Aetna Medicare Advantage PPO plans

Aetna Medicare Advantage preferred provider organization (PPO) plans give you the freedom and flexibility to visit a doctor whether they’re in or out of the plan’s provider network. You’ll pay more when you choose an out-of-network provider.

You can typically see a provider without a referral from a primary care provider (PCP), as long as they accept Medicare and the Aetna plan terms. In most cases, your out-of-pocket costs may be less if you visit an in-network provider.

You may be able to get this coverage for a monthly plan premium as low as $0.

Do Aetna Medicare PPO plans require a referral?

With an Aetna Medicare Advantage PPO plan, you don’t need a referral from a PCP to see a specialist. In fact, you aren’t required to designate a PCP with an Aetna Medicare Advantage PPO plan.

What Medicare Advantage PPO plans does Aetna offer?

We offer a variety of Medicare Advantage plans, including several types of PPO plans.

Plan selection, costs and coverage will vary from one location to another. You may have other plans available to you.

What do 2025 Aetna Medicare Advantage PPO plans cover?

Medicare Advantage (Part C) plans provide the benefits of Original Medicare (Part A and Part B). Aetna Medicare Advantage plans also include additional benefits not covered by Original Medicare, such as prescription drug coverage (Part D).

Other benefits offered by Aetna Medicare Advantage PPO plans may include:

• Annual out-of-pocket spending limit on covered medical services
• Mail-order home delivery of prescriptions, if your plan offers prescription drug coverage
• Coverage for dental, vision and hearing
• SilverSneakers^® fitness basic membership
• 24-hour Nurse Line
• No-added-cost annual flu shot

Plan benefits and availability may vary by service area.

Contact a licensed insurance agent to learn more about Aetna Medicare Advantage PPO plans if they are available where you live. You can speak directly with a licensed agent by calling 1-800-891-6309, TTY: 711. They’re available 24 hours a day, 7 days a week.