A non-government entity
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 2026, 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 2026.
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 $31.40. 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 $615.00 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 $9250.00 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:
Sign up for Aetna Medicare Longevity (HMO I-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The Aetna Medicare Longevity (HMO I-SNP) plan features an annual prescription drug deductible of $615. This deductible is the amount you must pay out-of-pocket for your covered medications before the plan begins to pay its share. Specific drug coverage tier details, including individual copayments and coinsurance rates for different medication levels, are currently unavailable for this plan. You can verify how your specific prescriptions are handled by checking the plan's formulary directly.
Additional Benefits
The Aetna Medicare Longevity (HMO I-SNP) offers robust medical coverage with no copay and no coinsurance for primary care, physical therapy, home health services, and skilled nursing facility stays up to 100 days. For other essential services, such as outpatient hospital visits, specialist care, dialysis, and durable medical equipment, members will pay no copay alongside a coinsurance of up to 20 percent. Emergency care is available with a 115 dollar copay, which is waived upon hospital admission, while urgent care requires a 40 dollar copay. This plan also includes valuable supplemental benefits, featuring an over-the-counter allowance of up to 220 dollars every three months with no copay. Dental, vision, and hearing services are covered, with routine exams requiring no copay and a 20 percent coinsurance, alongside annual allowances of up to 1,500 dollars for comprehensive dental, 250 dollars for eyewear, and 750 dollars per ear for prescription hearing aids. Preventive care, annual wellness exams, and select diagnostic services are also covered with no copay to help you manage your health affordably.
Inpatient Hospital See details
Aetna Medicare Longevity (HMO I-SNP) covers inpatient acute and psychiatric hospital stays with no coinsurance, subject to Medicare-defined copays and prior authorization. This benefit is partially covered, as additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services are covered by Aetna Medicare Longevity (HMO I-SNP) with no copay across all services, though coinsurance of up to 20% may apply. Outpatient hospital and ambulatory surgical center services have no copay and a coinsurance ranging from no coinsurance to 20%, while observation, outpatient substance abuse, and blood services require a 20% coinsurance and no copay.
Partial Hospitalization See details
Partial hospitalization is covered by Aetna Medicare Longevity (HMO I-SNP), with costs consisting of either no copay and a 20% coinsurance, or a $110 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Aetna Medicare Longevity (HMO I-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, though prior authorization is required. Transportation services are not covered under this plan.
Emergency Services See details
Aetna Medicare Longevity (HMO I-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with a $40 copay and no coinsurance, but worldwide emergency, urgent, and transportation services are not covered.
Primary Care See details
Aetna Medicare Longevity (HMO I-SNP) offers primary care, occupational therapy, and physical and speech therapy with no copay and no coinsurance. Specialist visits, mental health, psychiatric, telehealth, and opioid treatment services are covered with no copay and a 20% coinsurance, while chiropractic services are not covered.
Preventive Services See details
Aetna Medicare Longevity (HMO I-SNP) covers Medicare-recognized preventive services, kidney disease education, and up to 30 alternative therapy visits with no copay and no coinsurance. However, these benefits are only partially covered, as an annual physical exam and other supplemental services like fitness benefits, health education, and nutritional therapy are not covered.
Hearing Services See details
Aetna Medicare Longevity (HMO I-SNP) covers routine hearing exams with no copay and 20% coinsurance, and fitting evaluations with no copay and no coinsurance. Prescription hearing aids are partially covered with no copay and no coinsurance up to $750 per ear annually, but OTC hearing aids and inner ear, outer ear, and over-the-ear prescription aids are not covered.
Vision Services See details
Aetna Medicare Longevity (HMO I-SNP) covers annual routine eye exams with no copay and 20% coinsurance, as well as follow-up diabetic eye exams with no copay. Eyewear, including contacts, lenses, frames, and upgrades, is also covered with no copay and no coinsurance up to a combined maximum of $250 per year.
Dental Services See details
Dental Services are partially covered by Aetna Medicare Longevity (HMO I-SNP), with maxillofacial prosthetics, implant services, and orthodontics excluded from coverage. Medicare-covered dental services require no copay and a 20% coinsurance, while other covered services feature no copay and no coinsurance up to a $1,500 annual limit.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Aetna Medicare Longevity (HMO I-SNP) with no copay, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs have no copay and a coinsurance of 0% to 20%, while Part B insulin is covered with a $35 copay and no coinsurance.
Dialysis Services See details
Aetna Medicare Longevity (HMO I-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Medical Equipment covered by Aetna Medicare Longevity (HMO I-SNP) includes durable medical equipment, prosthetics, and diabetic supplies with no copay and a 20% coinsurance. Prior authorization is required for these services, and there are no restrictions on vendors or manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Aetna Medicare Longevity (HMO I-SNP) subject to prior authorization. Outpatient diagnostic tests require a copay with no coinsurance, lab services have no copay but require coinsurance, and radiological services feature no copys, with a 20% coinsurance for therapeutic and X-ray services and no coinsurance for diagnostic radiology.
Home Health Services See details
Aetna Medicare Longevity (HMO I-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Aetna Medicare Longevity (HMO I-SNP) provides cardiac rehabilitation services with no copay, though prior authorization is required. While some services are covered, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Aetna Medicare Longevity (HMO I-SNP) covers Skilled Nursing Facility (SNF) services for days 1 through 100 with no copay and no coinsurance, though a prior three-day inpatient hospital stay is required. Additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Aetna Medicare Longevity (HMO I-SNP) partially covers other services with no copay and no coinsurance, which includes an annual wellness exam, screening mammography, additional gFOBT and FIT, and up to $220 every three months for over-the-counter items. Acupuncture, meal benefits, nicotine replacement therapy, and naloxone are not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved