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You can now enroll online! Aetna® D‑SNPs give you added benefits

Have Medicare and Medicaid? An Aetna Dual Eligible Special Needs Plan (D-SNP) can make life a little easier. You’ll get a care team to help manage your care, plus added benefits that work with your Medicaid. Don’t wait — the Annual Enrollment Period closes December 7.

 

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What our members have to say

 

Aetna always makes sure all my medical needs are met and always informs me on all the benefits that my Dual Eligible Special Needs Plan provides.”*

 

— Aetna Medicare D-SNP member

 

Aetna D-SNP benefits

 

Aetna D-SNPs give you benefits that can help save you time, money and stress.

Dental, vision, hearing

Coverage that includes dental, vision and hearing

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Prescription drugs

$0 copays on covered Tier 1 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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Aetna® Dual Eligible Special Needs Plans, or D-SNPs, give you added support that can help you feel your best. 

 

We make it easy.  

 

For D-SNP members with a qualifying chronic condition, the plan provides a monthly allowance to help pay for certain everyday expenses, including: healthy foods, over-the-counter products, personal care products, transportation, and utilities. 

 

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

 

That’s on top of our medical coverage, the dedicated support of a personal care team and $0 copays for covered Tier 1 prescription drugs at in-network pharmacies. Plus, our plans include dental, vision and hearing benefits. 

 

Not eligible for a D-SNP? Aetna has other Medicare Advantage plans with added benefits for those with limited income and resources. If you're eligible for the federal Extra Help program, Aetna has select Medicare Advantage plans that provide additional benefits.   

 

Could you use additional support?  

 

Call today to learn more. 

Less stress on your wallet

Members with a qualifying condition get a monthly 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 prescription drugs at in-network pharmacies
  • An Extra Benefits Card with a monthly benefit amount (allowance) to help pay for certain over-the-counter (OTC) products

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 care providers dedicated to your health and well-being. Plus, the added benefits and services that come with an Aetna D-SNP 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 extra cost. Plus, Aetna D-SNPs include a monthly benefit amount (allowance) on an Extra Benefits Card to help you pay for certain over-the-counter (OTC) products.

  • Initial Enrollment Period (IEP): This is when you first become eligible for Medicare.  Your IEP is the 7-month period that begins three months before your 65th birthday, includes your birthday month and ends three months afterward. There is an exception if your birthday falls on the first of any month, your 7-month IEP begins and ends one month sooner.
  • 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.

 

 
 

Read below for more helpful resources on D-SNPs

 

How to know if you qualify for a D‑SNP

 

Find out if you are eligible for both Medicare and Medicaid and a Dual Eligible Special Needs Plan (D‑SNP), and the added benefits and support that come with it.

What is a D‑SNP, or Dual Eligible Special Needs Plan?

 

A D‑SNP is a plan for those who qualify for both Medicare and Medicaid and offers added benefits and support for people who need it.

 

Your top questions about Dual Eligible Special Needs Plans (D‑SNPs)

 

Get answers to frequently asked questions about D‑SNPs.

8 surprising benefits of being an Aetna D‑SNP member

 

Get to know the benefits, services and additional resources that come with being an Aetna Dual Eligible Special Needs Plan (D‑SNP) member.

 

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

*Member feedback has been edited for length and clarity; member not pictured.

Aetna Medicare is a HMO, PPO plan with a Medicare contract. Our DSNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal.

Plan features and availability may vary by service area.

For accommodation of persons with special needs at meetings, call 1-833-278-3924 ${tty}.

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.