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Aetna Medicare Dual Signature Select (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Aetna Medicare Dual Signature Select (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 Select (HMO D-SNP) in 2025, please refer to our full plan details page.
Aetna Medicare Dual Signature Select (HMO D-SNP) is a HMO D-SNP plan offered by CVS Health Corporation available for enrollment in 2025 to people living in Select AR HVP Counties. This plan received an overall rating of 4.5 out of 5 stars in 2025.
It's important to know that Aetna Medicare Dual Signature Select (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 Select (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 Select (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 Select (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $20.90. 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 Select (HMO D-SNP) plan has a $590 deductible for prescription drugs. After the deductible, you will pay the costs for your drugs, but the specific costs for each drug tier are not provided in this summary. Once your total drug costs reach $2000, you will enter the next coverage phase. If you qualify for the low-income subsidy (LIS), you will pay $20.90 per month for your Part D coverage. After your yearly out-of-pocket drug costs reach $2000, you will pay nothing for Medicare Part D covered drugs, but you may still pay a share of the costs for excluded drugs covered under any enhanced benefit.
Additional Benefits
The Aetna Medicare Dual Signature Select (HMO D-SNP) plan offers a wide range of benefits with varying costs. The plan covers inpatient hospital stays with copays, and outpatient services with copays or coinsurance depending on the service. Many services have no copay, including primary care visits, preventive services, vision, dental, and home health services. Additional benefits include coverage for ambulance and transportation, emergency services, hearing and vision care, and home infusion. The plan also covers diagnostic and radiological services, skilled nursing facility stays, and cardiac rehabilitation services, with differing cost-sharing structures like copays and coinsurance. Other services like over-the-counter items and meal benefits are also covered with no copay.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric. For Inpatient Hospital-Acute, you will pay a $380 copay for days 1-7, and no copay for days 8-90. For Inpatient Hospital Psychiatric, you will pay a $678 copay for days 1-3, and no copay for days 4-90. Additional Days for Inpatient Hospital-Acute are covered with no copay. 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, including all outpatient hospital services, are covered by the Aetna Medicare Dual Signature Select (HMO D-SNP) plan. Outpatient Hospital Services have a copay between $0 and $380, and Observation Services have a $380 copay. Ambulatory Surgical Center (ASC) Services and Outpatient Blood Services have no copay, while Outpatient Substance Abuse Services have a 20% coinsurance for both individual and group sessions.
Partial Hospitalization See details
Partial Hospitalization is covered under the Aetna Medicare Dual Signature Select (HMO D-SNP) plan, with a copay of $80. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including all ambulance services, and transportation services to plan-approved health-related locations. Air ambulance services have a 20% coinsurance, while ground ambulance services have a $290 copay. Transportation services to plan-approved health-related locations have no copay, and are limited to 24 one-way trips per year, and transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services are covered by Aetna Medicare Dual Signature Select (HMO D-SNP). Emergency Services have a $110 copay, while Urgently Needed Services have a $25 copay; Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all have no copay.
Primary Care See details
The Aetna Medicare Dual Signature Select (HMO D-SNP) plan covers primary care physician services with no copay. Chiropractic services have a $10 copay, and routine chiropractic care has no copay for up to 12 visits per year. Occupational therapy, physical therapy, and speech-language pathology services have a $25 copay. Physician specialist services have a $15 copay. Individual and group mental health and psychiatric sessions, and opioid treatment program services have a $40 copay. Podiatry services have a $15 copay, and routine foot care has no copay, with a limit of 6 visits per year. Other health care professional services have a copay between $0 and $15. Additional telehealth benefits have no copay.
Preventive Services See details
Preventive services include an annual physical exam with no copay, and additional preventive services. Additional preventive services include 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 with no copay. Kidney disease education services have a 20% coinsurance, and other preventive services have no copay.
Hearing Services See details
Hearing exams are covered with a $15 copay. Routine hearing exams and fitting/evaluation for hearing aids have no copay. Prescription hearing aids have a $500 maximum plan benefit coverage per year and a copay that is not specified in the provided information. OTC hearing aids are not covered.
Vision Services See details
The Aetna Medicare Dual Signature Select (HMO D-SNP) plan covers vision services, including eye exams with a copay of $0-$15, and eyewear with no copay. Routine eye exams are covered with no copay, and other eye exam services and eyewear such as contact lenses, eyeglasses, eyeglass lenses, eyeglass frames, and upgrades are covered with no copay.
Dental Services See details
The Aetna Medicare Dual Signature Select (HMO D-SNP) plan covers dental services with a $2,500 maximum per year. Medicare dental services require a $15 copay, while oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatments, 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 and require prior authorization. Medicare Part B Insulin Drugs have a $35 copay, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered by the Aetna Medicare Dual Signature Select (HMO D-SNP) plan, but prior authorization is required. There is a 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment benefits are covered, including Durable Medical Equipment (DME) with 20% coinsurance, and Prosthetics/Medical Supplies with 20% coinsurance. Diabetic Supplies have no coinsurance, while Diabetic Therapeutic Shoes/Inserts have 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services include coverage for Diagnostic Procedures/Tests, Lab Services, Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services. Diagnostic Procedures/Tests have a copay between $0 and $95. Lab Services have no copay. Diagnostic Radiological Services have a coinsurance of at most 20%. Therapeutic Radiological Services have a copay of $45. Outpatient X-Ray Services have no copay.
Home Health Services See details
Home Health Services are covered by the Aetna Medicare Dual Signature Select (HMO D-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 covered by the Aetna Medicare Dual Signature Select (HMO D-SNP) plan. However, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered, and there is no copay or coinsurance for any of the services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Aetna Medicare Dual Signature Select (HMO D-SNP) plan, but require prior authorization. There is no copay for days 1-20, and a $214 copay for days 21-100. Additional days beyond Medicare-covered, and non-Medicare-covered stays for SNF are not covered.
Other Services See details
Other Services include over-the-counter items with no copay, meal benefits with no copay, and other services such as annual wellness exams, screening mammography, gFOBT, and FIT with no copay. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, 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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