Aetna Medicare Eagle Giveback (PPO) (PPO) 2025 Plan Details for Albany County, New York Residents
Aetna Medicare Eagle Giveback (PPO) (PPO) 2025 Plan Details for Albany County, New York Residents
Aetna Medicare Eagle Giveback (PPO) is a PPO Medicare Advantage plan, from Aetna Medicare, {with_without_pdp} a prescription drug plan. It's CMS Plan ID is: H5521-323-0. It is not available in all areas. The list of locations where this plan is available can be found below.
According to CMS enrollment data (July, 2025), there are approximately 1,607 members enrolled in this plan.
Aetna Medicare Eagle Giveback (PPO) (PPO) Overview
| CMS Fact | Landscape Value |
|---|---|
| Health Plan ID: | H5521-323-0 |
| CMS Overall Rating: | 0.0 out of 5 stars* |
| Medicare Advantage Plan Type: | PPO |
| Coverage Year: | CY2026 |
| Monthly Premium: | $0.00 Plus your Medicare Part B premium. |
| Health Plan Deductible: | $0.00 |
| Annual Out-of-Pocket Maximum: | $9250.00 (In-Network) |
| Part B Give Back: | $0.00/mo |
| Part D Drug Plan Benefit: | Not Included |
| Additional Benefits: | Dental, Vision, Hearing |
| Availability: | Albany County, NY |
| Insured By: | Aetna Medicare |
| Last Plan Content Update: |
Plan Availability by Location
Health Plan Out-of-Pocket Costs
Prescription Drug Costs & Benefits
This plan does not include a Medicare Part D plan for prescriptions.
CMS 5-Star Rating Marks
The Centers for Medicare & Medicaid Services (CMS) reviews and rates Medicare Advantage (Part C) and drug plans (Part D) annually, using a 5-star system to measure aspects such as member satisfaction, preventive services, and management of chronic conditions.
Higher star ratings generally indicate better plan performance, which can be a useful factor to consider when deciding on a plan that aligns with your healthcare goals and preferences.
| 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 |
Need Help Enrolling?
| Website: | Aetna Medicare Plan Page |
|---|---|
| Providers: | Aetna Medicare Providers Page |
| New Member Health Plan Help: | (833)859-6031 |
| New Member Health Plan TTY: | 711 |
Frequently Asked Questions
📘 What does Medicare plan code H5521 323 mean?
Aetna Medicare Eagle Giveback (PPO) is a Medicare Advantage plan by Aetna Medicare. The code H5521 is the CMS contract ID, whereas 323 is its plan ID.
- Plan Name: Aetna Medicare Eagle Giveback (PPO)
- Plan Type: PPO
- Premium: $0.00/mo + your monthly Part B premium
- Out-of-Pocket Max: $9250.00 (in-network)
- Drug Coverage: {pdp_faq_summary}
- CMS Star Rating: 0.0 out of 5
- Contract Year: 2026
This information is based on official CMS data and is provided for educational purposes. Always review your plan’s official documents or contact the provider directly before making enrollment decisions.
📋 What type of plan is H5521 323?
This plan is a PPO — specifically, it's an PPO plan with a Medicare Advantage contract that's offered by Aetna Medicare. It comes with defined provider network rules you should be aware of.
- Plan Marketing Name: Aetna Medicare Eagle Giveback (PPO)
- Network Type: {plan_type_expanded}
- Referral Requirement: {referral_required_expanded}
- Prescription Coverage: {pdp_faq_summary}
Plan types like HMOs and PPOs determine whether you can go out-of-network or need referrals to see specialists.
📦 What benefits are included in H5521 323?
This plan covers all Medicare Part A and Part B services. Depending on the plan, it may also include valuable extras like dental, vision, and hearing benefits.
- Medical Services: Hospital, doctor visits, preventive care
- Prescription Drugs: Not Included
- Dental: {dental_benefit}
- Vision: {vision_benefit}
- Hearing: {hearing_benefit}
Benefit availability may vary by location and plan version. Confirm specific details in your plan's Evidence of Coverage (EOC).