rated PPO and will buy drug coverage separately
  • Travellers who need out-of-network flexibility
  • People who take few or no regular prescriptions

Who it may not suit

If you take several brand-name medications and have no other drug coverage, a plan with Part D built in is usually simpler and cheaper overall.

How to use this plan

Finding in-network providers
Search the carrier's online provider directory by name, specialty, and ZIP code, or call us and we will check your doctors against the network before you enroll.
Do you need referrals?
No referral is required. You can see any participating specialist directly.
How prior authorization works
Certain services — planned inpatient stays, advanced imaging, some outpatient surgeries, durable medical equipment, and specialty drugs — need approval before the plan pays. Your provider submits the request; ask them to confirm approval before scheduling.
Traveling and coverage away from home
You are covered nationwide for urgent and emergency care, and this plan also pays for routine care from out-of-network providers who accept the plan, at a higher cost share.

How to enroll in this plan

You can join this plan when you first become eligible for Medicare, during your seven-month Initial Enrollment Period around your 65th birthday.

After that, the Annual Enrollment Period runs October 15 to December 7 each year, with coverage starting January 1. If you are already in a Medicare Advantage plan, Medicare Advantage Open Enrollment from January 1 to March 31 lets you make one switch.

Outside those windows, a qualifying life event such as a move, a loss of employer coverage, or a change in Medicaid eligibility can open a Special Enrollment Period that lets you enroll right away.

Enroll Into Plan Today

Takes about a minute · A licensed agent completes the application with you

Open enrollment datesSpecial enrollment periods

Answer These Quick Questions to Enroll Into Aetna Today

Enroll into Aetna Medicare Eagle (PPO)

Send your details and a licensed agent will call you to confirm your eligibility, check your doctors and prescriptions against Aetna Medicare Eagle (PPO), and complete the Aetna application with you over the phone. Nothing is submitted to Aetna until you approve it.

The plan you're inquiring about

Plan:
Aetna Medicare Eagle (PPO)
Carrier:
Aetna
Plan type:
PPO
Monthly premium:
$29 per month
CMS rating:
4.5 out of 5 stars
Plan ID:
H5521-372

Looking at a different plan? Compare all Florida plans

No cost, no obligation. Medicare caps what an agent can be paid, and the carrier pays it whether you enroll with us or on your own. Your premium is exactly the same either way. We never sell your information, and you can ask us to stop contacting you at any time.

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Monday – Friday, 8:00 am – 8:00 pm ET · Saturday, 9:00 am – 5:00 pm ET

Check whether this plan covers your doctors and prescriptions

A licensed agent will run your providers and medication list against this plan before you enroll, and show you the comparable plans in your county so you can see the trade-offs.

Monday – Friday, 8:00 am – 8:00 pm ET · Saturday, 9:00 am – 5:00 pm ET

Questions about this plan

How much does Aetna Medicare Eagle (PPO) cost each month?

The plan premium is $29 per month. You also continue to pay your Medicare Part B premium, which goes to Medicare rather than to Aetna. Beyond premiums you pay copays as you use services, up to an annual out-of-pocket maximum of $6,700.

Does Aetna Medicare Eagle (PPO) include prescription drug coverage?

No. This plan does not include Part D, so you need drug coverage from another creditable source such as the VA, an employer plan, or a standalone Part D plan. Going without creditable coverage can trigger a permanent late enrollment penalty.

Do I need a referral to see a specialist on Aetna Medicare Eagle (PPO)?

No referral is required. You can see any participating specialist directly.

What is the CMS star rating for Aetna Medicare Eagle (PPO)?

Medicare rates this plan 4.5 out of 5 stars. Star ratings measure things like preventive care, member experience, customer service, and how quickly problems get resolved. Ratings are published each fall and can change from year to year.

Which Florida counties can I enroll in Aetna Medicare Eagle (PPO)?

CMS approved this plan in 25 Florida counties. Medicare Advantage plans are approved county by county, so your eligibility depends on the address where you actually live.

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