Aetna Medicare Eagle Giveback (PPO) Medicare Advantage Plan H5521-320 • 2027 • Bronx County, NY
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- Coming soon
- Maximum Out-of-Pocket
- $9850.00In-network
- Part B Giveback
- Coming soon
- Prescription Coverage
- Not Included
- Additional Benefits
- None
- Service Area
- Bronx County, NY
- Local Enrollment
- 128 beneficiaries in Bronx County
Aetna Medicare Eagle Giveback (PPO) Introduction
This Medicare Advantage PPO plan, Aetna Medicare Eagle Giveback, is offered by Aetna Medicare and uses a Preferred Provider Organization (PPO) provider network. It comes without prescription drug coverage. For the 2027 plan year, the monthly premium is $0.00, the medical deductible is Coming soon, and the in-network maximum out-of-pocket is $9850.00. The plan is identified by CMS Plan ID H5521-320.
Qualifying residents of Bronx County, New York may enroll in this plan. CMS enrollment data reports 128 plan members in Bronx County. New members can call the plan directly at (844)509-6254 (TTY 711) for assistance.
Compare Similar Plans in Bronx County
Compare this plan with the two most-enrolled PPO plans available in Bronx County, New York. Enrollment is based on CMS local enrollment data.
| Plan Detail | Aetna Medicare Eagle Giveback | Aetna Medicare Elite | Wellcare Simple Open |
|---|---|---|---|
| CMS Plan ID | H5521-320-0 |
H5521-120-0 |
H2775-106-0 |
| Local Enrollment | 128 | 2,359 | 1,199 |
| Monthly Premium | $0.00 | $0.00 | $0.00 |
| Medical Deductible | Coming soon | $1,250 | $300 |
| Maximum Out-of-Pocket | $9,850.00 | $9,850.00 | $9,850.00 |
| Part B Giveback | Coming soon | Not offered | Not offered |
| Primary Care | Coming soon | $0 copay | $0 copay |
| Specialist | Coming soon | $0-$45 copay | $50 copay |
| Part D Deductible | Not Applicable | $700.00 | $700.00 |
| CMS Star Rating | 4.0 | 4.0 | 3.0 |
| Dental | Coming soon | $0 copay | $0 copay |
| Vision | Coming soon | $0 copay | $0 copay |
| Hearing | Coming soon | $0 copay | $0 copay |
Plan Benefits
Cost-sharing for Aetna Medicare Eagle Giveback includes out-of-pocket expenses for covered healthcare services. The following tables provide a summary of typical in-network out-of-pocket costs for plan H5521-320.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H5521-320-0 Cost Compare.
Office Visits
- Primary care
- Coming soon
- Specialist
- Coming soon
Preventive and Wellness Services
- Annual wellness exam
- Coming soon
- Telehealth benefit
- Coming soon
- Routine chiropractic
- Coming soon
- Fitness benefits
- Coming soon
- Health education
- Coming soon
- Counseling services
- Coming soon
- Over-the-counter drug benefits
- Coming soon
- Health transportation (non-emergency)
- Coming soon
Diagnostic, Lab, and Imaging Services
- Diagnostic radiology services
- Coming soon
- Lab services
- Coming soon
- Outpatient x-rays
- Coming soon
- Diagnostic tests and procedures
- Coming soon
Emergency and Urgent Care Services
- Emergency room care
- Coming soon
- Worldwide emergency care
- Coming soon
- Urgent care
- Coming soon
- Inpatient hospital care
- Coming soon
- Skilled Nursing Facility
- Coming soon
- Ground ambulance
- Coming soon
Mental Health Services
- Outpatient individual therapy
- Coming soon
- Outpatient group therapy
- Coming soon
- Inpatient psychiatric hospital care
- Coming soon
Rehabilitation Services
- Physical therapy and speech and language therapy
- Coming soon
- Occupational therapy
- Coming soon
Medical Equipment and Supplies
- Diabetes supplies
- Coming soon
- Durable medical equipment
- Coming soon
- Prosthetics
- Coming soon
Medicare Part B Drugs
- Chemotherapy
- Coming soon
- Other Part B drugs (Medicare-covered)
- Coming soon
Dental Services
- Oral exam
- Coming soon
- Dental x-rays
- Coming soon
- Cleaning
- Coming soon
- Periodontics
- Coming soon
- Endodontics
- Coming soon
- Restorative services
- Coming soon
- Implant services
- Coming soon
- Orthodontics
- Coming soon
- Oral/Maxillofacial surgery
- Coming soon
Vision Services
- Routine eye exam
- Coming soon
- Contact lenses
- Coming soon
- Eyeglass frames only
- Coming soon
- Eyeglass lenses only
- Coming soon
- Eyeglasses (frames & lenses)
- Coming soon
- Upgrades
- Coming soon
Hearing Services
- Hearing exam
- Coming soon
- Fitting/evaluation
- Coming soon
- Prescription hearing aids
- Coming soon
- OTC hearing aids
- Coming soon
Additional and Special Needs Services
- Adult day health services
- Coming soon
- Home-based palliative care
- Coming soon
- Personal emergency response system
- Coming soon
- Weight management programs
- Coming soon
- Wigs for chemotherapy-related hair loss
- Coming soon
- Alternative therapies
- Coming soon
- Massage therapy
- Coming soon
- Home/bathroom safety devices
- Coming soon
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 Performance Ratings (Contract ID: H5521)
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.
| CMS Measure | Star Rating |
|---|---|
| 2027 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
Contact Information for Aetna Medicare
- Website
- Aetna Medicare Plan Page
- Providers
- Aetna Medicare Providers Page
- Formulary
- Aetna Medicare Formulary Page
- Pharmacy
- Aetna Medicare Pharmacy Page
- New Member Health Plan Help
- (844)509-6254
- New Member Health Plan TTY
- 711
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | CMS Version |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | CY2027 Landscape (202609.1) |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | 2027 Star Ratings Data Tables |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | PBP Benefits-2027 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | 2026-09 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Aetna Medicare (official source) | http://www.aetna.com/medicare | October 4, 2026 |
| CMS.gov | Medicare Advantage Plan Fact Sheet | 25 May, 2025 |
| AARP.org | The Big Choice: Original Medicare vs. Medicare Advantage | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
MedicarePlans.com is an independent informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.