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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 $25.70. 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 $7900.00 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. If you qualify for the low-income subsidy (LIS), your monthly premium for Part D is $25.70. In the initial coverage phase, after meeting your deductible, you will pay the costs for your drugs, but the specific amounts are not listed. Once your total drug costs reach $2000, you enter the next coverage phase. In the catastrophic coverage phase, you pay nothing for covered drugs once your yearly out-of-pocket drug costs reach $2000.
Additional Benefits
The Aetna Medicare Dual Signature (HMO D-SNP) plan offers a wide range of benefits. It includes coverage for inpatient hospital stays with a copay, outpatient services with varying copays and coinsurance, and no copays for primary care and many preventive services. This plan also provides coverage for emergency services, hearing, vision, and dental services, with specific copays and annual maximums. Additionally, it covers home health services, skilled nursing facilities, and other services like acupuncture and over-the-counter items, all with no copay.
Inpatient Hospital See details
Inpatient Hospital coverage includes acute and psychiatric care, with a $380 copay for days 1-7 and no copay for days 8-90 for acute care, and a $1950 copay per stay for psychiatric care. Additional days for inpatient hospital-acute care are covered with no copay, while non-Medicare-covered stays and upgrades are not covered.
Outpatient Services See details
Outpatient services include coverage for all outpatient hospital services, with copays ranging from $0 to $380, and a $380 copay for observation services. Ambulatory surgical center services have no copay, while outpatient substance abuse services have a 20% coinsurance. Outpatient blood services have no copay.
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 an $80 copay for this service.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Aetna Medicare Dual Signature (HMO D-SNP) plan, with a $290 copay for ground ambulance services, and a 20% coinsurance for air ambulance services. Transportation services to a plan-approved health-related location are covered with no copay for up to 36 one-way trips per year via rideshare, bus/subway, or medical transport. 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. Emergency Services have a $110 copay, and Urgently Needed Services have a $15 copay. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay.
Primary Care See details
The Aetna Medicare Dual Signature (HMO D-SNP) plan offers primary care services with no copay. Chiropractic services have a $15 copay, and routine chiropractic care has no copay for up to 12 visits per year. Occupational therapy services have a $25 copay, and physician specialist services have a $25 copay. Mental health specialty services, psychiatric services, and opioid treatment program services have a $40 copay for individual and group sessions. Podiatry services and other health care professional services have a copay that varies between $0 and $25. Physical therapy and speech-language pathology services have a $25 copay, and additional telehealth benefits have no copay.
Preventive Services See details
Preventive Services are covered under the Aetna Medicare Dual Signature (HMO D-SNP) plan. Annual physical exams have no copay, while other preventive 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 (including Web/Phone-based technologies and Nursing Hotline), and Home and Bathroom Safety Devices and Modifications may have a copay. Kidney Disease Education Services have a 20% coinsurance, and other preventive services such as Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit have no copay.
Hearing Services See details
Hearing exams are covered with a $25 copay, routine hearing exams have no copay, and fitting/evaluation for hearing aids have no copay. Prescription hearing aids are covered with a plan-specified amount per period, and all types of prescription hearing aids have no copay, but prescription hearing aids for the inner and outer ear are not covered, and OTC hearing aids are not covered.
Vision Services See details
Vision services include eye exams and eyewear, with some services not usually covered by Medicare. Eye exams have a copay of $0-$25, and routine eye exams and other eye exam services have no copay. Eyewear has a combined maximum benefit of $300 per year, and contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades have no copay.
Dental Services See details
The Aetna Medicare Dual Signature (HMO D-SNP) plan covers dental services, including oral exams, dental x-rays, other diagnostic services, cleanings, fluoride treatments, and other preventive services with no copay, as well as restorative services, and other services, with no copay. This plan has an annual maximum benefit of $3,000 and does not cover maxillofacial prosthetics, implant services, or orthodontics.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by the Aetna Medicare Dual Signature (HMO D-SNP) plan, with a $35 copay for Medicare Part B Insulin Drugs, and a coinsurance between 0% and 20% for Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs. Prior authorization is required.
Dialysis Services See details
Dialysis Services are covered with prior authorization, and require a 20% coinsurance.
Medical Equipment See details
Medical equipment is covered, including durable medical equipment, prosthetics, medical supplies, and diabetic equipment. Durable medical equipment has a 20% coinsurance, while durable medical equipment for use outside the home is not covered. Prosthetics 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 include coverage for all diagnostic services, diagnostic procedures/tests with a copay between $0 and $95, lab services with no copay, and outpatient X-ray services with no copay. Therapeutic radiological services have a copay of $15, and diagnostic radiological services have a coinsurance of up to 20%.
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. Specifically, 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 are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Aetna Medicare Dual Signature (HMO D-SNP) plan. You will have no copay for days 1-20, and a $214 copay for days 21-100; there is no coinsurance.
Other Services See details
The Aetna Medicare Dual Signature (HMO D-SNP) plan covers acupuncture with no copay, up to 20 treatments per year. Over-the-counter items are covered with no copay, up to $90 per month, and the plan offers nicotine replacement therapy and Naloxone. Meal benefits are covered with no copay for chronic illnesses. The plan does not cover 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, or Self-Directed Personal Assistance Services.
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