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Aetna Medicare FIDE (HMO D-SNP) - H6399-001-000
$0.00
Monthly Premium
Aetna Medicare FIDE (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Aetna®
Plan ID: H6399-001-000
** 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 New Jersey, 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 FIDE (HMO D-SNP) basic costs and coverage
Learn more about the costs, benefits and coverage of Aetna Medicare FIDE (HMO D-SNP) below:
| Coverage | Details |
|---|---|
| Monthly plan premium | $0.00 |
| Vision coverage | |
| Dental coverage | |
| Hearing coverage | |
| Prescription drugs | |
| Medical deductible | $0.00 |
| Out-of-pocket maximum | $0.00 |
| 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 |
| Inpatient hospital care | In-Network $0 |
| Urgent care | Urgent Care: Copayment for Urgent Care $0 Worldwide Coverage: Copayment for Worldwide Urgent Coverage $0 Maximum Plan Benefit of $250,000 |
| Emergency room visit | $0 |
| Ambulance transportation | In-Network $0 |
Additional health services and supplies coverage
Aetna Medicare FIDE (HMO D-SNP) covers additional health services and medical supplies. Learn more below:
| Coverage | Details |
|---|---|
| Chiropractic services | In-Network $0 |
| 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 $0 |
| Diagnostic tests, lab and radiology services, and X-rays | Lab Services: In-Network $0 Diagnostic Procedures: In-Network $0 Imaging: In-Network Xray: $0 CT Scans: $0 Diagnostic Radiology other than CT Scans: $0 Diagnostic Radiology Mammogram: $0 |
| Home health care | In-Network 0% |
| Mental health inpatient care | In-Network: Psychiatric Hospital Services: Copayment for Psychiatric Hospital Services per Stay $0 Prior Authorization Required for Psychiatric Hospital Services |
| Mental health outpatient care | In-Network $0 for Mental Health - Group Sessions $0 for Mental Health - Individual Sessions $0 for Psychiatric Services - Group Sessions $0 for Psychiatric Services - Individual Sessions |
| Outpatient services/surgery | Ambulatory Surgical Center: In-Network $0 |
| Outpatient substance abuse care | In-Network: Outpatient Substance Abuse Services: Copayment for Medicare-covered Individual Sessions $0 Copayment for Medicare-covered Group Sessions $0 Prior Authorization Required for Outpatient Substance Abuse Services |
| Over-the-counter items | Over-the-Counter (OTC) Wallet with a $260 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 |
| Skilled Nursing Facility (SNF) care | In-Network $0 |
Dental benefit
Aetna Medicare FIDE (HMO D-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 $0 |
Vision benefit
Aetna Medicare FIDE (HMO D-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 $0 |
Hearing benefit
Aetna Medicare FIDE (HMO D-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 $0 |
Preventive services and health/wellness education programs
Aetna Medicare FIDE (HMO D-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 covered preventive services |
We can help you find out if your doctors are in a plan’s network when reviewing Aetna Medicare Advantage plans in New Jersey. We can also help you look for plans that cover your prescription drugs.
There may be other Aetna Medicare Advantage plans available in New Jersey. 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 FIDE (HMO D-SNP) by reviewing the following documents:
| Links to plan documents |
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