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Aetna Medicare Dual Signature (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Aetna Medicare Dual Signature (HMO 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 (HMO D-SNP) in 2025, please refer to our full plan details page.
Aetna Medicare Dual Signature (HMO D-SNP) is a HMO D-SNP plan offered by CVS Health Corporation available for enrollment in 2025 to people living in New Orleans Parishes. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that Aetna Medicare Dual Signature (HMO 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 (HMO 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 (HMO 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 (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $24.70. 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 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 Dual Signature (HMO D-SNP) plan has a $590 deductible for prescription drugs. After the deductible, your cost-sharing for drugs is not specified in this summary. If you qualify for the low-income subsidy, your monthly Part D premium is $24.70. This plan has a catastrophic coverage phase where you pay nothing for covered drugs after your yearly out-of-pocket drug costs reach $2000.
Additional Benefits
The Aetna Medicare Dual Signature (HMO D-SNP) plan offers comprehensive coverage with a variety of benefits. Inpatient hospital stays have a $1972 copay per admission, while outpatient services, including observation and ambulatory surgical center services, have a 20% coinsurance. The plan also covers ambulance and transportation services, with a 20% coinsurance for ambulance and no copay for transportation to plan-approved health locations. This plan includes coverage for emergency services with a $110 copay, and primary care services with a 20% coinsurance. Preventive services, such as annual physical exams, have no copay. Hearing services, like routine hearing exams, and fitting/evaluation for hearing aids, are also covered with no copay. Vision services include eye exams with no copay, while dental services have a 20% coinsurance.
Inpatient Hospital See details
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered with a copay of $1972 per admission or stay for a Medicare-covered stay, and no cost sharing on the day of discharge. Additional Days for Inpatient Hospital-Acute are covered with no copay per day, while Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute, and Additional Days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services are covered, including all outpatient hospital services, observation services, ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services. Outpatient hospital and observation services have a 20% coinsurance. Ambulatory Surgical Center services have a coinsurance of 20%, and outpatient substance abuse individual and group sessions also have a coinsurance of 20%. Outpatient blood services have a 20% coinsurance, and the plan waives the three-pint deductible.
Partial Hospitalization See details
Partial hospitalization is covered by the Aetna Medicare Dual Signature (HMO D-SNP) plan, but requires prior authorization. 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 (HMO D-SNP) plan. Ground and air ambulance services have a 20% coinsurance, while transportation services to a plan-approved health-related location have no copay and are limited to 36 one-way trips per year.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered. For Emergency Services, there is a $110 copay, and for Urgently Needed Services, there is a $45 copay; both have no coinsurance. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay and no coinsurance.
Primary Care See details
The Aetna Medicare Dual Signature (HMO D-SNP) plan covers primary care physician services with a 20% coinsurance and chiropractic services with a 20% coinsurance, and routine chiropractic care with no copay. Occupational therapy, physician specialist services, physical therapy, and speech-language pathology services are covered with 20% coinsurance. Mental health and psychiatric services are covered with 20% coinsurance for individual and group sessions. Podiatry services and other health care professional services have varying coinsurance amounts. Additional telehealth benefits have no copay.
Preventive Services See details
Preventive services include an annual physical exam with no copay, and other services such as Health Education, Wigs for Hair Loss Related to Chemotherapy, Additional Sessions of Smoking and Tobacco Cessation Counseling, Fitness Benefit, Remote Access Technologies, and Home and Bathroom Safety Devices and Modifications, some of which may have a copay. Kidney Disease Education Services, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit are covered with a 20% coinsurance.
Hearing Services See details
Hearing Services include routine hearing exams with no copay and a coinsurance of at most 20%, and fitting/evaluation for hearing aids with no copay. Prescription hearing aids are covered with no copay, up to a maximum of $500 per year, but inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
Vision services include coverage for eye exams, with a 20% coinsurance for routine eye exams, and no copay. Eyewear benefits, including contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades, are covered, with a 20% coinsurance on contact lenses and a combined maximum plan benefit of $350 every year, and no copay.
Dental Services See details
The Aetna Medicare Dual Signature (HMO D-SNP) plan covers Medicare Dental Services with 20% coinsurance. Other dental services have a $4,000 maximum benefit per year.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by the Aetna Medicare Dual Signature (HMO D-SNP) plan. Medicare Part B Insulin Drugs have a $35 copay, while the coinsurance for Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs ranges from 0% to 20%.
Dialysis Services See details
Dialysis Services are covered by the Aetna Medicare Dual Signature (HMO D-SNP) plan and require prior authorization. The coinsurance for dialysis services is 20%.
Medical Equipment See details
Medical equipment, including durable medical equipment, prosthetics, medical supplies, and diabetic equipment, is covered by the Aetna Medicare Dual Signature (HMO D-SNP) plan. Durable medical equipment 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. Diabetic supplies have no coinsurance, and diabetic therapeutic shoes/inserts have a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered. Diagnostic Procedures/Tests and Lab Services have a coinsurance of at most 20%, while Diagnostic Radiological Services have a coinsurance of at most 20% and Therapeutic Radiological Services and Outpatient X-Ray Services have a coinsurance of at most 20%. There is no copay for these services.
Home Health Services See details
Home Health Services are covered by the Aetna Medicare Dual Signature (HMO D-SNP) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Authorization is required for this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Aetna Medicare Dual Signature (HMO D-SNP) plan. The plan does not cover Medicare-covered Intensive Cardiac Rehabilitation Services, Medicare-covered Pulmonary Rehabilitation Services, Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, or Additional Cardiac Rehabilitation Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered and require prior authorization. The plan covers the Medicare-defined cost share for tier 1, and there is no additional information about cost sharing.
Other Services See details
Other Services include acupuncture with no copay, and up to 20 treatments per year, over-the-counter (OTC) items with no copay and a maximum benefit of $205 per month, meal benefits with no copay, and other services including annual wellness exams, screening mammography, gFOBT, and FIT tests, all with no copay. However, dual eligible SNPs, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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