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Materials, forms and resources

Here, you’ll find the materials, forms and info you need to get the most from your Illinois Aetna Medicare FIDE (HMO D-SNP) plan.

Your plan documents

 

Every year, Medicare reviews plans based on a 5-star rating system. You can check your plan's Star Ratings (PDF).

Resources

National Coverage Determination (NCD) notices

  • Starting October 28, 2025, Medicare covers Renal Denervation (RDN) for uncontrolled high blood pressure.

    You may qualify if you meet all these requirements:

     

    • Your blood pressure stays at or above 140/90 mm Hg, even with treatment.

    • Your provider confirms your diagnosis with home or ambulatory blood pressure monitoring. 

    • You try recommended medicines and lifestyle changes for at least six weeks.

    • Your provider checks and treats other causes, such as sleep apnea or hormone problems.

    • You do not have a condition that makes RDN unsafe.

    • Your primary doctor manages your blood pressure for six months and sees you at least three times. 

    • You have no more than two virtual visits during those three visits.

    • You have never had an RDN procedure.

     

    A specially trained doctor must perform RDN. You must get the procedure at a center with a hypertension program and imaging. 

     

    Medicare covers RDN only in a CMS-approved clinical study listed on NCBI. Medicare doesn’t cover RDN outside a CMS-approved study.

  • Starting October 28, 2025, Medicare covers Cardiac Contractility Modulation (CCM) for some people with heart failure.

     

    CCM uses a small device to send signals that help your heart pump better.

     

    Medicare covers CCM only in a CMS-approved research study under Coverage with Evidence Development (CED). These studies help Medicare learn how well CCM works.

     

     You may qualify if you meet these requirements:

     

    • You meet the FDA-approved criteria for CCM.

    • You still have symptoms after at least three months of recommended medicines and treatments.

    • You do not have any FDA-listed conditions that make CCM unsafe.

    • You have not had a heart transplant. 

    • You are age 18 or older.

     

    You must get CCM and related services through a CMS-approved study listed on NCBI

     

    These studies follow strict rules and include follow-up care.

     

    • They compare CCM to other treatments.

    • They track survival and heart failure hospital stays for at least two years.

    • They review results by age and other health conditions, such as diabetes and blood pressure. 

    • They also review results by heart condition type, CRT use and LVEF.

       

    Medicare does not cover CCM for heart failure outside a CMS-approved study.