Aetna Medicare Eagle Giveback (PPO) Medicare Advantage Plan H5521-488 • 2026 • Rockcastle County, KY

Aetna Medicare Eagle Giveback Overview

Plan Overview for Aetna Medicare Eagle Giveback

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: 50% coinsurance, specialist visits come with a $0-$40 copay | Out-of-network: 50% coinsurance, urgent care services carry a $40 copay, and ambulance transportation is $280 copay | Out-of-network: $280 copay. These costs apply toward the plan’s annual maximum out-of-pocket (MOOP) limit of $6900.00. 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 H5521-488. Cost-sharing details for key services are provided below.

Cost Sharing Expenses

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 H5521-488.

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

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.