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Aetna Medicare Supportive Care (HMO I-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Aetna Medicare Supportive Care (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 Supportive Care (HMO I-SNP) in 2025, please refer to our full plan details page.
Aetna Medicare Supportive Care (HMO I-SNP) is a HMO I-SNP plan offered by CVS Health Corporation available for enrollment in 2025 to people living in Maricopa and Pima Counties. This plan received an overall rating of 3.5 out of 5 stars in 2025.
It's important to know that Aetna Medicare Supportive Care (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 Supportive Care (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 Supportive Care (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 Supportive Care (HMO I-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $30.10. 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 Supportive Care (HMO I-SNP) plan has a $590 deductible for prescription drugs. After you meet your deductible, you will pay the costs for your drugs based on the tier and pharmacy you use until your total drug costs reach $2000. This plan's premium may be reduced if you qualify for the low-income subsidy (LIS). If you have LIS, you will pay $30.10 per month for Part D coverage.
Additional Benefits
The Aetna Medicare Supportive Care (HMO I-SNP) plan offers a range of benefits with varying cost-sharing. Many services, like primary care visits, preventive services, and home health services, have no copay. You will pay a copay for emergency services ($110) and urgently needed services ($45). Outpatient services, including hospital services and substance abuse treatment, have a coinsurance, while services like vision, dental, and hearing aids have varying cost-sharing structures, with some services offering no copay. The plan also covers ambulance and transportation services, with transportation to health-related locations having no copay, and a limit of 24 one-way trips per year.
Inpatient Hospital See details
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered, with prior authorization required. The plan's cost sharing follows the Medicare-defined cost share for tier 1, but specific copay information is not provided.
Outpatient Services See details
Outpatient Services, including outpatient hospital services, observation services, ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services, are covered. Outpatient Hospital Services have a coinsurance of 0% to 20%, Observation Services have a 20% coinsurance, and Outpatient Blood Services have a 20% coinsurance. Individual and Group Sessions for Outpatient Substance Abuse have a coinsurance of 20% to 20%.
Partial Hospitalization See details
Partial Hospitalization is covered under the Aetna Medicare Supportive Care (HMO I-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, with prior authorization required for all ambulance services. Ground and air ambulance services have a 20% coinsurance, while transportation services to plan-approved health-related locations have no copay and are limited to 24 one-way trips per year using rideshares, buses/subways, or medical transport. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services are covered under the Aetna Medicare Supportive Care (HMO I-SNP) plan, with a $110 copay and no coinsurance. Urgently Needed Services are also covered, with a $45 copay and no coinsurance. Worldwide Emergency Services, Worldwide Urgent Coverage, and Worldwide Emergency Transportation are not covered.
Primary Care See details
Primary Care services include no copay for Primary Care Physician Services, and Chiropractic Services with 20% coinsurance. Occupational Therapy Services have no coinsurance, and no copay. Physician Specialist Services, Mental Health Specialty Services (Individual and Group Sessions), and Additional Telehealth Benefits have 20% coinsurance. Podiatry Services (Routine Foot Care) have 0-20% coinsurance and no copay. Other Health Care Professional, Psychiatric Services (Individual and Group Sessions), and Opioid Treatment Program Services have 20% coinsurance. Physical Therapy and Speech-Language Pathology Services have no copay.
Preventive Services See details
Preventive Services are covered by the Aetna Medicare Supportive Care (HMO I-SNP) plan. Medicare-covered services and 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 services include hearing exams and prescription hearing aids. Hearing exams have a coinsurance of at most 20% for routine hearing exams and a copay for Medicare-covered benefits, fitting/evaluation for hearing aid. Prescription hearing aids (all types) are covered, with a $0 copay, up to $1,000 per year, but prescription hearing aids - inner ear, outer ear, and over the ear are not covered. OTC hearing aids are not covered.
Vision Services See details
Vision Services include coverage for eye exams and eyewear. Eye exams have a 20% coinsurance, with routine eye exams covered with no copay. Eyewear, including contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades, are covered with no copay, up to a combined maximum of $250 per year.
Dental Services See details
Dental services are covered, with 20% coinsurance for Medicare dental services; other dental services have a $3,500 maximum. Oral exams, dental X-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, and other preventive dental services are covered with no copay. Restorative services, endodontics, periodontics, prosthodontics (removable and fixed), and oral and maxillofacial surgery are covered with no copay. However, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services, including Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs, are covered under the Aetna Medicare Supportive Care (HMO I-SNP) plan. For Medicare Part B Insulin Drugs, there is a $35 copay. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, the coinsurance ranges from 0% to 20%.
Dialysis Services See details
Dialysis Services are covered with prior authorization, and require a 20% coinsurance.
Medical Equipment See details
Medical Equipment is covered by the Aetna Medicare Supportive Care (HMO I-SNP) plan. Durable Medical Equipment (DME) has a 20% coinsurance, but no copay, and requires authorization. Prosthetics/Medical Supplies and Diabetic Equipment are also covered, with a 20% coinsurance for some services, and no copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, with a coinsurance of at most 20% for Diagnostic Procedures/Tests and Diagnostic/Therapeutic Radiological Services, and a coinsurance of 20% for Therapeutic Radiological Services. Lab Services and Outpatient X-Ray Services have no copay.
Home Health Services See details
Home Health Services are covered by the Aetna Medicare Supportive Care (HMO I-SNP) plan with no copay and no coinsurance. 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 Supportive Care (HMO I-SNP) plan. The plan does not cover Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are covered by the Aetna Medicare Supportive Care (HMO I-SNP) plan, but the specific copay details are not provided. Additional days beyond Medicare-covered for SNF and non-Medicare-covered stays for SNF are not covered.
Other Services See details
Under the Aetna Medicare Supportive Care (HMO I-SNP) plan, Other Services include Over-the-Counter (OTC) Items with no copay, a maximum benefit of $320 every three months, and Other 1 and Other 2 services with no copay. Acupuncture, Meal Benefit, 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, 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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