Aetna Medicare Eagle (PPO)

3.5 out of 5 stars
$0.00
Monthly Premium

Aetna Medicare Eagle (PPO) is a PPO plan offered by Aetna Inc.

Plan ID: H3288-051

HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.


Medicare beneficiaries may find it helpful to review available Medicare Advantage plans in their area. Medicare Advantage plans are designed to combine the coverage offered from Original Medicare (Medicare Part A and Part B) while also offering additional benefits.

Many Medicare Advantage plans may cover prescription drug coverage as well as additional benefits such as Dental, Vision and Hearing.

Learn more about Medicare Advantage plans such as Aetna Medicare Eagle (PPO) - H3288-051 by Aetna Inc. as well as other Medicare Advantage plans available in your area.

$0.00
Monthly Premium

Basic Costs and Coverage

Coverage Cost
Monthly Deductible $-1
Out of Pocket Max In-Network: $4900
Out-of-Network: N/A
Initial Coverage Limit $0
Catastrophic Coverage Limit $2100
Primary Care Doctor Visit
Out-of-Network|$30%
Specialty Doctor Visit
Out-of-Network|$30%
Inpatient Hospital Care
Out-of-Network|30% per stay
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|$320

Health Care Services and Medical Supplies

Aetna Medicare Eagle (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B).

Coverage Cost
Chiropractic Services

Out-of-Network:

Chiropractic Services:
Coinsurance for Medicare Covered Chiropractic Services 30%
In-Network:

Chiropractic Services:
Copayment for Medicare-covered Chiropractic Services $15
Copayment for Routine Care $15
  • Maximum 12 Routine Care every year
Diabetes Supplies, Training, Nutrition Therapy and Monitoring
In-Network|0% for Roche/Accu-Chek and TRUE/Trividia diabetic supplies|20% for other covered diabetic supplies
Durable Medical Equipment (DME)
In-Network|0% for continuous glucose monitors|20% for all other Medicare-covered DME items
Diagnostic Tests, Lab and Radiology Services, and X-Rays
Lab Services: Out-of-Network|30%
Diagnostic Procedures: Out-of-Network|30%
Imaging: Out-of-Network|30%
Home Health Care
In-Network|$0
Mental Health Inpatient Care
In-Network:

Psychiatric Hospital Services:
$375 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
Out-of-Network|30% for Mental Health Services- Group Sessions|30% for Mental Health Services - Individual Sessions|30% for Psychiatric Services - Group Sessions|30% 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 $40
Copayment for Medicare-covered Group Sessions $40
Prior Authorization Required for Outpatient Substance Abuse Services

Out-of-Network:

Outpatient Substance Abuse Services:
Coinsurance for Medicare Covered Individual Sessions 30%
Coinsurance for Medicare Covered Group Sessions 30%
Over-the-counter (OTC) Items
$45 quarterly benefit amount (allowance) to help pay for approved over-the-counter (OTC) health and wellness products. Approved products can be purchased in-store at participating CVS retail locations (excluding locations inside other stores), and online or by phone through CVS OTC Health Solutions.
Podiatry Services

Out-of-Network:

Podiatry Services:
Coinsurance for Medicare Covered Podiatry Services 30%
In-Network:

Podiatry Services:
Copayment for Medicare-Covered Podiatry Services $40
Skilled Nursing Facility Care
Out-of-Network|30% per stay

Dental Benefits

The following dental services are covered from in-network providers.

Coverage Cost
Dental Care
In-Network||Preventive dental services:|$0 for oral exams|$0 for cleanings|$0 for x-rays||Comprehensive dental services:|20%-50% for restorative services|20% for endodontic services|20%-50% for periodontic services|50% for removeable prosthodontics|50% for fixed prosthodontics|20% - 50% for oral and maxillofacial surgery|20% - 50% for adjunctive services

Vision Benefits

The following vision services are covered from in-network providers.

Coverage Cost
Vision Benefits
Out-of-Network||Eye Exams:|30% for Medicare-covered eye exams|$0 for non-Medicare covered eye exams|Maximum one non-Medicare covered routine eye exam every calendar year in or out-of-network (out of network covered up to $50)||Eyewear:|30% for Medicare-covered prescription eyewear|$0 for Contacts|$0 for Eyeglass Frames|$0 for Eyeglass Lenses|$0 for Eyeglass Lenses and Frames|$0 for Upgrades||$275 annual benefit amount (allowance) for non-Medicare covered prescription eyewear.

Hearing Benefits

The following hearing services are covered from in-network providers.

Coverage Cost
Hearing Benefits
Out-of-Network:||Hearing Exams:|30% for Medicare-covered hearing exams|30% for non-Medicare covered hearing exam every year in or out-of-network||Hearing Aids: You must purchase hearing aids through NationsHearing

Preventive Services and Health/Wellness Education Programs

The following services are covered from in-network providers.

Coverage Cost
Preventive Services and Health/Wellness Education Programs
In-Network|$0 for all preventive services covered under Original Medicare
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