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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 Counties: FF, HT, LF, MS, NH, NL, LT, WH. 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 $52.50. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.50. 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 you meet your deductible, you'll pay the costs for your drugs based on the tier and pharmacy you choose. The plan's formulary provides details on the specific drugs covered. If you qualify for the low-income subsidy (LIS), your Part D premium will be $52.50. Once your total drug costs reach $2000, you enter the next coverage phase. After your yearly out-of-pocket drug costs reach $2000, you pay nothing for Medicare Part D covered drugs.
Additional Benefits
The Aetna Medicare Longevity (PPO I-SNP) plan offers a range of benefits with varying cost-sharing. Many services, such as Primary Care, Preventive Services, Home Health, and Over-the-Counter items, have no copay. You will pay 20% coinsurance for services such as ambulance, outpatient services, and some specialist visits. The plan also provides coverage for hearing, vision, and dental services. Hearing exams, fitting for hearing aids, and prescription hearing aids are covered with no copay, with a yearly maximum benefit for the hearing aids. Vision includes eye exams and eyewear coverage, with no copay for routine eye exams and eyewear. Dental services have a 20% coinsurance for Medicare dental, and other dental services are covered up to a yearly maximum.
Inpatient Hospital See details
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered. Additional days for Inpatient Hospital-Acute, Non-Medicare-covered stays for Inpatient Hospital-Acute, Upgrades for Inpatient Hospital-Acute, Additional days for Inpatient Hospital Psychiatric, and Non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient services are covered, including outpatient hospital services with 0% to 20% coinsurance, observation services with 20% coinsurance, ambulatory surgical center (ASC) services with 0% to 20% coinsurance, outpatient substance abuse services with 20% coinsurance, and outpatient blood services with 20% coinsurance. Prior authorization is required for all services.
Partial Hospitalization See details
Partial Hospitalization is covered, but requires prior authorization. You will pay 20% coinsurance for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by Aetna Medicare Longevity (PPO I-SNP), with a 20% coinsurance for both ground and air ambulance services. Transportation Services to a plan-approved health-related location are covered with no copay, up to 30 one-way trips per year, but transportation to any health-related location is not covered.
Emergency Services See details
Emergency Services are covered under the Aetna Medicare Longevity (PPO I-SNP) plan with a $110 copay and no coinsurance, while Urgently Needed Services have a $45 copay and no coinsurance. Worldwide Emergency Services, including coverage and transportation, are not covered.
Primary Care See details
The Aetna Medicare Longevity (PPO I-SNP) plan covers Primary Care Physician Services with no copay. Chiropractic Services are covered with 20% coinsurance and require prior authorization, but routine care is not covered. Occupational Therapy Services are covered with no coinsurance, but there may be a copay. The plan also covers Physician Specialist Services with 0-20% coinsurance, Mental Health Specialty Services with 20% coinsurance, and Podiatry Services with 20% coinsurance.
Preventive Services See details
Preventive Services are covered, including Medicare-covered services with no copay. Additional Preventive Services are covered with a doctor referral, and some services like Health Education and In-Home Safety Assessment are not covered. Alternative Therapies, Kidney Disease Education Services, 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 routine hearing exams with no copay and a 20% coinsurance, fitting/evaluation for hearing aids with no copay, and prescription hearing aids with a maximum benefit of $750 per year, with no copay. Prescription hearing aids - inner ear, outer ear, and over the ear are not covered, and 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, and routine eye exams and other eye exam services have no copay. Eyewear, including contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades, have no copay, but a combined maximum benefit of $250 per year applies to both in-network and out-of-network services.
Dental Services See details
The Aetna Medicare Longevity (PPO I-SNP) plan offers dental services with a 20% coinsurance for Medicare Dental Services, and other dental services have a maximum benefit of $3500 every year. 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 are covered with no copay. Maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by the Aetna Medicare Longevity (PPO I-SNP) plan, 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, but require prior authorization. There is a 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment is covered under the Aetna Medicare Longevity (PPO I-SNP) plan. Durable Medical Equipment (DME) has a 20% coinsurance with no copay, while Durable Medical Equipment for use outside the home is not covered. Prosthetics/Medical Supplies have a 20% coinsurance with no copay, and Diabetic Equipment is covered with a 20% coinsurance for Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, including Diagnostic Procedures/Tests with a coinsurance of up to 20%, and Lab Services with no copay. Therapeutic Radiological Services and Outpatient X-Ray Services have a coinsurance of up to 20%, with a minimum coinsurance of 20%.
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. Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are also not covered.
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 cost-sharing 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
The Aetna Medicare Longevity (PPO I-SNP) plan covers Over-the-Counter (OTC) Items with no copay, up to a maximum of $425 every three months. The plan also covers Other 1 and Other 2 services with no copay, but does not cover 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, or Self-Directed Personal Assistance Services.
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