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Aetna Medicare Longevity (PPO I-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Aetna Medicare Longevity (PPO 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 Longevity (PPO I-SNP) in 2025, please refer to our full plan details page.
Aetna Medicare Longevity (PPO I-SNP) is a PPO I-SNP plan offered by CVS Health Corporation available for enrollment in 2025 to people living in NY Statewide. This plan received an overall rating of 4.5 out of 5 stars in 2025.
It's important to know that Aetna Medicare Longevity (PPO 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 Longevity (PPO 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 Longevity (PPO 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 Longevity (PPO I-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $72.30. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.00. You must continue to pay paying your reduced 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 combined Maximum Out-Of-Pocket cost of $14000.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $14000.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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 Longevity (PPO I-SNP) plan has a $590 deductible for prescription drugs. After the deductible, you'll pay the costs for drugs in each tier until your total drug costs reach $2000, at which point you enter the next coverage phase. The provided information does not specify the copays or coinsurance for each drug tier.
Additional Benefits
The Aetna Medicare Longevity (PPO I-SNP) plan provides coverage for a wide range of services. This plan includes no copay for primary care visits, preventive services, vision exams, and many dental services, as well as no copay for home health services and transportation to health-related locations. Many services have coinsurance requirements, including outpatient services, specialist visits, and hearing exams. This plan offers coverage for emergency services with a $110 copay, and urgently needed services with a $45 copay. Hearing aids are covered with a maximum benefit of $750 per year, per ear, and no copay. Prescription drugs have a $35 copay, and many other services have coinsurance requirements of 20%.
Inpatient Hospital See details
Inpatient Hospital benefits, including acute and psychiatric, are covered, but the copay information is available elsewhere. Additional days, non-Medicare-covered stays, and upgrades for both acute and psychiatric inpatient hospital stays are not covered.
Outpatient Services See details
Outpatient Services are covered by the Aetna Medicare Longevity (PPO I-SNP) plan, including outpatient hospital services with a coinsurance of 0% to 20%, observation services with a 20% coinsurance, and ambulatory surgical center services with a coinsurance of 0% to 20%. Outpatient substance abuse services, including individual and group sessions, are covered with a 20% coinsurance. Outpatient blood services are covered with a 20% coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered under the Aetna Medicare Longevity (PPO 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, including ground and air ambulance services, are covered by the Aetna Medicare Longevity (PPO I-SNP) plan. Ground and air ambulance services have a 20% coinsurance, while transportation services to a plan-approved health-related location have no copay.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by Aetna Medicare Longevity (PPO I-SNP). Emergency Services have a $110 copay, and Urgently Needed Services have a $45 copay, with no coinsurance for either service. Worldwide Emergency Services are not covered.
Primary Care See details
The Aetna Medicare Longevity (PPO I-SNP) plan offers primary care services with no copay, and covers chiropractic services with 20% coinsurance. Occupational therapy services, physical therapy, and speech-language pathology services have no coinsurance and no copay. Physician specialist services have 0% to 20% coinsurance, while mental health and psychiatric services have 20% coinsurance. Podiatry services have 20% coinsurance, and routine foot care is covered up to 6 visits every year. Other health care professional services, additional telehealth benefits, and opioid treatment program services are covered with 20% coinsurance.
Preventive Services See details
Preventive Services include Medicare-covered services with no copay, as well as additional preventive services that require a doctor referral, and alternative therapies with no copay for up to 30 visits. Other services like annual physical exams, health education, in-home safety assessments, and many others are not covered.
Hearing Services See details
Aetna Medicare Longevity (PPO I-SNP) covers hearing exams with a 20% coinsurance for routine hearing exams, and fitting/evaluation for hearing aids with no copay. Prescription hearing aids are covered with a maximum benefit of $750 per year, per ear, and no copay.
Vision Services See details
Vision Services include coverage for eye exams and eyewear. Eye exams have a 20% coinsurance, while routine eye exams and other eye exam services have no copay. Eyewear, including contact lenses, eyeglasses, eyeglass lenses, eyeglass frames, and upgrades, have no copay and are subject to a combined maximum of $250 per year.
Dental Services See details
Aetna Medicare Longevity (PPO I-SNP) covers Medicare Dental Services with 20% coinsurance, and other dental services including oral exams, dental x-rays, and prophylaxis (cleaning) with no copay; however, fluoride treatment, orthodontic services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), maxillofacial prosthetics, implant services, oral and maxillofacial surgery, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, with prior authorization required. 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 Longevity (PPO I-SNP) plan. You will pay 20% coinsurance for these services, and prior authorization is required.
Medical Equipment See details
Medical Equipment, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment, is covered. DME has a 20% coinsurance with no copay, and Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices and Diabetic Supplies have a 20% coinsurance with no copay, and Medical Supplies have a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under the Aetna Medicare Longevity (PPO I-SNP) plan. Diagnostic Procedures/Tests have a coinsurance of at most 20%, and Lab Services have no copay. Diagnostic Radiological Services and Outpatient X-Ray Services have a coinsurance of at most 20%, while Therapeutic Radiological Services have a 20% coinsurance.
Home Health Services See details
Home Health Services are covered by the Aetna Medicare Longevity (PPO 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 Longevity (PPO I-SNP) plan. Prior authorization is required for this benefit.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under the Aetna Medicare Longevity (PPO I-SNP) plan, but the specific copay information is not provided. Additional days beyond Medicare-covered and non-Medicare-covered SNF stays are not covered.
Other Services See details
The Aetna Medicare Longevity (PPO I-SNP) plan covers Over-the-Counter (OTC) Items with no copay, and Other 1 and Other 2 with no copay. Acupuncture, Meal Benefit, 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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