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Aetna Medicare Chronic Care (HMO C-SNP) - H1609-102-000
$0.00
Monthly Premium
Aetna Medicare Chronic Care (HMO C-SNP) is a HMO C-SNP Medicare Advantage (Medicare Part C) plan offered by Aetna®
Plan ID: H1609-102-000
** Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
$0.00
Monthly Premium
If you have Medicare in Florida, you may want to review your coverage options. Medicare Advantage plans cover services that aren’t covered by Original Medicare (Part A and Part B).
Aetna Medicare Advantage plans may cover prescription drugs, and offer other benefits that Original Medicare doesn’t cover.
Aetna Medicare Chronic Care (HMO C-SNP) basic costs and coverage
Learn more about the costs, benefits and coverage of Aetna Medicare Chronic Care (HMO C-SNP) below:
| Coverage | Details |
|---|---|
| Monthly plan premium | $0.00 |
| Vision coverage | |
| Dental coverage | |
| Hearing coverage | |
| Prescription drugs | |
| Medical deductible | $300.00 |
| Out-of-pocket maximum | $4,200.00 |
| Initial drug coverage limit | $0.00 |
| Catastrophic drug coverage limit | $2,100.00 |
| Primary care provider visit | In-Network $0 |
| Specialty doctor visit | In-Network $0 for certain physician specialist visits including: Cardiologists, Endocrinologists, Nephrologists, and Pulmonologists $15 for all other physician specialist visits |
| Inpatient hospital care | In-Network $275 per day, days 1-6; $0 per day, days 7-90 |
| Urgent care | Urgent Care: Copayment for Urgent Care $40 Worldwide Coverage: Copayment for Worldwide Urgent Coverage $150 Maximum Plan Benefit of $250,000 |
| Emergency room visit | $150 If you are admitted to the hospital within 24 hours your cost share may be waived |
| Ambulance transportation | In-Network $275 |
Additional health services and supplies coverage
Aetna Medicare Chronic Care (HMO C-SNP) covers additional health services and medical supplies. Learn more below:
| Coverage | Details |
|---|---|
| Diabetes supplies, training, nutrition therapy and monitoring | In-Network 0% for blood glucose monitors (BGM) and continuous glucose monitors (CGM) |
| Durable medical equipment (DME) | In-Network 20% |
| Diagnostic tests, lab and radiology services, and X-rays | Lab Services: In-Network $0 Diagnostic Procedures: In-Network $0 for certain Medicare-covered diagnostic tests and services including Retinal fundus, Spirometry, Peripheral arterial disease (PAD) $0 for services performed at a non-hospital facility $150 for services performed at a hospital facility Imaging: In-Network Xray: $0 for services performed at a non-hospital facility; $50 for services performed at a hospital facility CT Scans: $0 for services performed at a non-hospital facility; $200 for services performed at a hospital facility Diagnostic Radiology other than CT Scans: $0 for services performed at a non-hospital facility; $200 for services performed at a hospital facility Diagnostic Radiology Mammogram: $0 |
| Home health care | In-Network $0 |
| Mental health inpatient care | In-Network: Psychiatric Hospital Services: $275 per day for days 1 to 6 $0 per day for days 7 to 90 Prior Authorization Required for Psychiatric Hospital Services |
| Mental health outpatient care | In-Network $10 for Mental Health - Group Sessions $10 for Mental Health - Individual Sessions $10 for Psychiatric Services - Group Sessions $10 for Psychiatric Services - Individual Sessions |
| Outpatient services/surgery | Ambulatory Surgical Center: In-Network $0 for preventive and diagnostic colonoscopy $225 all other ambulatory surgical center services |
| Outpatient substance abuse care | In-Network: Outpatient Substance Abuse Services: Copayment for Medicare-covered Individual Sessions $10 Copayment for Medicare-covered Group Sessions $10 Prior Authorization Required for Outpatient Substance Abuse Services |
| Over-the-counter items | Over-the-Counter (OTC) Wallet with a $65 monthly benefit amount (allowance) on the Extra Benefits Card to help pay for approved OTC health and wellness products like first aid supplies, cold and allergy medicine, pain relievers, and more. Approved products can be purchased in-store at participating locations including CVS retail locations (excluding locations inside other stores), using the app, online or by phone through CVS Flex Benefits. Qualifying members may be eligible for additional spending categories. See EOC for more information. |
| Podiatry services | In-Network: Podiatry Services: Copayment for Medicare-Covered Podiatry Services $0 Copayment for Routine Foot Care $0
|
| Skilled Nursing Facility (SNF) care | In-Network $0 per day, days 1-20; $221 per day, days 21-100 |
Dental benefit
Aetna Medicare Chronic Care (HMO C-SNP) offers the following dental benefit and coverage. There may be provider network restrictions. You can find more information about network restrictions in the plan’s Evidence of Coverage.
| Coverage | Details |
|---|---|
| Dental care | In-Network Preventive dental services: $0 for oral exams $0 for cleanings $0 for x-rays $0 for other diagnostic dental services Comprehensive dental services: $0 for restorative services $0 for endodontic services $0 for periodontic services $0 for removeable prosthodontics $0 for fixed prosthodontics $0 for oral and maxillofacial surgery $0 for adjunctive services $2,000 benefit amount (allowance) every year for covered preventive and comprehensive dental services combined. Frequencies and medical necessity requirements vary by covered dental service. See EOC for a full list of covered dental services. |
Vision benefit
Aetna Medicare Chronic Care (HMO C-SNP) offers the following vision benefit. There may be provider network restrictions. You can find more information about network restrictions in the plan's Evidence of Coverage.
| Coverage | Details |
|---|---|
| Vision care | In-Network Eye Exams: $0 for non-Medicare covered routine eye exam Maximum one non-Medicare covered routine eye exam every calendar year with an iCare network provider Eyewear: For non-Medicare covered prescription eyewear, you can choose: $200 annual benefit amount (allowance) through an iCare network provider $0 for Contacts $0 for Eyeglasses $0 for Eyeglass Frames $0 for Eyeglass Lenses $0 for Upgrades OR Up to two pairs of eyeglasses every year from the iCare “covered in full” eyewear collection. |
Hearing benefit
Aetna Medicare Chronic Care (HMO C-SNP) offers the following hearing benefit and coverage. There may be provider network restrictions. You can find more information about network restrictions in the plan’s Evidence of Coverage.
| Coverage | Details |
|---|---|
| Hearing care | In-Network Hearing Exams: $15 for Medicare-covered hearing exams $0 for non-Medicare covered hearing exams (Maximum one non-Medicare covered hearing exam every year) $0 for fitting/evaluation for hearing aids (Maximum one hearing aid fitting/evaluation every year) Hearing Aids: $0 for hearing aids $1,000 benefit amount (allowance) per ear, every year for hearing aids (Maximum two hearing aids every year) |
Preventive services and health/wellness education programs
Aetna Medicare Chronic Care (HMO C-SNP) offers the following preventive services, benefits and wellness programs. There may be provider network restrictions. You can find more information about network restrictions in the plan’s Evidence of Coverage.
| Coverage | Details |
|---|---|
| Preventive services and health/wellness education programs | In-Network $0 for all preventive services covered under Original Medicare |
We can help you find out if your doctors are in a plan’s network when reviewing Aetna Medicare Advantage plans in Florida. We can also help you look for plans that cover your prescription drugs.
There may be other Aetna Medicare Advantage plans available in Florida. Call 1-800-891-6309 (TTY: 711), 24/7 to speak with a licensed TZ insurance agent* who can help you compare plans where you live.
Plan documents
Learn more about Aetna Medicare Chronic Care (HMO C-SNP) by reviewing the following documents:
| Links to plan documents |
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