5

5 out of 5 stars* for plan year 2024

Plan ID: H5521-323

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 $7,550 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: H5521-324
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: NULL
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $7,550
Annual Deductible: no drug coverage
Annual Initial Coverage Limit ICL: NULL
Number of Members enrolled in this plan in Dutchess, New York: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
27 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 Dutchess, New York: NULL
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

Other Medicare Advantage Plans in Dutchess, New York

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Empire MediBlue Core Select (HMO) (2023)Local HMO *$6,700$-
4
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4
UnitedHealthcare Medicare Advantage Choice Plan 1 (Region (2023)Regional PPO$6,700$300
5
UnitedHealthcare Medicare Advantage Choice Plan 4 (Region (2023)Regional PPO$6,700$150
5
Aetna Medicare Elite Plan (PPO) (2023)Local PPO$7,550$100
5
WellCare Patriot (HMO) (2023)Local HMO *$6,700$-
5
WellCare Value (HMO) (2023)Local HMO$6,700$0
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Aetna Medicare Credit Plan (PPO) (2023)Local PPO$7,550$250
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EmblemHealth VIP Passport (HMO) (2023)Local HMO$7,550$295
3
Fidelis Medicare Advantage Flex (HMO-POS) (2023)Local HMO$7,550$445
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Fidelis Medicare $0 Premium (HMO) (2023)Local HMO$7,550$0
New plan - not yet rated.
EmblemHealth VIP Rx Saver (HMO) (2023)Local HMO$7,550$395
2
Empire MediBlue Select (HMO) (2023)Local HMO$6,400$200
4
EmblemHealth VIP Part B Saver (HMO) (2023)Local HMO$7,550$445
2
MVP SmartFund (MSA) (2023)MSA *$-$-
4
WellCare Absolute (PPO) (2023)Local PPO$7,550$150
5
MVP Medicare Secure with Part D (HMO-POS) (2023)Local HMO$7,550$150
4
EmblemHealth VIP Go (HMO-POS) (2023)Local HMO$7,550$250
2
Aetna Medicare Premier Plan (PPO) (2023)Local PPO$7,550$200
5
WellCare Today's Options Advantage Plus 750B (PPO) (2023)Local PPO$6,700$0
5
AARP Medicare Advantage (HMO) (2023)Local HMO$6,700$395
5
MVP Medicare Preferred Gold without Part D (HMO-POS) (2023)Local HMO *$7,550$-
4
Aetna Medicare Value Plan (HMO) (2023)Local HMO$7,550$250
5
MVP Medicare Preferred Gold with Part D (HMO-POS) (2023)Local HMO$5,800$0
4
EmblemHealth VIP Gold (HMO) (2023)Local HMO$7,550$200
2
EmblemHealth VIP Essential (HMO) (2023)Local HMO$7,550$295
2
EmblemHealth VIP Value (HMO) (2023)Local HMO$7,550$295
2
EmblemHealth VIP Gold Plus (HMO) (2023)Local HMO$7,550$200
2
MVP Medicare Secure Plus with Part D (HMO-POS) (2023)Local HMO$7,550$0
4
Medicare Advantage Plans by Aetna Medicare
Aetna Medicare Elite Plan (PPO) (2023)Local PPO$7,550$100
5
Aetna Medicare Credit Plan (PPO) (2023)Local PPO$7,550$250
5
Aetna Medicare Premier Plan (PPO) (2023)Local PPO$7,550$200
5
Aetna Medicare Value Plan (HMO) (2023)Local HMO$7,550$250
5

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