Aetna Medicare Enhanced Select (PPO)

Indiana Medicare Advantage Plan (2025 Plan)


Monthly Premium

Your Cost
$166
by Aetna Medicare

Additional Coverage

HearingVisionDental

Overall Government Star Rating

 4.5
out of 5 stars

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Plan Name
Aetna Medicare Enhanced Select (PPO)
Insurance Carrier
Aetna Medicare
Plan Type
Medicare Advantage Plan With Part D Prescription Drug Coverage
Network Type
PPO

Aetna Medicare Enhanced Select (PPO) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in Indiana and offered by the health insurance company Aetna Medicare. This plan’s network type is PPO which determines in-network doctors who accept the health plan and whether a referral is needed.

Monthly Premium
$166
Annual Deductible
$0
Max Out-of-Pocket
$1,500
Primary doctor visit
$0 copay
Specialist visit
$0 copay
ER visit
$125 copay per visit (always covered)
Ambulance
$275 copay

Aetna Medicare Enhanced Select (PPO) has a monthly premium cost of $166 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $1,500 In and Out-of-network $1,500 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 Enhanced Select (PPO) are defined below.

Yes
Part D Prescription Drug Coverage
Yes
Dental
Yes
Vision
Yes
Hearing

Aetna Medicare Enhanced Select (PPO) 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 Enhanced Select (PPO) includes coverage for hearing, vision, dental.

Medicare Advantage health plans can offer even more additional benefits. Aetna Medicare Enhanced Select (PPO) includes coverage for the following additional benefits:

Other benefits

Fitness benefit
Limited coverage
Over the counter drug benefits
Limited coverage
In-home support services
Not covered
Home and bathroom safety devices
Not covered
Meals for short duration
Not covered
Annual physical exams
Limited coverage
Telehealth
Limited coverage

Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2025, Aetna Medicare Enhanced Select (PPO) received an overall government quality rating of 4.5 stars out of 5 stars.

Aetna Medicare Enhanced Select (PPO) performed better than Indiana’s State average overall quality score of 3.7 stars.

This Plan’s 5-star Gov’t Quality Score
Indiana State Average Score
Overall Government 5 Star Quality Rating
 4.5
 3.7
Summary rating of health plan quality
 4
 3.7
Staying healthy: screenings, tests, & vaccines
 4
 3.6
Managing chronic (long term) conditions
 4
 3.4
Member experience with health plan
 4
 3.8
Member complaints & changes in the health plan's performance
 5
 4.0
Health plan customer service
 4
 3.9
Summary rating of drug plan quality
 4.5
 3.5
Drug plan customer service
 4
 3.9
Member complaints & changes in the drug plan's performance
 5
 3.6
Member experience with the drug plan
 4
 3.6
Drug safety & accuracy of drug pricing
 4
 3.2

The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.

Aetna Medicare Enhanced Select (PPO) received 4 stars for its health plan quality score which is better than the Indiana State average health plan quality score of 3.7 stars.

Aetna Medicare Enhanced Select (PPO) received 4.5 stars for its drug plan quality score which is better than the Indiana State average drug plan quality score of 3.5 stars.


Monthly Premium
$166
Health Portion of Premium
$123
Drug Portion of Premium
$43
Health Plan Deductible
$0
Health Plan Max Out-of-Pocket
$1,500 In and Out-of-network
$1,500 In-network
Nationwide Coverage included
No
Hearing Coverage included
Yes
Vision Coverage included
Yes
Dental Coverage included
Yes

Doctor Services

Primary doctor visit
In-network: $0 copay
Out-of-network: $0 copay
Specialist visit
In-network: $0 copay
Out-of-network: $0 copay

Tests, labs, & imaging

Diagnostic tests & procedures
In-network: $0 copay
Out-of-network: $0 copay
Lab services
In-network: $0 copay
Out-of-network: $0 copay
Diagnostic radiology services (like MRI)
In-network: $0 copay
Out-of-network: $0 copay
Outpatient x-rays
In-network: $0 copay
Out-of-network: $0 copay
Emergency care
$125 copay per visit (always covered)
Urgent care
$0 copay

Hospital Services

Inpatient hospital coverage
In-network: $200 per day for days 1 through 7
$0 per day for days 8 through 90
Out-of-network: $200 per day for days 1 through 7
$0 per day for days 8 through 90
Outpatient hospital coverage
In-network: $0-200 copay per visit
Out-of-network: $200 copay per visit

Skilled nursing facility

Skilled nursing facility
In-network: $0 copay per stay
Out-of-network: $0 copay per stay

Preventive services

Preventive services
In-network: $0 copay
Out-of-network: $0 copay

Ambulance

Ground ambulance
In-network: $275 copay
Out-of-network: $275 copay

Therapy services

Occupational therapy visit
In-network: $0 copay
Out-of-network: $0 copay
Physical therapy & speech & language therapy visit
In-network: $0 copay
Out-of-network: $0 copay

Mental health services

Outpatient group therapy with a psychiatrist
In-network: $0 copay
Out-of-network: $0 copay
Outpatient individual therapy with a psychiatrist
In-network: $0 copay
Out-of-network: $0 copay
Outpatient group therapy visit
In-network: $0 copay
Out-of-network: $0 copay
Outpatient individual therapy visit
In-network: $0 copay
Out-of-network: $0 copay

Opioid treatment services

Opioid treatment services
Covered

Other services

Durable medical equipment (like wheelchairs & oxygen)
In-network: $0 copay
Out-of-network: $0 copay
Prosthetics (like braces, artificial limbs)
In-network: $0 copay
Out-of-network: $0 copay
Diabetes supplies
In-network: 0-20% coinsurance per item
Out-of-network: 0-20% coinsurance per item

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

TiersInitial coverage phaseCatastrophic coverage phase
Preferred Generic$2.00 copay$0 copay
Generic$12.00 copay$0 copay
Preferred Brand24% coinsurance$0 copay
Non-Preferred Drug25% coinsurance$0 copay
Specialty Tier25% coinsurance$0 copay

Part B Drugs

Chemotherapy drugs
In-network: 0-20% coinsurance
Out-of-network: $0 copay
Other Part B drugs
In-network: 0-20% coinsurance
Out-of-network: $0 copay

Hearing

Hearing exam
In-network: $0 copay
Out-of-network: $0 copay
Fitting/evaluation
In-network: $0 copay
Out-of-network: $0 copay
Hearing aids - All types
In-network: $0 copay
Out-of-network: $0 copay

Preventive Dental

Oral exam
In-network: $0 copay
Out-of-network: 50% coinsurance
Cleaning
In-network: $0 copay
Out-of-network: 50% coinsurance
Fluoride treatment
In-network: $0 copay
Out-of-network: 50% coinsurance
Dental x-rays
In-network: $0 copay
Out-of-network: 50% coinsurance

Comprehensive dental

Restorative services
In-network: $0 copay
Out-of-network: 50% coinsurance
Endodontics
In-network: $0 copay
Out-of-network: 50% coinsurance
Periodontics
In-network: $0 copay
Out-of-network: 50% coinsurance
Prosthodontics, removable
In-network: $0 copay
Out-of-network: 50% coinsurance
Prosthodontics, fixed
In-network: $0 copay
Out-of-network: 50% coinsurance
Maxillofacial prosthetics
Not covered
Implant services
Not covered
Oral and maxillofacial surgery
In-network: $0 copay
Out-of-network: 50% coinsurance
Orthodontics
Not covered
Adjunctive general services
In-network: $0 copay
Out-of-network: 50% coinsurance

Vision

Routine eye exam
In-network: $0 copay
Out-of-network: $0 copay
Contact lenses
In-network: $0 copay
Out-of-network: $0 copay
Eyeglasses (frames & lenses)
In-network: $0 copay
Out-of-network: $0 copay
Eyeglass frames (only)
In-network: $0 copay
Out-of-network: $0 copay
Eyeglass lenses (only)
In-network: $0 copay
Out-of-network: $0 copay
Upgrades
In-network: $0 copay
Out-of-network: $0 copay

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