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Get added support with Aetna® Medicare HIDE (HMO D‑SNP)

Have Medicare and full Michigan Medicaid? Aetna Medicare HIDE (HMO D-SNP), can make life easier. You’ll get a care team to help manage your health needs plus added benefits that work with your Medicare and Michigan Medicaid.

 

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What our members have to say

 

The Aetna care team is awesome. I can contact them with an issue and know they will respond in a timely manner and solve it.*”

 

— Aetna Medicare D-SNP member

Aetna Medicare HIDE
(HMO D‑SNP) benefits

 

See all the ways we can help save you time, money and stress.

Dental coverage

Annual benefit for certain dental services not covered by Medicaid at an in-network dental provider

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Prescription drugs

$0 copay on covered Tier 1 and Tier 2 prescriptions at in-network pharmacies

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Aetna® care team

A support team to help manage your care and get you the health and community services you may need

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Personal care built into every plan

The day your coverage starts, you’ll enjoy access to a personal care team to help manage your health. Your team is led by a care manager. They’ll help make sure your needs are being met.

Your care team can help you:

  • Schedule appointments and transportation (if needed)
  • Coordinate your care with doctors and specialists
  • Connect with local resources
  • Answer your health questions
     

 


Frequently asked questions (FAQs)

 

 

D-SNPs are low- to no-cost health insurance plans.

 

D-SNP members get both Medicare and Medicaid benefits. On top of that, D-SNPs offer more coverage and benefits than Original Medicare. D-SNP members also have access to a personal care team. Your care team can help you overcome common roadblocks to wellbeing.

D-SNP members get the benefits of a Medicare Advantage plan while keeping Medicaid. With both plans, you could get more complete medical coverage.

 

Every D-SNP is different, so be sure to check coverage in your area. For instance, Aetna offers D-SNPs that include benefits beyond medical coverage, such as:

 

  • A dedicated care team to help you understand your benefits, coordinate provider visits, manage your medications and more
  • Dental coverage
  • Prescription drugs: $0 copays on covered Tier 1 and Tier 2 prescription drugs at in-network pharmacies
  • An Extra Benefits Card with a monthly benefit amount (allowance).

People who are dual eligible meet the requirements for both Medicare and Medicaid. You must be dual eligible to qualify for a D-SNP.

You can check before you enroll. A licensed agent can help you look up your provider. Many plans also have provider directories on their websites. Aetna has a free online tool that lets you search for in-network providers and D-SNPs in your area.

Aetna D-SNP networks include providers dedicated to your health and well-being. Plus, the added benefits and services that come with an Aetna D-SNP help make it easier to get the care and support you need to feel your best.

No, you won’t lose your Medicaid benefits. In fact, you must qualify for a Michigan Medicaid program to enroll in a D-SNP. So access to your Michigan Medicaid benefits will continue.

D-SNPs are low- to no-cost health plans with a goal of helping you save money while getting quality care. For instance, Aetna D-SNPs include dental, vision and hearing coverage, plus prescription drug coverage, at no added cost. Plus, Aetna D-SNPs include a monthly allowance on an Extra Benefits Card.

  • Initial Enrollment Period (IEP): This is when you first become eligible for Medicare. It starts three months before your 65th birthday and continues for 7 months.
  • Annual Enrollment Period (AEP): This occurs annually from October 15 to December 7. During this time, you can pick a new D-SNP (or any Medicare Advantage plan), switch from Original Medicare to Medicare Advantage or change your Part D coverage.
  • Open Enrollment Period (OEP): This occurs annually from January 1 to March 31. It allows beneficiaries who are already enrolled in a Medicare Advantage plan to make certain changes to their coverage.
  • Special Enrollment Period (SEP): There may be other times when you can enroll in a D-SNP. This can include if you move, or if there is a disaster declared by the Federal Emergency Management Agency (FEMA). Also, an SEP is available 3 months after you begin Medicaid coverage. Or an SEP is available for full benefit dual eligible (FBDE) individuals aligning Medicaid coverage and Medicare D-SNP so that they are provided by the same insurance company.

 

Still have questions?

 

If you still have questions about Aetna Medicare and want to learn more before deciding, you have options.

Call us

 

Call so we can help make sure you have the coverage you need.

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Disclaimer

*FOR MEMBER TESTIMONIAL: Member feedback has been edited for length and clarity; member not pictured.

Aetna Medicare HIDE (HMO D-SNP) is a Highly Integrated Dual Eligible Special Needs Plan with a Medicare contract and a contract with the Michigan Medicaid Program. Enrollment in Aetna Medicare HIDE depends on contract renewal.

See Member Handbook for a complete description of plan benefits, exclusions, limitations and conditions of coverage.

Participating health care providers are independent contractors and are neither agents nor employees of Aetna. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change.

The formulary, provider and/or pharmacy network may change at any time. You will receive notice when necessary.

This material is for informational purposes only and is not medical advice. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Contact a health care professional with any questions or concerns about specific health care needs. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna is not a provider of health care services and, therefore, cannot guarantee any results or outcomes. The availability of any particular provider cannot be guaranteed and is subject to change. Information is believed to be accurate as of the production date; however, it is subject to change. For more information about Aetna plans, refer to our website.

The benefit(s) mentioned are part of special supplemental benefits for the chronically ill (SSBCI). SSBCI conditions include but are not limited to: hypertension, hyperlipidemia, diabetes, cardiovascular disorders, and chronic lung disorders. Eligibility is determined by whether you have a chronic condition associated with the benefit(s) and you meet all other criteria. Even if you have a listed chronic condition, you may not necessarily receive the benefit because other eligibility and coverage criteria may apply. Standards and conditions vary for each benefit. Contact us to confirm the specific SSBCI condition requirements for the benefit(s) for this plan and determine your eligibility.