5

5 out of 5 stars* for plan year 2024

Plan ID: H5521-296

What You Need to Know:

  • Aetna Medicare Eagle Plan (PPO) is a Medicare Advantage Health Maintenance Organization Local PPO * plan.
  • It must provide all of the same hospital and medical benefits as Medicare Part A and Part B, however, costs may be different.
  • It has additional benefits not included in Medicare Part A and Part B, including prescription drug coverage.
  • The plan's monthly premium is $0, which does not include your monthly Medicare Part B premium.
  • The annual deductible for this health plan is no drug coverage.
  • The plan includes an out-of-pocket maximum of $6,700 per year (in-network).
  • Aetna Medicare Eagle Plan (PPO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is no drug coverage.
  • This plan's Part D Initial Coverage Limit is .

* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.

$0

Monthly Premium

Medicare Plan Features
Monthly Premium: $0
Part C Premium: NULL
Monthly Premium: Part C Premium: Part D Drug Premium: Part D Supplemental Premium: Total Part D Premium: Drug Deductible: Tiers with No Deductible:
$0 NULL NULL NULL NULL NULL NULL
Gap Coverage: NULL
Benchmark: NULL
Type of Medicare Health: NULL
Health Plan Type: Local PPO *
Similar Plan: H5521-298
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: NULL
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $6,700
Annual Deductible: no drug coverage
Annual Initial Coverage Limit ICL: NULL
Number of Members enrolled in this plan in Hampden, Massachusetts: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
25 members181 members 4 out of 5 Stars. 5 out of 5 Stars. 3 out of 5 Stars.
Plan Offers Mail Order: NULL
Plan Health Benefits
Total # of Formulary Drugs: NULL
Number of Members Enrolled in this Plan in Hampden, Massachusetts: 181 members
Number of Drugs Per Tier: NULL
Preferred Pharmacy Cost Sharing During Initial Coverage Phase: NULL
Special Needs Plan SNP Eligibility Requirement: NULL
Monthly Premium Split as Follows:
Part C Premium Part D Base Premium Part D Supplemental Premium Total Premium
NULL NULL NULL NULL
Monthly Premium with Extra Help Low Income Subsidy:
LIS100 Subsidy Total Monthly Premium with LIS Parts CD LIS25 Subsidy Monthly PartD Premium with LIS LIS25 Subsidy Total Monthly Premium with LIS Parts CD LIS50 Monthly PartD Premium with LIS LIS50 Subsidy Total Monthly Premium with LIS Parts CD LIS75 Monthly PartD Premium with LIS LIS75 Subsidy Total Monthly Premium with LIS Parts CD
NULL NULL NULL NULL NULL NULL NULL
Formulary Drug Details:
Tier 1 # of Drugs per Tier Tier 1 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 2 # of Drugs per Tier Tier 2 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 3 # of Drugs per Tier Tier 3 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 4 # of Drugs per Tier Tier 4 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 5 # of Drugs per Tier Tier 6 Preferred Pharmacy Cost Sharing (initial coverage phase)
NULL NULL NULL NULL NULL NULL NULL NULL NULL NULL

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Health New England Medicare Premium (HMO) (2023)Local HMO$4,400$250
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Health New England Medicare Premium No Rx (HMO) (2023)Local HMO *$4,400$-
4
Health New England Medicare Basic No Rx (HMO) (2023)Local HMO *$4,900$-
4
Health New England Medicare Value (HMO) (2023)Local HMO$6,700$380
4
Health New England Medicare Select (HMO-POS) (2023)Local HMO$4,900$250
4
Fallon Medicare Plus Saver No Rx HMO (HMO) (2023)Local HMO *$7,550$-
4
Health New England Medicare Choice (HMO) (2023)Local HMO$5,900$350
4
Medicare PPO Blue PlusRx (PPO) (2023)Local PPO$3,400$200
4
Aetna Medicare Explorer Plan (PPO) (2023)Local PPO$6,700$0
5
Medicare PPO Blue SaverRx (PPO) (2023)Local PPO$7,550$405
4
Aetna Medicare Explorer Premier Plan (PPO) (2023)Local PPO$6,700$0
5
Aetna Medicare Value Plan (HMO) (2023)Local HMO$6,700$250
5
Medicare PPO Blue ValueRx (PPO) (2023)Local PPO$4,900$320
4
Medicare HMO Blue PlusRx (HMO) (2023)Local HMO$3,400$200
4
AARP Medicare Advantage Plan 1 (HMO) (2023)Local HMO$5,700$250
5
Medicare HMO Blue ValueRx (HMO) (2023)Local HMO$4,900$320
4
AARP Medicare Advantage Plan 2 (HMO) (2023)Local HMO$4,900$225
5
AARP Medicare Advantage Walgreens (PPO) (2023)Local PPO$6,700$195
New plan - not yet rated.
Medicare HMO Blue FlexRx (HMO-POS) (2023)Local HMO$3,900$260
4
Medicare HMO Blue SaverRx (HMO) (2023)Local HMO$7,550$320
4
AARP Medicare Advantage Choice (Regional PPO) (2023)Regional PPO$6,700$295
5
Tufts Medicare Preferred HMO Prime Rx Plus (HMO) (2023)Local HMO$3,450$0
4
Tufts Medicare Preferred HMO Prime Rx (HMO) (2023)Local HMO$3,450$0
4
Medicare Advantage Plans by Aetna Medicare
Aetna Medicare Explorer Plan (PPO) (2023)Local PPO$6,700$0
5
Aetna Medicare Explorer Premier Plan (PPO) (2023)Local PPO$6,700$0
5
Aetna Medicare Value Plan (HMO) (2023)Local HMO$6,700$250
5

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