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Aetna Medicare FIDE Care (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Aetna Medicare FIDE Care (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 FIDE Care (HMO D-SNP) in 2026, please refer to our full plan details page.
Aetna Medicare FIDE Care (HMO D-SNP) is a HMO D-SNP plan offered by CVS Health Corporation available for enrollment in 2025 to people living in Metro: Brooklyn. This plan received an overall rating of 3 out of 5 stars in 2026.
It's important to know that Aetna Medicare FIDE Care (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 FIDE Care (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 FIDE Care (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 FIDE Care (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $50.00. 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:
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Drug Coverage
The Aetna Medicare FIDE Care (HMO D-SNP) plan features an annual prescription drug deductible of $615. This deductible represents the amount you must pay out-of-pocket for covered medications before the plan begins to pay its share. Specific drug tier copayments and coinsurance details are currently unavailable for this plan. To understand your exact medication costs and coverage, it is recommended to review the plan's comprehensive formulary or contact the provider directly.
Additional Benefits
The Aetna Medicare FIDE Care (HMO D-SNP) plan offers comprehensive medical coverage with many essential services requiring no copayments. Primary care visits, preventive annual physicals, home health services, and routine dental care are fully covered with no copay or coinsurance, while specialist visits, outpatient services, and diagnostic tests generally feature no copay but require a 20% coinsurance. For hospital stays, members pay a $1,920 copay per admission for inpatient care with no coinsurance, and skilled nursing facility stays feature no copay for the first 20 days. This plan also includes valuable supplemental benefits, such as a $200 monthly over-the-counter reimbursement allowance and acupuncture treatments with no copay or coinsurance. Additionally, prescription hearing aids are covered up to $1,000 per ear annually with no copay or coinsurance, and worldwide emergency services are covered with no copay up to a $250,000 limit. While routine vision exams and routine transportation are not covered, Medicare-covered dental services and durable medical equipment are accessible with no copay and a 20% coinsurance.
Inpatient Hospital See details
Aetna Medicare FIDE Care (HMO D-SNP) covers inpatient acute and psychiatric hospital stays with a $1,920 copayment per admission or stay and no coinsurance. This benefit is partially covered, as additional days, non-Medicare-covered stays, and upgrades are not covered, and prior authorization is required.
Outpatient Services See details
Aetna Medicare FIDE Care (HMO D-SNP) covers outpatient services with no copay, though a 20% coinsurance is required for outpatient hospital, ambulatory surgical center, outpatient substance abuse, and outpatient blood services. Prior authorization is required for most of these services, and the deductible is waived for the first three pints of blood.
Partial Hospitalization See details
Aetna Medicare FIDE Care (HMO D-SNP) covers partial hospitalization services, which require prior authorization. Depending on the service, you will pay either a 20% coinsurance with no copay, or a $110 copay with no coinsurance.
Ambulance and Transportation Services See details
Aetna Medicare FIDE Care (HMO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. Routine transportation services to health-related locations are not covered under this plan.
Emergency Services See details
Aetna Medicare FIDE Care (HMO D-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, while worldwide emergency and urgent care are covered with no copays or coinsurance up to a $250,000 limit.
Primary Care See details
Primary Care benefits under Aetna Medicare FIDE Care (HMO D-SNP) feature no copays for covered services, including primary care physician visits, specialist services, physical therapy, and mental health services, which generally require a 20% coinsurance. While additional telehealth benefits are covered with no copay and no coinsurance, chiropractic services are not covered under this plan.
Preventive Services See details
Preventive services under Aetna Medicare FIDE Care (HMO D-SNP) are covered, featuring annual physical exams with no copay and no coinsurance, alongside kidney disease education and other screenings with no copay and 20% coinsurance. Additional preventive benefits are partially covered, offering wigs, memory fitness, and remote access with no copay and no coinsurance, while excluding health education, weight management, personal emergency response systems, and in-home support.
Hearing Services See details
Hearing services are partially covered under Aetna Medicare FIDE Care (HMO D-SNP), offering one annual routine hearing exam with a 20% coinsurance and no copay, and one annual fitting evaluation with no copay. Prescription hearing aids are covered with no copay and no coinsurance up to a $1,000 maximum benefit per ear every year, though OTC hearing aids and inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
Aetna Medicare FIDE Care (HMO D-SNP) vision services are covered with no copay, a 20% coinsurance, and no deductible, but only some services are covered. Routine eye exams, other eye exam services, contact lenses, eyeglasses, eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Aetna Medicare FIDE Care (HMO D-SNP) partially covers dental services, as orthodontic services are not covered. Medicare-covered dental services require no copay and a 20% coinsurance, while other preventive and comprehensive dental services are covered with no copay and no coinsurance.
Home Infusion bundled Services See details
Aetna Medicare FIDE Care (HMO D-SNP) covers home infusion bundled services with no copay, while Medicare Part B insulin drugs are covered with a $35 copay and no coinsurance. Other covered Part B chemotherapy, radiation, and miscellaneous drugs require no copay and a coinsurance ranging from 0% to 20%.
Dialysis Services See details
Aetna Medicare FIDE Care (HMO D-SNP) covers dialysis services with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
Aetna Medicare FIDE Care (HMO D-SNP) covers medical equipment with no copays, though prior authorization is required. Durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes or inserts require a 20% coinsurance, while diabetic supplies are covered with no coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under Aetna Medicare FIDE Care (HMO D-SNP) with prior authorization required and no copays. Diagnostic procedures, lab services, therapeutic radiological services, and outpatient X-rays carry a 20% coinsurance, while diagnostic radiological services are covered with no coinsurance.
Home Health Services See details
Aetna Medicare FIDE Care (HMO D-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by Aetna Medicare FIDE Care (HMO D-SNP) with no copay and no coinsurance, although some services are not covered. Specifically, standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease (PAD) rehabilitation services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Aetna Medicare FIDE Care (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, featuring no copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization is required, a three-day inpatient hospital stay is not required prior to admission, and additional days beyond the 100-day Medicare-covered limit are not covered.
Other Services See details
Other services covered by Aetna Medicare FIDE Care (HMO D-SNP) include acupuncture up to 20 treatments per year and a $200 monthly over-the-counter reimbursement allowance, both with no copay and no coinsurance. Annual wellness exams, screening mammographies, and select colorectal screenings are also covered with no copay and no coinsurance, though meal benefits are not covered.
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