Aetna Enhanced PPO
EyeMed link: AetnaMedicareVision.com
Nations Hearing Link: Aetna.Nationsbenefits.com/Hearing
Dental link: https://shorturl.at/RoEcQ
Find a Doc: Aetnamedicare.com/en/find-doctors-hospitals/find-provider.html
For a complete listing of benefits for 2026, visit http://AetnaMedicare.com/H5521-150
Aetna Customer Service: 1-833-570-6670
2026
2027
Enhanced PPO
H5521-150
Enhanced PPO
H5521-150
In Network / Out of Network
In Network / Out of Network
Premium
$30
$40
Primary Doctor
$0 / 50%
$0 / 50%
Specialist
$35 / 50%
$40 / 50%
Physical Therapy
$35 / 50%
$40 / 50%
Urgent Care
$35
$40
Hospital
$310 days 1-7
$330 days 1-7
Outpatient Surgery
$310 / 50%
$330 / 50%
MOOP Cap
$5,000 / $10,100
(for in- and out-of-network services combined)
$5,000 / $10,750
(for in- and out-of-network services combined)
Ambulance
$280 / 20% (air)
$280 / 20% (air)
Emergency
$130
$130
Lab Services
$0 / 50%
$0 / 50%
X-Rays
$20 / 50%
$20 / 50%
Complex Diagnostic
$195 / 50%
$195 / 50%
Part D (Tiers 1-4)
$0 / $0 / 24% / 25%
$0 / $5 / 17% / 28%
100 Day- Mail Order
$0 / $0 / 24%/ 25%
$0 / $5 / 17% / 28%
Part D Deductible
$615
(applies to tiers 3,4,5)
$700
(applies to tiers 3,4,5)
Hearing Aid
$500 Allowance per ear
$500 Allowance per ear
OTC
$0
$45 per Quarter
Gym Membership
Silver Sneakers
Silver Sneakers
Dental
$1,500
$2,500
Dental Network
Aetna Dental PPO Network
Aetna Dental PPO Network
Vision
$150 (Eye Med)
$225 (Eye Med)
For a full listing of benefits, please request the Summary of Benefits via email, info@fhkinsurance.com
Aetna Enhanced PPO
2026
2027
Enhanced PPO
H5521-150
Enhanced PPO
H5521-150
In Network / Out of Network
In Network / Out of Network
Premium
$30
$40
Primary Doctor
$0 / 50%
$0 / 50%
Specialist
$35 / 50%
$40 / 50%
Physical Therapy
$35 / 50%
$40 / 50%
Urgent Care
$35
$40
Hospital
$310 days 1-7
$330 days 1-7
MOOP Cap
$5,000 / $10,100
(for in- and out-of-network services combined)
$5,000 / $10,750
(for in- and out-of-network services combined)
Outpatient Surgery
$310 / 50%
$330 / 50%
Ambulance
$280 / 20% (air)
$280 / 20% (air)
Emergency
$130
$130
Lab Services
$0 / 50%
$0 / 50%
X-Rays
$20 / 50%
$20 / 50%
Complex Diagnostic
$195 / 50%
$195 / 50%
Part D
$0 / $0 / 24% / 25%
$0 / $5 / 18% / 28%
100 Day- Mail Order
$0 / $0 / 24% / 25%
$0 / $5 / 18% / 28%
Part D Deductible
$615
(applies to tiers 3,4,5)
$700
(applies to tiers 3,4,5)
Hearing Aid
$500 Allowance per ear
$500 Allowance per ear
OTC
N/A
$45 Per Quarter
Gym Membership
Silver Sneakers
Silver Sneakers
Dental
$1,500
$2,500
Dental Network
Aetna Dental PPO Network
Aetna Dental PPO Network
Vision
$150 (Eye Med)
$225 (Eye Med)
For a full listing of benefits, please request the Summary of Benefits via email, info@fhkinsurance.com
EyeMed link: AetnaMedicareVision.com
Nations Hearing Link: Aetna.Nationsbenefits.com/Hearing
Dental link: https://shorturl.at/RoEcQ
Find a Doc: Aetnamedicare.com/en/find-doctors-hospitals/find-provider.html
For a complete listing of benefits for 2026, visit http://AetnaMedicare.com/H5521-150
Aetna Customer Service: 1-833-570-6670