Aetna Medicare Eagle (PPO) (Aetna) — Florida Medicare Advantage Plan
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
Takes about a minute · A licensed agent completes the application with you
At a glance
| Detail | Value |
|---|---|
| Monthly plan premium | $29 per month |
| Annual medical deductible | $0 |
| Annual out-of-pocket maximum | $6,700 |
| CMS star rating | 4.5 out of 5 stars |
| Plan type | PPO |
| Contract / plan ID | H5521-372 |
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
| Service | You 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.
Where this plan is available (25 counties)
Select your county to see everything available where you live. Eligibility is based on your permanent address.
- Brevard County
- Broward County
- Charlotte County
- Citrus County
- Collier County
- Hernando County
- Hillsborough County
- Indian River County
- Lake County
- Lee County
- Manatee County
- Marion County
- Martin County
- Miami-Dade County
- Orange County
- Osceola County
- Palm Beach County
- Pasco County
- Pinellas County
- Polk County
- Sarasota County
- Seminole County
- St. Lucie County
- Sumter County
- Volusia County
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.
Takes about a minute · A licensed agent completes the application with you
Answer These Quick Questions to Enroll Into Aetna Today
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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