Medicare Advantage · Local PPO · 2027
Aetna Medicare Signature Giveback (PPO)
No referral needed to see a specialist
At a glance: $0 monthly premium, a Part B giveback of up to $30 a month, and $0 primary care visits.
- Monthly premium
- $0
- Part B premium separate
- Yearly limit
- $9,850
- Most you’d pay for in-network care
- Part B giveback
- Up to$30/mo
- Up to $360 a year
- Doctor visits
- $0
- Primary care · specialists $45
Check this plan for you
Add your doctors and prescriptions to see how they work with this plan.
- Part B givebackThis plan includes a Part B giveback, which lowers what you pay for your Medicare Part B premium by up to $30 a month.Depending on how you pay Part B, the reduction may appear in your Social Security payment or on your Part B bill. Processing can take time; confirm the amount and timing with the plan.
- $30/month
- HearingHearing aid allowance
- $1,250/yr
- DentalComprehensive dental allowance
- $1,000/yr
- VisionEyewear allowance
- $100/yr
- OTC allowance
- $15/quarter
- Fitness$0 fitness benefit
- Included
This is a supplemental benefit with plan-specific limits. See plan documents for details.
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Costs and copays
Deductibles, yearly limit, visits, hospital stays and drug tiers
- DeductiblesMedical · $500 for drugs
- $0
- Yearly limitIn-network care, not counting drugs
- $9,850
- Yearly limit, in and out of networkCombined, not counting drugs
- $10,850
- Primary doctorPer visit
- $0
- SpecialistPer visit · no referral needed
- $45
- Hospital stayNo limit on covered hospital days
- Days 1-6: $408/day, Days 7-90: $0/day
- Inpatient mental healthHospital stay
- Days 1-5: $418/day, Days 6-90: $0/day
- Outpatient surgeryPer procedure
- $408
- Emergency roomPer visit
- $115
- Urgent carePer visit
- $40
- Tier 1 · Preferred Generic30-day supply at a retail pharmacy
- $0
- Tier 2 · Generic30-day supply at a retail pharmacy
- $0
- Tier 3 · Preferred Brand30-day supply at a retail pharmacy, after deductible
- 17%
- Tier 4 · Non-Pref Brand30-day supply at a retail pharmacy, after deductible
- 28%
- Tier 5 · Specialty30-day supply at a retail pharmacy, after deductible
- 28%
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.
- 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.
Similar plans
Other Medicare Advantage plans offered in South Carolina
Browse the full 2027 Medicare Advantage with drug coverage directory. This plan is offered in South Carolina. Plan availability can vary by county.
More Medicare Advantage with drug coverage options
These plans are offered in at least one of the same states. Check your ZIP or county before choosing a plan.
- Aetna Medicare Enhanced (PPO)Aetna Medicare · H5521-251Offered in South Carolina
- Aetna Medicare Signature (PPO)Aetna Medicare · H5521-245Offered in South Carolina
- Aetna Medicare Signature (PPO)Aetna Medicare · H5521-249Offered in South Carolina
- Aetna Medicare Signature (PPO)Aetna Medicare · H5521-319Offered in South Carolina
- Aetna Medicare Enhanced (HMO)Aetna Medicare · H3146-040Offered in South Carolina
- Aetna Medicare Enhanced (HMO)Aetna Medicare · H3146-047Offered in South Carolina
Common questions
6 answers about this plan
What does Aetna Medicare Signature Giveback (PPO) (Local PPO) cover?
Aetna Medicare Signature Giveback (PPO) (Local PPO) is a Medicare Advantage plan that the current plan record identifies as including Part D prescription drug coverage. The plan record also identifies Part D prescription drug coverage. Its published drug benefit lists 5 formulary tiers. Published supplemental benefits include dental ($1,000/yr comprehensive dental allowance), vision ($100/yr eyewear allowance), hearing ($1,250/yr hearing aid allowance), and over-the-counter (OTC) ($15/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 Signature Giveback (PPO) (Local PPO) cost in 2027?
The published 2027 monthly plan premium for Aetna Medicare Signature Giveback (PPO) (Local PPO) is $0. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $0. The listed Part D deductible is $500. The in-network medical out-of-pocket maximum is $9,850; it does not include Part D drug spending. Published visit costs include primary care $0 and specialist visits $45. These figures are plan data, not a personal yearly-cost estimate.
Understand Medicare drug-cost limitsCan I use my current doctors with Aetna Medicare Signature Giveback (PPO) (Local PPO)?
CMS lists Aetna Medicare Signature Giveback (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 Signature Giveback (PPO) (Local PPO) cover my prescriptions?
Aetna Medicare Signature Giveback (PPO) (Local PPO) has 5 published formulary tiers in the current plan record. Published preferred-pharmacy 30-day retail costs include Tier 1 at $0, Tier 2 at $0, Tier 3 at 17%, Tier 4 at 28%, and Tier 5 at 28%. The listed Part D deductible is $500. A tier listing does not confirm that a specific prescription is covered. Check each medication against the plan's current formulary, restrictions, pharmacy network, and costs before enrolling.
Check your prescriptionsWhat dental, vision, and hearing benefits does Aetna Medicare Signature Giveback (PPO) (Local PPO) include?
The current plan record for Aetna Medicare Signature Giveback (PPO) (Local PPO) lists dental ($1,000/yr comprehensive dental allowance), vision ($100/yr eyewear allowance), and hearing ($1,250/yr hearing aid allowance). It also lists over-the-counter (OTC) ($15/quarter OTC allowance). It also lists a Part B premium reduction of $30 per month. 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 Signature Giveback (PPO) (Local PPO)?
Aetna Medicare Signature Giveback (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.
