Understanding 2027 Medicare Advantage PPO plans
With Aetna Medicare Advantage PPO plans, you can visit providers in or out of our provider network. That can help you balance your choices with your budget. You’ll save money if you use providers that are in the plan’s network.
How do 2027 Aetna Medicare Advantage PPO plans work?
Preferred provider organization (PPO) plans let you choose a provider who is in or out of the plan’s network. You don’t need a referral from a primary care provider (PCP) for specialist or hospital visits. However, using providers in your plan’s network may cost less.
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 |
Is a PPO plan right for me?
A PPO plan may be right for you if you want more choices in where you get care. You can see doctors in the plan’s network. You can also see doctors outside the network, but your costs may be higher.
A PPO plan may be a good fit if you:
Want choices in the doctors and specialists you see
Can see specialists without a referral
Travel often or spend time in more than one place
Use care in and out of the plan’s network
Understand some doctors or care locations may cost more
Compare PPO and HMO plans
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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