Aetna Medicare Eagle Giveback (PPO) Medicare Advantage Plan H5521-306 • 2026 • Columbia County, FL

Aetna Medicare Eagle Giveback Overview

Coverage Overview for Aetna Medicare Eagle Giveback

As a Medicare Advantage PPO plan, Aetna Medicare Eagle Giveback 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: $55 copay, specialist visits come with a $50 copay | Out-of-network: $70 copay, urgent care services carry a $50 copay, and ambulance transportation is $250 copay | Out-of-network: $250 copay. These expenses apply toward the annual maximum out-of-pocket (MOOP) limit of $6750.00. After this limit is reached, in-network services are fully covered.

This plan is registered with CMS under Plan ID H5521-306. Cost-sharing details are outlined below.

Cost-Sharing Overview

Cost-sharing for Aetna Medicare Eagle Giveback includes out-of-pocket expenses for covered healthcare services. The table below provides a summary of typical in-network out-of-pocket costs for plan H5521-306.

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

Prescription Drug Coverage

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

CMS 5-Star Ratings

CMS evaluates Medicare Advantage (Part C) and Part D plans annually using a 5-star rating system. Ratings reflect performance in preventive care, chronic condition management, and member experience.