Aetna Medicare Eagle (PPO) Medicare Advantage Plan H5521-353 • 2026 • Washoe County, NV

Aetna Medicare Eagle Overview

Coverage Overview for Aetna Medicare Eagle

As a Medicare Advantage PPO plan, Aetna Medicare Eagle 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-$35 copay | Out-of-network: 50% coinsurance, urgent care services carry a $40 copay, and ambulance transportation is $265 copay | Out-of-network: $265 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 H5521-353. Cost-sharing details are outlined below.

Cost Sharing Expenses

Aetna Medicare Eagle 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 H5521-353.

Certain preventive services are covered 100% by Aetna Medicare Eagle 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.