Aetna Medicare Eagle (PPO) in Lake County, Indiana — 2026 plan details
Last updated Jul 18, 2026
Reviewed by Jason Burns, Editorial Steward
Published by Senior Direct Answers · Licensed under Citation License 1.0
Aetna Medicare Eagle (PPO) (H5521-286) is a $0-premium Medicare Advantage PPO from CVS Health Corporation available in Lake County, Indiana in 2026, with a 4.5-star overall rating, a $4,900 in-network out-of-pocket maximum, and a $0 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | CVS Health Corporation |
|---|---|
| Plan name | Aetna Medicare Eagle (PPO) |
| Contract ID | H5521 |
| Plan ID | 286 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA |
| Plan type | PPO |
| SNP | No |
| Monthly consolidated premium | — |
| Part C premium | $0.00 |
| Part D basic premium | — |
| Part D total premium | — |
| Annual Part D deductible | — |
| Maximum out-of-pocket (in-network) | $4900.00 |
| Overall star rating | 4.5 |
How this plan is structured
- $0 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
- PPO plan type. Plan-type rules determine in-network use and referrals. See how Medicare Advantage HMO and PPO plans differ.
- $4,900 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
- Service area = Lake County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.
How it compares in Lake County
The CMS CY2026 Landscape file lists 68 Medicare Advantage plans in Lake County, Indiana, of which 0 carry a 5.0-star overall rating and 39 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $97.00 per month, and in-network out-of-pocket maximums range from $3000.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Lake County, Indiana.
How to verify your doctors take this plan
Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H5521-286.
- Call the plan (CVS Health Corporation) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H5521-286 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5521-286, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 5521 are the contract number issued to the organization, and the three-digit 286 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).
Frequently asked questions
Is Aetna Medicare Eagle (PPO) an HMO or PPO?
Aetna Medicare Eagle (PPO) is a PPO Medicare Advantage plan.
Does Aetna Medicare Eagle (PPO) include prescription drug coverage?
Aetna Medicare Eagle (PPO) does not include Part D prescription drug coverage in its consolidated benefits.
What is the maximum out-of-pocket cost for Aetna Medicare Eagle (PPO)?
The 2026 in-network maximum out-of-pocket limit for Aetna Medicare Eagle (PPO) is $4900.00, per the CMS CY2026 Landscape file.
What counties offer Aetna Medicare Eagle (PPO) (H5521-286)?
Aetna Medicare Eagle (PPO) (H5521-286) is offered in 49 Indiana counties: Allen County, Bartholomew County, Benton County, Blackford County, Boone County, Brown County, Carroll County, Cass County, Clay County, Daviess County, DeKalb County, Dubois County, Elkhart County, Floyd County, Franklin County, Fulton County, Gibson County, Greene County, Hamilton County, Hancock County, Hendricks County, Huntington County, Jasper County, Jay County, Johnson County, Knox County, La Porte County, Lake County, Madison County, Marion County, Marshall County, Martin County, Miami County, Montgomery County, Newton County, Orange County, Parke County, Pike County, Posey County, Pulaski County, Putnam County, Shelby County, Spencer County, St. Joseph County, Starke County, Sullivan County, Wabash County, Washington County, and Whitley County.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.