Aetna Medicare Eagle Plus (PPO) Medicare Advantage Plan H5521-229 • 2026 • Cleburne County, AL

Aetna Medicare Eagle Plus Overview

Plan Overview for Aetna Medicare Eagle Plus

This Medicare Advantage PPO plan covers Medicare Part A and Part B services and allows access to Medicare-approved providers. The monthly premium is $0.00, with lower costs when using in-network providers.

Primary care visits have a $0 copay | Out-of-network: $5 copay, specialist visits come with a $0-$25 copay | Out-of-network: $30 copay, urgent care services carry a $40 copay, and ambulance transportation is $270 copay | Out-of-network: $270 copay. These costs apply toward the plan’s annual maximum out-of-pocket (MOOP) limit of $7900.00. After this limit is reached, in-network services are fully covered for the remainder of the year.

This plan is listed by CMS under Plan ID H5521-229. Cost-sharing details for key services are provided below.

Cost Sharing Expenses

Aetna Medicare Eagle Plus has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The table below details the most common in-network out-of-pocket expenses for plan H5521-229.

Certain preventive services are covered 100% by Aetna Medicare Eagle Plus as a Part B benefit.

Prescription Drug Coverage

This plan does not include a Medicare Part D plan for prescriptions.

CMS Star Ratings

The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.