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Aetna Medicare Dual Signature Choice (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Aetna Medicare Dual Signature Choice (PPO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Aetna Medicare Dual Signature Choice (PPO D-SNP) in 2025, please refer to our full plan details page.
Aetna Medicare Dual Signature Choice (PPO D-SNP) is a PPO D-SNP plan offered by CVS Health Corporation available for enrollment in 2025 to people living in Select Counties in Atlanta Metro. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that Aetna Medicare Dual Signature Choice (PPO D-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 Dual Signature Choice (PPO D-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 Dual Signature Choice (PPO D-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 Dual Signature Choice (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $30.70. 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 combined Maximum Out-Of-Pocket cost of $14000.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $14000.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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 Dual Signature Choice (PPO D-SNP) plan has a $590 deductible for prescription drugs. After the deductible is met, you'll pay the costs for your drugs based on the tier and pharmacy you use until your total drug costs reach $2000. If you qualify for the low-income subsidy, the plan's premium may be reduced. Once your yearly out-of-pocket drug costs reach $2000, you pay nothing for covered Part D drugs.
Additional Benefits
The Aetna Medicare Dual Signature Choice (PPO D-SNP) plan provides coverage for a wide range of services. Inpatient hospital stays have a $1985 copay per admission, but additional days have no copay. Outpatient services, primary care, and preventive services have varying coinsurance or no copay, and emergency services have a copay. The plan also offers benefits for hearing, vision, and dental services, with specific cost-sharing amounts. Home health services have no copay, and ambulance and transportation services have a 20% coinsurance. Additionally, the plan covers home infusion services, dialysis, medical equipment, and diagnostic services with varying cost-sharing.
Inpatient Hospital See details
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered, with a copay of $1985 per admission or stay. Additional days for Inpatient Hospital-Acute are covered with no copay, while Non-Medicare-covered stays and upgrades are not covered.
Outpatient Services See details
Outpatient services, including outpatient hospital services, observation services, ambulatory surgical center (ASC) services, outpatient substance abuse services, and outpatient blood services, are covered by this plan. Outpatient hospital services have a coinsurance of 0% to 20%, and observation services have a coinsurance of 20%. Ambulatory Surgical Center (ASC) Services have a coinsurance between 0% and 20%. Individual and group sessions for outpatient substance abuse have a 20% coinsurance. Outpatient blood services have a 20% coinsurance.
Partial Hospitalization See details
Partial Hospitalization is covered by the Aetna Medicare Dual Signature Choice (PPO D-SNP) plan. You will pay 20% coinsurance for this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by the Aetna Medicare Dual Signature Choice (PPO D-SNP) plan. Ground and air ambulance services have a 20% coinsurance, and transportation services to a plan-approved health-related location have no copay. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the Aetna Medicare Dual Signature Choice (PPO D-SNP) plan. Emergency Services have a $110 copay, Urgently Needed Services have a $45 copay, and Worldwide Emergency Services have a $0 copay for Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation.
Primary Care See details
The Aetna Medicare Dual Signature Choice (PPO D-SNP) plan covers primary care physician services with a 20% coinsurance. Chiropractic services are covered with a 20% coinsurance, and routine chiropractic care has no copay.
Preventive Services See details
Preventive services include an annual physical exam with no copay, and additional services like health education, wigs for hair loss, additional smoking cessation counseling, fitness benefits, remote access technologies, and home and bathroom safety devices. Glaucoma screening, diabetes self-management training, barium enemas, digital rectal exams, and EKGs following a welcome visit have a 20% coinsurance.
Hearing Services See details
Hearing services include hearing exams and prescription hearing aids. Hearing exams have a 20% coinsurance for routine exams and no copay, while prescription hearing aids have a yearly maximum benefit of $1250 per ear and no copay. OTC hearing aids, and prescription hearing aids for the inner, outer, and over the ear 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 both having no copay. Eyewear has a 20% coinsurance, and the plan offers a combined maximum of $335 per year for eyewear, with contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades all having no copay.
Dental Services See details
Dental services are covered under the Aetna Medicare Dual Signature Choice (PPO D-SNP) plan, with a $2,000 annual maximum benefit. Medicare Dental Services require prior authorization and have a 20% coinsurance. 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 have no copay. Maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by the Aetna Medicare Dual Signature Choice (PPO D-SNP) plan, 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.
Dialysis Services See details
Dialysis Services are covered under the Aetna Medicare Dual Signature Choice (PPO D-SNP) plan. The coinsurance for dialysis services is 20%.
Medical Equipment See details
Medical equipment is covered, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has a 20% coinsurance, while Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices and Medical Supplies have a 20% coinsurance, and Diabetic Supplies have no coinsurance, while Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under the Aetna Medicare Dual Signature Choice (PPO D-SNP) plan. All diagnostic services have no copay, and coinsurance may be up to 20%, while lab services, diagnostic radiological services, and outpatient X-ray services have a coinsurance of up to 20%. Therapeutic radiological services have a 20% coinsurance.
Home Health Services See details
Home Health Services are covered by the Aetna Medicare Dual Signature Choice (PPO D-SNP) plan with no copay and no coinsurance. However, additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Aetna Medicare Dual Signature Choice (PPO D-SNP) plan. This includes Medicare-covered Intensive Cardiac Rehabilitation Services, Medicare-covered Pulmonary Rehabilitation Services, Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, and Additional Cardiac Rehabilitation Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, but the plan does not provide SNF services as a supplemental benefit under Part C. The plan requires prior authorization for SNF services and charges the Medicare-defined cost share for tier 1. Additional days beyond Medicare-covered for SNF and non-Medicare-covered stays for SNF are not covered.
Other Services See details
Other Services include acupuncture, over-the-counter items, and a meal benefit. Acupuncture has no copay, and over-the-counter items and the meal benefit also have no copay. However, several other services are not covered, including Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, and Case Management (Long Term Care).
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