Aetna Medicare Eagle Giveback (PPO) 2026 Plan Details for Alexandria City County, Virginia Residents
Aetna Medicare Eagle Giveback (PPO) 2026 Plan Details for Alexandria City County, Virginia Residents
Choosing the right Medicare Advantage plan in Alexandria City County is crucial for your healthcare needs in 2026. With Aetna Medicare Eagle Giveback (PPO) as one of the options, you can compare it side-by-side with other available plans to find the best fit for you. Whether you prefer enrolling online or seeking advice from a licensed agent, we’ve made the process simple and straightforward.
According to CMS enrollment data, there are approximately 426 members enrolled in this plan, 0 in Alexandria City County.
Aetna Medicare Eagle Giveback Overview
| Plan ID H5521-322-0 Overview | |
|---|---|
| Health Plan ID: | H5521-322-0 |
| Medicare Advantage Plan Type: | PPO |
| Plan Year: | 2026 |
| Monthly Premium: | $0.00 Plus your Medicare Part B premium. |
| Health Plan Deductible: | $0.00 |
| Annual Out-of-Pocket Maximum: | $6750.00 (In-Network) |
| Part B Give Back: | −$100.00 reduction |
| Part D Drug Plan Benefit: | Not Included |
| Additional Benefits: | Dental, Vision, Hearing |
| Availability: | Alexandria City County, VA |
| Insured By: | Aetna Medicare |
Why Consider Aetna Medicare Eagle Giveback?
This Medicare Advantage Preferred Provider Organization (PPO) plan gives you broad access to care and the flexibility to choose any Medicare-approved provider. With a monthly premium of $0.00, Aetna Medicare Eagle Giveback includes all benefits under Medicare Part A and Part B — and offers lower costs when you stick to the plan’s network.
Primary care visits have a $0 copay | Out-of-network: $10 copay, specialist visits come with a $0-$35 copay | Out-of-network: $45 copay, lab services cost {lab_services_cost}, urgent care services carry a $50 copay, and ambulance transportation is $275 copay | Out-of-network: $275 copay. These costs apply toward your annual maximum out-of-pocket (MOOP) limit of $6750.00. After reaching that limit, all in-network care is covered in full.
You’ll find this plan listed by CMS as H5521-322-0. Cost-sharing details for key services are outlined below. Still have questions? Check the FAQ section to learn more.
| We're Here to Help You Enroll |
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Out-of-Pocket Costs
Aetna Medicare Eagle Giveback includes cost-sharing, which refers to the out-of-pocket expenses you'll incur when accessing approved healthcare services. The table below outlines the most common in-network out-of-pocket costs for plan H5521-322-0.
Find out the costs for visiting your primary care doctor and specialists, as well as coverage for wellness and preventive programs.
| Service | Enrollee Cost (in-network) |
|---|---|
| Primary: | In-network: $0 copay | Out-of-network: $10 copay |
| Specialist: | In-network: $0-$35 copay | Out-of-network: $45 copay |
Medicare Advantage plans often include preventive and wellness benefits designed to help members stay healthy, identify risks early, and maintain an active lifestyle.
| Service | Enrollee Cost (in-network) |
|---|---|
| Annual wellness exam: | In-network: $0 copay |
| Telehealth benefit: | In-network: $0-$50 copay, 20% coinsurance |
| Routine chiropractic: | Not covered |
| Fitness benefits: | In-network: $0 copay | Out-of-network: $0 copay |
| Health education: | In-network: $0 copay | Out-of-network: $0 copay |
| Counseling services: | Not covered |
| Over the counter drug benefits: | In-network: $0 copay | Out-of-network: $0 copay |
| Health transportation (non-emergency): | Not covered |
Review the costs for emergency services, urgent care, ambulance services, inpatient hospital stays, and skilled nursing facility care.
| Service | Enrollee Cost |
|---|---|
| Emergency room care: | $130 copay |
| Wordwide emergency care: | $130 copay |
| Urgent care: | $50 copay |
| Inpatient hospital care: | In-network: | Tier 1 | $334 per day for days 1-8 | $0 per day for days 9-90 | $0 per stay | Out-of-network: | 50% per stay |
| Skilled Nursing Facility: | In-network: | Tier 1 | $10 per day for days 1-20 | $186 per day for days 21-100 | Out-of-network: | 50% per stay |
| Ground ambulance: | In-network: $275 copay | Out-of-network: $275 copay |
This section explains the costs for mental health services, including individual and group therapy, and inpatient care.
| Service | Enrollee Cost (in-network) |
|---|---|
| Outpatient individual therapy: | In-network: $35 copay | Out-of-network: 20% coinsurance |
| Outpatient group therapy: | In-network: $35 copay | Out-of-network: 20% coinsurance |
| Inpatient psychiatric hospital care: | In-network: | Tier 1 | $334 per day for days 1-8 | $0 per day for days 9-90 | $0 per stay | Out-of-network: | 50% per stay |
See the cost details for rehabilitation services, including physical therapy, speech therapy, and occupational therapy.
| Service | Enrollee Cost (in-network) |
|---|---|
| Physical therapy and speech and language therapy: | In-network: $30 copay | Out-of-network: $30 copay |
| Occupational therapy: | In-network: $30 copay | Out-of-network: 20% coinsurance |
Learn about the costs associated with medical equipment and supplies, including diabetes supplies, durable medical equipment, and prosthetics.
| Service | Enrollee Cost (in-network) |
|---|---|
| Diabetes supplies: | In-network: 0%-20% coinsurance | Out-of-network: 0%-20% coinsurance |
| Durable medical equipment: | In-network: 0%-20% coinsurance | Out-of-network: 20% coinsurance |
| Prosthetics: | In-network: 20% coinsurance | Out-of-network: 20% coinsurance |
This section outlines the costs for diagnostic services, lab tests, x-rays, and other imaging services.
| Service | Enrollee Cost (in-network) |
|---|---|
| Diagnostic radiology services: | In-network: $0-$300 copay | Out-of-network: 20% coinsurance |
| Lab services: | In-network: $0 copay | Out-of-network: 20% coinsurance |
| Outpatient x-rays: | In-network: $0-$50 copay | Out-of-network: 20% coinsurance |
| Diagnostic tests and procedures: | In-network: $0-$100 copay | Out-of-network: 20% coinsurance |
Review the cost-sharing details for chemotherapy and other Medicare Part B-covered drugs.
| Service | Enrollee Cost (in-network) |
|---|---|
| Chemotherapy: | In-network: 0%-20% coinsurance | Out-of-network: 50% coinsurance |
| Other Part B drugs (Medicare-covered): | In-network: 0%-20% coinsurance | Out-of-network: 50% coinsurance |
This section details the dental services covered under your plan including Medicare-covered preventive dental, oral exams, x-rays, dental cleanings, and comprehensive dental.
| Service | Member Cost (in-network) |
|---|---|
| Oral exam: | In-network: $0 copay | Out-of-network: 50% coinsurance |
| Dental x-rays: | In-network: $0 copay | Out-of-network: 50% coinsurance |
| Cleaning: | In-network: $0 copay | Out-of-network: 50% coinsurance |
| Periodontics: | In-network: 20%-50% coinsurance | Out-of-network: 50%-70% coinsurance |
| Endodontics: | In-network: 20% coinsurance | Out-of-network: 50% coinsurance |
| Restorative services: | In-network: 20%-50% coinsurance | Out-of-network: 50%-70% coinsurance |
| Implant services: | Not covered |
| Orthodontics: | Not covered |
| Oral/Maxillofacial surgery: | In-network: 20%-50% coinsurance | Out-of-network: 50%-70% coinsurance |
This section outlines the coverage for hearing-related services, including exams, fittings, and hearing aids.
| Service | Member Cost (in-network) |
|---|---|
| Hearing exam: | In-network: $0 copay | Out-of-network: $45 copay |
| Fitting/evaluation: | In-network: $0 copay | Out-of-network: $45 copay |
| Prescription hearing aids: | In-network: $0 copay | Out-of-network: $0 copay |
| OTC hearing aids: | Not covered |
Learn about the costs for vision-related services, including eye exams, eyeglasses, and contact lenses.
| Service | Member Cost (in-network) |
|---|---|
| Routine eye exam: | In-network: $0 copay | Out-of-network: $0 copay |
| Contact 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 |
| Eyeglasses (frames & lenses): | In-network: $0 copay | Out-of-network: $0 copay |
| Upgrades: | In-network: $0 copay | Out-of-network: $0 copay |
Medicare Advantage plans may include extra benefits and special needs services designed to support members with chronic conditions, mobility limitations, or other complex health needs.
| Service | Enrollee Cost (in-network) |
|---|---|
| Adult day health services: | Not covered |
| Home based palliative care: | Not covered |
| Personal emergency response system: | Not covered |
| Weight management programs: | Not covered |
| 'Wigs for chemotherapy hair loss: | In-network: $0 copay | Out-of-network: $0 copay |
| Alternative therapies: | Not covered |
| Massage therapy: | Not covered |
| Home/bathroom safety devices: | Not covered |
Certain preventive services are covered 100% by Aetna Medicare Eagle Giveback as a Part B benefit.
Part D Prescription Drug Costs & Benefits
This plan does not include a Medicare Part D plan for prescriptions.
Understanding CMS Star Ratings
Each year, the Centers for Medicare & Medicaid Services (CMS) assesses health plans (Part C) and drug plans (Part D) based on a 5-star rating system. These ratings provide an overview of the plan’s performance in areas such as preventive care, managing chronic conditions, and member experience.
Considering a plan’s star rating can be an important part of your decision-making process, as higher ratings often reflect stronger performance in key areas of healthcare and customer service.
| CMS Measure | Star Rating |
|---|---|
| 2026 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
If you are new to Medicare or Medicare Advantage plans, the following information will help you understand the enrollment process and restrictions.
Am I Eligible for Aetna Medicare Eagle Giveback?
To qualify for enrollment in Aetna Medicare Eagle Giveback, you must:
- Be entitled to Medicare Part A and enrolled in Medicare Part B.
- Live within the plan’s designated service area.
If you fulfill these criteria, you can enroll in Aetna Medicare Eagle Giveback and enjoy the extensive healthcare benefits it offers.
When Should You Enroll in Aetna Medicare Eagle Giveback?
To ensure you don’t miss your chance to enroll in Aetna Medicare Eagle Giveback, be aware of these important enrollment periods:
- Initial Enrollment Period (IEP): Your IEP offers a seven-month window around your 65th birthday to sign up for Medicare.
- Annual Enrollment Period (AEP): The AEP, occurring from October 15 to December 7 each year, allows you to enroll in or make changes to your Medicare Advantage plan if you are currently enrolled in a Medicare Advantage plan.
- Medicare Advantage Open Enrollment Period (MA OEP): From January 1 to March 31, the MA OEP provides an opportunity to switch Medicare Advantage plans or return to Original Medicare.
- Special Enrollment Periods (SEPs): Certain life changes, like moving or losing insurance coverage, may qualify you for a SEP, giving you a chance to make adjustments outside the standard periods.
Need help figuring out the right time to enroll? Call HealthCompare (our trusted enrollment partner) at 1-833-748-3201 (TTY 711) to get assistance from a licensed insurance agent.
How to Enroll in Aetna Medicare Eagle Giveback
Enrolling in Aetna Medicare Eagle Giveback is easy. Choose the option that works best for you:
- Online through MedicareEnrollment.com: Visit the enrollment page and complete your enrollment through their Secure Online Enrollment Form.
- By Phone: Call HealthCompare (our trusted enrollment partner) at 1-833-748-3201 (TTY 711). A licensed insurance agent can assist you with the enrollment process and provide answers to any questions.
- Through Medicare.gov: Go to Medicare.gov, log in or create an account, and follow the instructions to join Aetna Medicare Eagle Giveback through the official Medicare website.
- Directly with Aetna Medicare Eagle Giveback: You can also enroll directly with the plan. The necessary contact details are provided below in the "Contact" section.
Remember to enroll during the correct enrollment period to ensure your coverage starts on time.
Here are some of the most frequently asked questions people have about plan ID H5521-322-0:
Is there a premium for this plan in 2026?
Members pay their Part B premium and the plan's of $0.00 per month to be in this 2026 plan.
What is the annual out-of-pocket maximum on this plan?
Your costs top out at $6750.00 (for in-network services) in 2026; after that the plan pays 100% of covered services.
How is this plan rated by Medicare?
For 2026, plan H5521-322-0 has a ★4.5 rating. The best rating is 5 stars.
Is Aetna Medicare Eagle Giveback popular?
CMS reports 426 members in the latest file.
Contact Aetna Medicare
| Contact Type | Details |
|---|---|
| Website: | Aetna Medicare Plan Page |
| New Members: | 1-833-859-6031 |
| Existing Members: | 1-833-570-6670 |
| Plan Address: | PO Box 7405 | London, KY 40742 |
If you're eligible for Medicare but haven't enrolled or need to verify your enrollment status, visit the Social Security Administration website. For more information about Medicare Advantage, visit medicare.gov.
- CMS.gov, Landscape Source Files — Last accessed September 26, 2025
- CMS.gov, Medicare Part C & D Performance — Last accessed October 10, 2025
- CMS.gov, Plan Benefits Package — Last accessed October 14, 2025
- CMS.gov, Monthly Enrollment by Contract/Plan/State/County — Last accessed October 13, 2025
Learn more about how we use CMS data.
- Aetna Medicare, http://www.aetna.com/medicare — Last accessed October 13, 2025
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
Medicare.org is owned and operated by Health Network Group, LLC, an Allstate company. Medicare.org provides information only and is not connected with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content managed by David Bynon, Medicare Analyst.
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