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Understanding 2026 Medicare Advantage HMO-POS plans

With ${company} Medicare Advantage HMO-POS plans, you have a network of providers to use for medical care. Our HMO-POS plans generally require you to use a network provider for medical care. But there are options to go out of network for dental care. That gives you more choice and flexibility.

Woman with Aetna Medicare Advantage HMO-POS plans looking at flowers

How do 2026 Aetna Medicare Advantage HMO-POS plans work?

Health maintenance organization with point of service (HMO-POS) plans generally offer you more choice than traditional health maintenance organization (HMO) plans. You’ll want to choose an in-network primary care provider. Generally, HMO-POS plans require you to use an in-network provider for medical care. And these plans provide you with the flexibility to go to licensed dentists either in or out of our network for routine dental care. However, you may pay more for out-of-network care you receive.

Comparing 2026 Aetna Medicare Advantage plans

 

Our Medicare Advantage HMO plans

Our Medicare Advantage HMO-POS plans

Our Medicare Advantage PPO plans


Preventive services covered
 

YesYesYes


Requires you to use a network provider
 

Yes, unless it’s an emergencyVaries by planNo. But seeing out-of-network providers generally costs more


Requires you to have a primary care provider (PCP)
 

Varies by planVaries by planUsually no PCP required


Requires referral to see a specialist
 

Varies by planVaries by planVaries by plan


Monthly premiums
 

Varies by plan, check your ZIP code for detailsVaries by plan, check your ZIP code for detailsVaries by plan, check your ZIP code for details


Medical deductible
 

Varies by plan, check your ZIP code for detailsVaries by plan, check your ZIP code for detailsVaries by plan, check your ZIP code for details


Limits what you pay out-of-pocket for covered medical care each year
 

YesYesYes

 

Includes prescription drug (Rx) coverage

 

 

 

Varies by plan

 

 

Varies by planVaries by plan
Includes Rx mail-order benefit

 

 

Varies by plan

 

 

Varies by planVaries by plan
Dental, vision and hearing coverage

 

 

Yes

 

 

YesYes
ER and urgent care coverage worldwide

 

 

Yes

 

 

YesYes

Fitness benefit

 

 

 

Yes, through SilverSneakers® except Institutional Special Needs Plans (I-SNP)

 

 

 

Yes, through SilverSneakers®Yes, through SilverSneakers® except Institutional Special Needs Plans (I-SNP)


Over-the-counter (OTC) benefit
 

Varies by planVaries by planVaries by plan


Meals-at-home program 
(meals delivered after an inpatient hospital or skilled nursing facility stay)
 

Varies by planVaries by planVaries by plan

Find Medicare Advantage plans for every need

Aetna® Medicare offers you other Medicare Advantage plan options with monthly plan premiums as low as $0. We can help you find a plan that’s right for you.

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