Understanding 2027 Medicare Advantage HMO-POS plans
With Aetna Medicare Advantage HMO-POS plans, you are required to use our network of providers for medical care. But an HMO-POS plan provides you with more flexibility to see licensed dentists in or out of network for routine dental care.
How do 2027 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. For medical care, our HMO-POS plan will require you to use a provider in our network. For routine dental care, these plans give you the flexibility to see licensed dentists in or out of our network. But you'll save money if you see dentists in the plan’s network.
Comparing 2027 Aetna Medicare Advantage plans
Plan details | Our Medicare Advantage HMO plans | Our Medicare Advantage HMO-POS plans | Our Medicare Advantage PPO plans |
|---|---|---|---|
| Yes | Yes | Yes |
| Yes, unless it’s an emergency | Varies by plan | No. But seeing out-of-network providers generally costs more |
| Yes | Varies by plan | Varies by plan |
| Varies by plan | Varies by plan | Varies by plan |
| Varies by plan, check your ZIP code for details | Varies by plan, check your ZIP code for details | Varies by plan, check your ZIP code for details |
| Varies by plan, check your ZIP code for details | Varies by plan, check your ZIP code for details | Varies by plan, check your ZIP code for details |
| Yes | Yes | Yes |
Includes prescription drug coverage
|
Varies by plan
| Varies by plan | Varies by plan |
| Includes prescription mail-order benefit |
Yes, if plan has prescription coverage
| Yes, if plan has prescription coverage | Yes, if plan has prescription coverage |
| Dental, vision and hearing coverage |
Yes
| Yes | Yes |
| ER and urgent care coverage worldwide |
Yes, except for Institutional Special Needs Plans (I-SNP)
| Yes | Yes, except for Institutional Special Needs Plans (I-SNP) |
Fitness benefit |
Yes, through SilverSneakers® except for Institutional Special Needs Plans (I-SNP)
| Yes, through SilverSneakers® | Yes, through SilverSneakers® except for Institutional Special Needs Plans (I-SNP) |
Over-the-counter (OTC) benefit | Varies by plan | Varies by plan | Varies by plan |
| Varies by plan | Varies by plan | Varies 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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Disclaimers
The Aetna C-SNP is available to Medicare members who have at least one of the qualifying chronic conditions. To ensure a successful enrollment process, we’ll confirm with your healthcare provider that you have one of these eligible conditions. If verification of eligible condition is not received, involuntary disenrollment will occur.
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