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Understanding 2026 Medicare Advantage PPO plans

With ${company} Medicare Advantage PPO plans, you can visit providers in or out of our provider network who accept Medicare and our plan terms. That can help you balance your choices with your budget.

Man with Aetna Medicare Advantage PPO plan holding a tablet

How do 2026 Aetna Medicare Advantage PPO plans work?

Preferred provider organization (PPO) plans let you choose any provider who accepts Medicare and our plan terms. 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 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.

  • ${company} Medicare Advantage HMO

    With our HMO plans, an in-network primary care provider coordinates the care you receive to help you achieve your best health.

  • ${company} Medicare Advantage HMO-POS plans

    With our HMO-POS plans, you can enjoy all the benefits of receiving medical care through a network provider. Most of our HMO-POS plans require you to use a network provider for medical care but provide you with flexibility to go to licensed dentists in or out of network for routine dental care.

  • ${company} Medicare Advantage D-SNPs

    Our Dual Eligible Special Needs Plan (D-SNP) is a type of Medicare Advantage plan, available to people living in our service area who are eligible for both Medicare and Medicaid. We can help you find out if you qualify.

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