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See how Aetna® Medicare FIDE (HMO D‑SNP) gives you more

Have Medicare and full Medicaid? Aetna Medicare FIDE (HMO D-SNP), a Dual Eligible Special Needs Plan that combines your Medicare and Medicaid into one plan, can help make life a little easier. You’ll get a care team to help manage your health needs, plus added benefits that work with your Medicaid.

 

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What our members have to say

 

I like the fact that I can contact my care team if I have an issue or question about something. They are so helpful and knowledgeable.*”

 

— Aetna Medicare D-SNP member

Aetna Medicare FIDE (HMO D-SNP) benefits

 

Aetna Medicare FIDE (HMO D-SNP) gives you benefits that can help save you time, money and stress.

Works with Medicaid benefits

Dental, vision and hearing coverage through your Medicaid benefits

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Prescription drugs

$0 copays on covered Tier 1 and Tier 2 prescription drugs at in-network pharmacies

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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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Want help paying for everyday expenses?

Members with a qualifying chronic condition get a $280 monthly Extra Supports allowance on an Extra Benefits Card to help pay for certain everyday expenses including:

 

  • Healthy foods
  • Over-the-counter (OTC) products
  • Personal care products
  • Transportation
  • Utilities

Members without a qualifying chronic condition can use the monthly allowance to purchase OTC products only.

 


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. They can help members overcome common roadblocks to well-being such as a lack of access to healthy foods.

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, vision and hearing coverage
  • Prescription drug coverage, including $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) to help you stay in budget.

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 Medicaid program to enroll in a D-SNP. So access to your 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 benefit amount (allowance) on a prepaid card to help you stay on budget.

  • 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.

 

Not ready to enroll?

 

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 FIDE (HMO D-SNP) is a Fully Integrated Dual Eligible Special Needs Plan with a Medicare contract and a contract with the Virginia Medicaid program.  Enrollment in Aetna Medicare FIDE depends on contract renewal.

Plan features and availability may vary by service area.

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 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). 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.

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.