Aetna Medicare Premium Plus (HMO-POS)
Colorado Medicare Advantage Plan (2025 Plan)
Monthly Premium
Additional Coverage
Overall Government Star Rating
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Plan Overview
Aetna Medicare Premium Plus (HMO-POS) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in Colorado and offered by the health insurance company Aetna Medicare. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Cost Summary
Aetna Medicare Premium Plus (HMO-POS) has a monthly premium cost of $47 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $4,000 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Aetna Medicare Premium Plus (HMO-POS) are defined below.
Additional Benefits and Coverage
Aetna Medicare Premium Plus (HMO-POS) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Aetna Medicare Premium Plus (HMO-POS) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Aetna Medicare Premium Plus (HMO-POS) includes coverage for the following additional benefits:
Other benefits
Plan Benefits and Coverage Details
Medical Benefits
Doctor Services
Tests, labs, & imaging
Hospital Services
$0 per day for days 6 through 90
Out-of-network: Not Applicable
Skilled nursing facility
$214 per day for days 21 through 100
Out-of-network: Not Applicable
Preventive services
Ambulance
Therapy services
Mental health services
Opioid treatment services
Other services
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
| Tiers | Initial coverage phase | Gap coverage phase | Catastrophic coverage phase |
|---|---|---|---|
| Preferred Generic | $2.00 copay | $0 copay | |
| Generic | $12.00 copay | $0 copay | |
| Preferred Brand | 22% coinsurance | $0 copay | |
| Non-Preferred Drug | 25% coinsurance | $0 copay | |
| Specialty Tier | 25% coinsurance | $0 copay |
Part B Drugs
Extra Benefits
Hearing
Preventive Dental
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Comprehensive dental
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Vision
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