Medicare Advantage · Local PPO · 2027
Aetna Medicare Eagle Plus (PPO)
No referral needed to see a specialist
At a glance: $0 monthly premium and $0 primary care visits.
This plan does not include Part D drug coverage. Before enrolling, confirm how your prescriptions will be covered. Read before you enroll
- Monthly premium
- $0
- Part B premium separate
- Yearly limit
- $9,250
- Most you’d pay for in-network care
- Dental
- $4,000/yr
- Comprehensive dental allowance
- Doctor visits
- $0
- Primary care · specialists $25
Check this plan for you
Add your doctors to see if they’re in this plan’s network.
- DentalComprehensive dental allowance
- $4,000/yr
- OTC allowance
- $150/quarter
- HearingHearing aid allowance
- $500/yr
- VisionEyewear allowance
- $350/yr
- Fitness$0 fitness benefit
- Included
- MealsMeal benefit
- Included
This is a supplemental benefit with plan-specific limits. See plan documents for details.
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Enrollment options depend on where you live. Enter your ZIP code so we can show the right ways to enroll in this plan.
Before you enroll
Prescription coverage and who this plan may fit
This plan does not include Part D drug coverage
Who this type of plan may fit
MA-Only plans are generally considered by people who already have creditable prescription drug coverage, such as coverage from the VA, TRICARE, or a current or former employer or union. Your coverage provider (not this page) must tell you whether your current drug coverage is creditable.
Before you enroll
- Find your current plan's annual Notice of Creditable Coverage or ask its benefits administrator.
- Do not drop existing drug coverage until you understand how the change affects both coverages.
Costs and copays
Deductible, yearly limit, visits, hospital stays and drug coverage
- Medical deductiblePer year
- $0
- Drug coveragePart D
- Not included
- Yearly limitIn-network care, not counting drugs
- $9,250
- Yearly limit, in and out of networkCombined, not counting drugs
- $13,900
- Primary doctorPer visit
- $0
- SpecialistPer visit · no referral needed
- $25
- Hospital stayNo limit on covered hospital days
- Days 1-7: $380/day, Days 8-90: $0/day
- Inpatient mental healthHospital stay
- Days 1-5: $407/day, Days 6-90: $0/day
- Outpatient surgeryPer procedure
- $380
- Emergency roomPer visit
- $115
- Urgent carePer visit
- $20
Our take
Where this plan shines, and what to know
Where this plan shines
- This plan has a $0 monthly premium.
- See your primary doctor for $0.
- The specialist copay ($25) is among the more affordable options.
- No separate medical deductible.
- Highly rated by CMS (4 stars).
Things to know before you enroll
- This plan’s out-of-pocket maximum is above the national median.
- Limited coverage while traveling outside the plan’s service area.
- Does not include prescription drug coverage. You can't add a separate Part D plan to this plan. Joining one would end your Medicare Advantage coverage, so make sure you have other drug coverage, like VA or TRICARE.
- Late enrollment penalty risk if you go without creditable drug coverage for 63+ days.
Similar plans
Other Medicare Advantage plans offered in Mississippi
Browse the full 2027 Medicare Advantage without drug coverage directory. This plan is offered in Mississippi. Plan availability can vary by county.
More Medicare Advantage without drug coverage options
These plans are offered in at least one of the same states. Check your ZIP or county before choosing a plan.
- AARP Medicare Advantage Patriot No Rx MS-MA01 (PPO)UnitedHealthcare · H8768-031Offered in Mississippi
- HealthSpring Courage (HMO)HealthSpring · H4407-011Offered in Mississippi
- Humana USAA Honor Giveback (PPO)Humana · H5216-200Offered in Mississippi
- Humana USAA Honor Giveback (PPO)Humana · H7617-086Offered in Mississippi
Common questions
6 answers about this plan
What does Aetna Medicare Eagle Plus (PPO) (Local PPO) cover?
Aetna Medicare Eagle Plus (PPO) (Local PPO) is a Medicare Advantage plan that the current plan record identifies as not including Part D prescription drug coverage. The plan record does not identify Part D prescription drug coverage. Published supplemental benefits include dental ($4,000/yr comprehensive dental allowance), vision ($350/yr eyewear allowance), hearing ($500/yr hearing aid allowance), and over-the-counter (OTC) ($150/quarter OTC allowance). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.
Learn about Medicare AdvantageHow much does Aetna Medicare Eagle Plus (PPO) (Local PPO) cost in 2027?
The published 2027 monthly plan premium for Aetna Medicare Eagle Plus (PPO) (Local PPO) is $0. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $0. The in-network medical out-of-pocket maximum is $9,250; it does not include Part D drug spending. Published visit costs include primary care $0 and specialist visits $25. These figures are plan data, not a personal yearly-cost estimate.
Can I use my current doctors with Aetna Medicare Eagle Plus (PPO) (Local PPO)?
CMS lists Aetna Medicare Eagle Plus (PPO) (Local PPO) as a Local PPO plan. The plan record says specialist referrals are not required. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.
Check your doctorsDoes Aetna Medicare Eagle Plus (PPO) (Local PPO) include prescription drug coverage?
Aetna Medicare Eagle Plus (PPO) (Local PPO) is listed in the current plan record as a Medicare Advantage plan without Part D prescription drug coverage. You can't add a separate Part D plan to this plan. Joining one would end your Medicare Advantage coverage, so make sure you have other drug coverage, like VA or TRICARE. Confirm how your prescriptions will be covered before enrolling.
What extra benefits does Aetna Medicare Eagle Plus (PPO) (Local PPO) offer beyond Original Medicare?
The current plan record for Aetna Medicare Eagle Plus (PPO) (Local PPO) lists dental ($4,000/yr comprehensive dental allowance), vision ($350/yr eyewear allowance), hearing ($500/yr hearing aid allowance), over-the-counter (OTC) ($150/quarter OTC allowance), and fitness ($0 fitness benefit). The current data does not list transportation as offered benefits. Benefit allowances, frequency, eligibility, and participating providers can have additional limits, so review the Summary of Benefits or Evidence of Coverage for the complete rules.
When can I enroll in Aetna Medicare Eagle Plus (PPO) (Local PPO)?
Aetna Medicare Eagle Plus (PPO) (Local PPO) is a 2027 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. A qualifying circumstance may create a Special Enrollment Period outside those dates. Confirm the enrollment window and effective date that apply to you before changing coverage.
Review Medicare enrollment periodsPlan documents
Summary of Benefits and Evidence of Coverage
- Summary of Benefits (PDF)Download the plan's official Summary of Benefits document
- Evidence of Coverage (PDF)Complete plan details and rules
- Check Your DoctorsSee if your doctors accept this plan
- Documentos en españolLlame a The Pocket Protector al 1-866-764-3312 (TTY: 711) para recibir ayuda con documentos en español
Enter your ZIP code to see how you can enroll
Enrollment options depend on where you live. Enter your ZIP code so we can show the right ways to enroll in this plan.
