Aetna Medicare Eagle Plus (PPO) Medicare Advantage Plan H5521-324 • 2026 • Franklin County, MS

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: $30 copay, specialist visits come with a $0-$35 copay | Out-of-network: $50 copay, urgent care services carry a $20 copay, and ambulance transportation is $295 copay | Out-of-network: $295 copay. These costs apply toward the plan’s annual maximum out-of-pocket (MOOP) limit of $9250.00. 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 H5521-324. Cost-sharing details for key services are provided below.

Cost-Sharing Overview

Aetna Medicare Eagle Plus includes cost-sharing, which refers to out-of-pocket expenses for covered healthcare services. The table below outlines the most common in-network out-of-pocket costs associated with plan H5521-324.

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

Medicare Advantage (Part C) and Part D plans are rated each year by CMS on a 5-star scale. Ratings summarize plan performance across clinical care and member experience measures.