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Aetna Medicare Longevity (HMO I-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Aetna Medicare Longevity (HMO I-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Aetna Medicare Longevity (HMO I-SNP) in 2025, please refer to our full plan details page.
Aetna Medicare Longevity (HMO I-SNP) is a HMO I-SNP plan offered by CVS Health Corporation available for enrollment in 2025 to people living in Select Counties in Ohio. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that Aetna Medicare Longevity (HMO I-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Aetna Medicare Longevity (HMO I-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Aetna Medicare Longevity (HMO I-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For Aetna Medicare Longevity (HMO I-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $39.30. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $590.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $9350.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The Aetna Medicare Longevity (HMO I-SNP) plan has a defined standard for drug coverage. You will pay a deductible of $590 before the plan begins to pay for your drugs. Once you meet your deductible, you will pay the costs for drugs in each tier until your total drug costs reach $2000, at which point you will enter the next coverage phase. After your yearly out-of-pocket drug costs reach $2000, you pay nothing for covered drugs.
Additional Benefits
The Aetna Medicare Longevity (HMO I-SNP) plan offers a variety of additional benefits beyond standard Medicare coverage. This plan includes coverage for many services with no copay, such as primary care visits, preventive services, hearing exams, dental, home health, and OTC items up to $290 every three months. Other services, such as outpatient services, ambulance services, and vision services, have a coinsurance, which can be between 0% and 20%. This plan also covers outpatient services, emergency services, and transportation to health-related locations. Additionally, the plan covers home infusion services and dialysis services, but these services may require prior authorization. However, it's important to note that certain services like cardiac rehabilitation, additional home health care hours, and certain types of hearing aids are not covered.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, but additional days, non-Medicare covered stays, and upgrades for Inpatient Hospital-Acute and additional days and non-Medicare covered stays for Inpatient Hospital Psychiatric are not covered. The copay for these services is based on the Medicare-defined cost share for tier 1.
Outpatient Services See details
The Aetna Medicare Longevity (HMO I-SNP) plan covers outpatient services, including outpatient hospital services with a 0% to 20% coinsurance, observation services with 20% coinsurance, and ambulatory surgical center (ASC) services with 0% to 20% coinsurance. Outpatient substance abuse services are covered with 20% coinsurance for both individual and group sessions, and outpatient blood services are covered with a 20% coinsurance.
Partial Hospitalization See details
Partial Hospitalization is covered by Aetna Medicare Longevity (HMO I-SNP) with a 20% coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including ground and air ambulance services, with a 20% coinsurance. Transportation Services to a plan-approved health-related location are covered with no copay, up to 30 one-way trips per year, while transportation to any health-related location is not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the Aetna Medicare Longevity (HMO I-SNP) plan. Emergency Services have a $110 copay with no coinsurance, while Urgently Needed Services have a $45 copay and no coinsurance; however, Worldwide Emergency Services are not covered.
Primary Care See details
The Aetna Medicare Longevity (HMO I-SNP) plan covers primary care physician services with no copay, and covers chiropractic services with 20% coinsurance. Occupational therapy services and physical therapy have no coinsurance, but there is a copay. The plan also covers physician specialist services with 0-20% coinsurance, and mental health specialty services with 20% coinsurance. The plan covers podiatry services with 20% coinsurance and no copay for Medicare-covered services, and covers other health care professional services with 20% coinsurance. The plan covers psychiatric services, with 20% coinsurance for individual and group sessions. Additional telehealth benefits have 20% coinsurance, and opioid treatment program services have 20% coinsurance.
Preventive Services See details
Preventive Services include coverage for Medicare-covered preventive services with no copay, and additional preventive services. Additional preventive services require a doctor referral, and include coverage for alternative therapies with no copay. Other preventive services, such as glaucoma screenings, are covered with no copay.
Hearing Services See details
Hearing exams are covered, including routine hearing exams and fitting/evaluation for hearing aids, with no copay. Prescription hearing aids are covered up to a maximum of $750 per year, with no copay, but inner ear, outer ear, and over-the-ear prescription hearing aids are not covered. OTC hearing aids are not covered.
Vision Services See details
Vision services include eye exams and eyewear. Eye exams have a 20% coinsurance, with routine eye exams and other eye exam services having no copay. Eyewear, including contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades, have no copay and are covered up to a combined maximum of $250 per year.
Dental Services See details
Dental services are covered, including oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), and oral and maxillofacial surgery, with no copay. Medicare dental services have a 20% coinsurance, and other dental services have a $3,500 maximum benefit per year. Maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs with a $35 copay, and Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs with 0-20% coinsurance. Prior authorization is required for these services.
Dialysis Services See details
Dialysis Services are covered under the Aetna Medicare Longevity (HMO I-SNP) plan, with prior authorization required. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment is covered by Aetna Medicare Longevity (HMO I-SNP), with a 20% coinsurance for Durable Medical Equipment (DME), Prosthetic Devices, and Diabetic Supplies, and a 20% coinsurance for Medical Supplies and Diabetic Therapeutic Shoes/Inserts, and no copay. Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under the Aetna Medicare Longevity (HMO I-SNP) plan. Diagnostic Procedures/Tests and Diagnostic Radiological Services have a coinsurance of up to 20%, and Lab Services have no copay. Therapeutic Radiological Services and Outpatient X-Ray Services have a 20% coinsurance.
Home Health Services See details
Home Health Services are covered by the Aetna Medicare Longevity (HMO I-SNP) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the Aetna Medicare Longevity (HMO I-SNP) plan. The plan does not cover Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Aetna Medicare Longevity (HMO I-SNP) plan, however, additional days beyond Medicare-covered for SNF and non-Medicare-covered SNF stays are not covered. The copay information is available in the plan details.
Other Services See details
The Aetna Medicare Longevity (HMO I-SNP) plan covers Over-the-Counter (OTC) items with no copay, up to $290 every three months. Other services like acupuncture, meal benefits, and several others are not covered.
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