Aetna Medicare Advantage PPO plans
Shop for Aetna Medicare Advantage plans with benefits beyond Original Medicare.
Speak with a licensed insurance agent*
Aetna Medicare Advantage preferred provider organization (PPO) plans give you the freedom and flexibility to visit a doctor whether they’re in or out of the plan’s provider network. You’ll pay more when you choose an out-of-network provider.
You can typically see a provider without a referral from a primary care provider (PCP), as long as they accept Medicare and the Aetna® plan terms. In most cases, you’ll pay less out-of-pocket if you visit an in-network provider.
Do Aetna Medicare PPO plans require a referral?
With an Aetna Medicare Advantage PPO plan, you don’t need a referral from a PCP to see a specialist. In fact, you aren’t required to designate a PCP with an Aetna Medicare Advantage PPO plan.
What Medicare Advantage PPO plans does Aetna offer?
Aetna offers a variety of Medicare Advantage plans, including several types of PPO plans.
Aetna MedicareSM Plan (PPO)
- Provides coverage with a multistate network of medical providers and facilities.
- More flexibility to visit out-of-network providers and medical facilities.
- $0 copay for all preventive services in network.
Aetna Medicare Prime Plan (PPO)
- Provides coverage with a nationwide network of medical providers and facilities.
- Emergency (ER) and urgent care coverage.
- $0 copay for all preventive services in network.
- More flexibility to visit out-of-network providers and medical facilities.
Plan selection, costs and coverage will vary from one location to another. You may have other plans available to you.
What do 2027 Aetna Medicare Advantage PPO plans cover?
Aetna Medicare Advantage (Part C) plans provide the benefits of Original Medicare (Part A and Part B). Aetna Medicare Advantage plans also include additional benefits not covered by Original Medicare, such as prescription drug coverage (Part D).
Other benefits offered by Aetna Medicare Advantage PPO plans include:
- Mail-order delivery of certain prescription drugs, if the plan offers prescription drug coverage
Coverage for dental, vision, and hearing
SilverSneakers® basic fitness membership1
24-Hour Nurse Line2
No-added-cost annual flu shot
Contact a licensed insurance agent* to learn more about Aetna Medicare Advantage PPO plans that are available where you live. You can speak directly with a licensed agent by calling 1-800-891-6309, (TTY: 711). They’re available 24 hours a day, 7 days a week.