Speak with a licensed insurance agent.*
TZ Insurance Solutions proudly sells Aetna® insurance policies.
Aetna Medicare Signature (HMO-POS) - H5793-018-000
$0.00
Monthly Premium
Aetna Medicare Signature (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by Aetna®
Plan ID: H5793-018-000
** Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
$0.00
Monthly Premium
If you have Medicare in Massachusetts, you may want to review your coverage options. Medicare Advantage plans cover services that aren’t covered by Original Medicare (Part A and Part B).
Aetna Medicare Advantage plans may cover prescription drugs, and offer other benefits that Original Medicare doesn’t cover.
Aetna Medicare Signature (HMO-POS) basic costs and coverage
Learn more about the costs, benefits and coverage of Aetna Medicare Signature (HMO-POS) below:
| Coverage | Details |
|---|---|
| Monthly plan premium | $0.00 |
| Vision coverage | |
| Dental coverage | |
| Hearing coverage | |
| Prescription drugs | |
| Medical deductible | $700.00 |
| Out-of-pocket maximum | $7,150.00 |
| Initial drug coverage limit | $0.00 |
| Catastrophic drug coverage limit | $2,100.00 |
| Primary care provider visit | In-Network $5 |
| Specialty doctor visit | In-Network $0 for services provided in a nursing home $75 for services provided outside a nursing home |
| Inpatient hospital care | In-Network $459 per day, days 1-6; $0 per day, days 7-90 |
| Urgent care | Urgent Care: Copayment for Urgent Care $50 Worldwide Coverage: Copayment for Worldwide Urgent Coverage $130 Maximum Plan Benefit of $250,000 |
| Emergency room visit | $130 If you are admitted to the hospital within 24 hours your cost share may be waived |
| Ambulance transportation | In-Network $300 |
Additional health services and supplies coverage
Aetna Medicare Signature (HMO-POS) covers additional health services and medical supplies. Learn more below:
| Coverage | Details |
|---|---|
| Diabetes supplies, training, nutrition therapy and monitoring | In-Network 0% for continuous glucose monitors (CGM) at participating providers 0% for Accu-Chek/Roche and TRUE/Trividia blood glucose meters (BGM) and medical diabetic supplies 20% for blood glucose meters (BGM) and supplies manufactured by providers other than Accu-Chek/Roche and TRUE/Trividia with an approved prior authorization |
| Durable medical equipment (DME) | In-Network 25% |
| Diagnostic tests, lab and radiology services, and X-rays | Lab Services: In-Network $0 for Hemoglobin A1C tests $40 for other lab services Diagnostic Procedures: In-Network $0 for certain Medicare-covered diagnostic tests and services including Retinal fundus, Spirometry, Peripheral arterial disease (PAD) $75 for other diagnostic procedures and tests Imaging: In-Network Xray: $20 CT Scans: $250 for services performed at a non-hospital facility; $345 for services performed at a hospital facility Diagnostic Radiology other than CT Scans: $250 for services performed at a non-hospital facility; $345 for services performed at a hospital facility Diagnostic Radiology Mammogram: $0 |
| Home health care | In-Network $0 |
| Mental health inpatient care | In-Network: Psychiatric Hospital Services: $392 per day for days 1 to 6 $0 per day for days 7 to 90 Prior Authorization Required for Psychiatric Hospital Services |
| Mental health outpatient care | In-Network $65 for Mental Health - Group Sessions $65 for Mental Health - Individual Sessions $65 for Psychiatric Services - Group Sessions $65 for Psychiatric Services - Individual Sessions |
| Outpatient services/surgery | Ambulatory Surgical Center: In-Network $0 for preventive and diagnostic colonoscopy $350 all other ambulatory surgical center services |
| Outpatient substance abuse care | In-Network: Outpatient Substance Abuse Services: Copayment for Medicare-covered Individual Sessions $75 Copayment for Medicare-covered Group Sessions $75 Prior Authorization Required for Outpatient Substance Abuse Services |
| Over-the-counter items | CVS Over-the-Counter (OTC) Wallet with a $15 quarterly benefit amount (allowance) on the Extra Benefits Card to help pay for approved OTC health and wellness products like first aid supplies, cold and allergy medicine, pain relievers, and more. Approved products can be purchased in-store at participating CVS retail locations (excluding locations inside other stores), using the app, online or by phone through CVS Flex Benefits. |
| Podiatry services | In-Network: Podiatry Services: Copayment for Medicare-Covered Podiatry Services $75 |
| Skilled Nursing Facility (SNF) care | In-Network $10 per day, days 1-20; $221 per day, days 21-100 |
Dental benefit
Aetna Medicare Signature (HMO-POS) offers the following dental benefit and coverage. There may be provider network restrictions. You can find more information about network restrictions in the plan’s Evidence of Coverage.
| Coverage | Details |
|---|---|
| Dental care | In-Network Preventive dental services: $0 for oral exams $0 for cleanings $0 for x-rays Out-of-Network Preventive dental services: 50% for oral exams 50% for cleanings 50% for x-rays Frequencies vary by covered dental service. |
Vision benefit
Aetna Medicare Signature (HMO-POS) offers the following vision benefit. There may be provider network restrictions. You can find more information about network restrictions in the plan's Evidence of Coverage.
| Coverage | Details |
|---|---|
| Vision care | In-Network Eye Exams: $0 for Diabetic eye exams $75 for all other Medicare-covered eye exams $0 for non-Medicare covered routine eye exam Maximum one non-Medicare covered routine eye exam every calendar year with an EyeMed network provider Eyewear: $0 for Medicare-covered prescription eyewear $100 annual benefit amount (allowance) for non-Medicare covered prescription eyewear through an EyeMed network provider. $0 for Contacts $0 for Eyeglasses $0 for Eyeglass Frames $0 for Eyeglass Lenses $0 for Upgrades |
Hearing benefit
Aetna Medicare Signature (HMO-POS) offers the following hearing benefit and coverage. There may be provider network restrictions. You can find more information about network restrictions in the plan’s Evidence of Coverage.
| Coverage | Details |
|---|---|
| Hearing care | In-Network Hearing Exams: $75 for Medicare-covered hearing exams $0 for non-Medicare covered hearing exams (Maximum one non-Medicare covered hearing exam every year) $0 for fitting/evaluation for hearing aids (Maximum one hearing aid fitting/evaluation every year) Hearing Aids: $0-$1,700 for hearing aids (Maximum two hearing aids every year) |
Preventive services and health/wellness education programs
Aetna Medicare Signature (HMO-POS) offers the following preventive services, benefits and wellness programs. There may be provider network restrictions. You can find more information about network restrictions in the plan’s Evidence of Coverage.
| Coverage | Details |
|---|---|
| Preventive services and health/wellness education programs | In-Network $0 for all preventive services covered under Original Medicare |
We can help you find out if your doctors are in a plan’s network when reviewing Aetna Medicare Advantage plans in Massachusetts. We can also help you look for plans that cover your prescription drugs.
There may be other Aetna Medicare Advantage plans available in Massachusetts. Call 1-800-891-6309 (TTY: 711), 24/7 to speak with a licensed TZ insurance agent* who can help you compare plans where you live.
Plan documents
Learn more about Aetna Medicare Signature (HMO-POS) by reviewing the following documents:
| Links to plan documents |
Back to Aetna plans in Massachusetts