Aetna Medicare Premier (PPO)
The Aetna Medicare Premier (PPO) is a 2027 PPO Medicare Advantage plan from Aetna Medicare with a $79.00/mo premium. It may include allowances for dental, vision, hearing, and otc / flex allowance. It's available in 70 counties across 1 state.
Reviewed by the Medicare Advocates team · 2027 plan year · sourced from CMS data
Offered in 70 counties across 1 state
- Monthly premium$79.00
- In-network max out-of-pocket$6,750
- Dental$1,500
- Vision$275
- Hearing$2,000
- OTC / Flex allowance$240
2027 plan-year figures (premium, star rating, MOOP) from the CMS Landscape file; allowance amounts from CMS PBP data. Amounts vary by plan; not all plans offer all benefits.
What the Aetna Medicare Premier (PPO) plan may include
- Dental: up to $1,500 per year in plan allowance (2027).
- Vision: up to $275 per year in plan allowance (2027).
- Hearing: up to $2,000 per year in plan allowance (2027).
- OTC / Flex allowance: up to $240 per year in plan allowance (2027).
Costs & coverage detail
Annual Part D drug deductible: $700 (2027).
Doctor visits
- Primary care visit$0
- Specialist visit$35 copay
- Telehealth20% coinsurance
Emergency & urgent care
- Emergency room$130 copay
- Urgent care$40 copay
Tests, labs & imaging
- Lab services$0
- Diagnostic tests & procedures$0–$35 copay
- X-rays$0–$50 copay
- Diagnostic radiology (CT/MRI/PET)$0–$250 copay
Outpatient hospital & surgery
- Outpatient hospital services$0–$382 copay
- Ambulatory surgical center$0–$282 copay
- Outpatient substance abuse (individual)$20 copay
Home health & equipment
- Home health care$0
Medical equipment & supplies
- Durable medical equipment (DME)20% coinsurance
Ambulance
- Ground ambulance$275 copay
Dental
- Preventive dental (exams, cleanings, X-rays)$0
- Comprehensive dental (restorative)20–50% coinsurance
Vision
- Routine eye exam$0–$35 copay
- Eyewear (glasses/contacts)$0
Hearing
- Routine hearing exam$35 copay
- Hearing aids$0
Hospital stays
- Inpatient hospital$382/day, days 1–7; $0/day, days 8–90
- Skilled nursing facility (SNF)$10/day, days 1–20; $221/day, days 21–100
In-network, Medicare-covered cost sharing for the 2027 plan year (CMS PBP data). Costs vary by service and setting; see the Summary of Benefits for full detail.
Extra benefit allowances
- Comprehensive dental allowance$1,500 per year
- Routine eye exam allowance$50 per year
- Eyewear allowance$275 per year
- Hearing aid allowance$2,000 per year
- Over-the-counter (OTC) allowance$60 per quarter
Prescription drug costs
Annual Part D drug deductible: $700.
| Tier | Preferred retail | Standard retail | Mail (90-day) |
|---|---|---|---|
| Tier 1 · Preferred Generic | $0 | $5 | $0 |
| Tier 2 · Generic | $5 | $12 | $5 |
| Tier 3 · Preferred Brand | 17% | 17% | 17% |
| Tier 4 · Non-Preferred Drug | 28% | 28% | 28% |
| Tier 5 · Specialty Tier | 25% | 25% | — |
30-day supply cost share for the 2027 plan year, in-network (mail column shows 90-day). Amounts shown are before any deductible applies and vary by drug.
Preventive services
This plan covers $0 for all preventive services covered under Original Medicare when you use an in-network provider — including annual wellness visits, recommended screenings, and vaccines.
Common questions
- What is the Aetna Medicare Premier (PPO) plan?
- It is a Medicare Advantage plan (CMS plan ID H5521-652-000) offered by Aetna Medicare for the 2027 plan year. Medicare Advantage plans bundle your Part A and Part B coverage, and most include extra benefits Original Medicare does not.
- What extra benefits could this plan include?
- Depending on the plan, supplemental benefits may include allowances toward dental, vision, hearing, otc / flex allowance. Amounts shown are for the 2027 plan year and vary by plan and area. A licensed agent can confirm what is available to you.
- Where is this plan available?
- For 2027, this plan is offered in 70 counties across 1 state. Availability and benefits depend on your specific ZIP code.
- How do I enroll or compare plans?
- Call to speak with a licensed insurance agent who can review this plan alongside the other options in your area at no cost. There is no obligation to enroll, and enrollment may be limited to certain times of year unless you qualify for a Special Enrollment Period.
Counties served
Virginia (70 counties)
Accomack, Albemarle, Alleghany, Augusta, Bath, Bland, Botetourt, Buchanan, Buena Vista City, Carroll, Charlottesville City, Chesapeake City, Colonial Heights City, Covington City, Craig, Dickenson, Essex, Floyd, Fluvanna, Franklin, Franklin City, Galax City, Giles, Gloucester, Grayson, Greene, Hampton City, Henrico, Highland, Isle of Wight, James City, King and Queen, Lancaster, Lee, Lexington City, Louisa, Madison, Mathews, Middlesex, Montgomery, Nelson, Norfolk City, Northampton, Norton City, Orange, Portsmouth City, Prince George, Pulaski, Radford City, Richmond, Richmond City, Roanoke, Roanoke City, Rockbridge, Russell, Salem City, Scott, Smyth, Southampton, Suffolk City, Surry, Sussex, Tazewell, Virginia Beach City, Washington, Westmoreland, Williamsburg City, Wise, Wythe, York
Ready when you are.
No cost. No pressure. There is no obligation to enroll.One licensed insurance agent, for as long as you’re on Medicare.