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Aetna Medicare Dual (PPO D-SNP)
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
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Monthly Premium
Aetna Medicare Dual (PPO D-SNP) is a PPO D-SNP plan offered by Aetna Inc.
Plan ID: H1608-077
HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.
Medicare beneficiaries may find it helpful to review available Medicare Advantage plans in their area. Medicare Advantage plans are designed to combine the coverage offered from Original Medicare (Medicare Part A and Part B) while also offering additional benefits.
Many Medicare Advantage plans may cover prescription drug coverage as well as additional benefits such as Dental, Vision and Hearing.
Learn more about Medicare Advantage plans such as Aetna Medicare Dual (PPO D-SNP) - H1608-077 by Aetna Inc. as well as other Medicare Advantage plans available in your area.
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Monthly Premium
Arkansas Counties Served
ArkansasBentonCalhounCarrollClarkCleburneColumbiaCrawfordCrittendenCrossDallasGarlandGrantGreeneHempsteadHot SpringHowardJacksonJeffersonLafayetteLawrenceLeeLittle RiverLoganLonokeMadisonMarionMccurtainMillerMississippiMontgomeryNevadaNewtonOuachitaPerryPhillipsPikePoinsettPopePrairiePulaskiSaint FrancisSalineSearcySebastianSevierStoneUnionVan BurenWashingtonWhiteWoodruffYell
Basic Costs and Coverage
| Coverage | Cost |
|---|---|
| Monthly Deductible | $615 |
| Out of Pocket Max |
In-Network: $9250 Out-of-Network: N/A |
| Initial Coverage Limit | $0 |
| Catastrophic Coverage Limit | $2100 |
| Primary Care Doctor Visit | In-Network|$0 |
| Specialty Doctor Visit | In-Network|$0 - $25 based on level of Medicaid eligibility. |
| Inpatient Hospital Care | Out-of-Network|$0 - $380 per day, days 1-7; $0 per day, days 8-90 based on level of Medicaid eligibility. |
| Urgent Care | Urgent Care: Copayment for Urgent Care $0 or $15 Worldwide Coverage: Copayment for Worldwide Urgent Coverage $0 Maximum Plan Benefit of $250,000 |
| Emergency Room Visit | $0 - $115 based on level of Medicaid eligibility. If you are admitted to the hospital within 24 hours your cost share may be waived. |
| Ambulance Transportation | Out-of-Network|$0 - $280 based on level of Medicaid eligibility |
Health Care Services and Medical Supplies
Aetna Medicare Dual (PPO D-SNP) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B).
| Coverage | Cost |
|---|---|
| Chiropractic Services | Out-of-Network: Chiropractic Services: Coinsurance for Medicare Covered Chiropractic Services 0% or 30% In-Network: Chiropractic Services: Copayment for Medicare-covered Chiropractic Services $0 or $15 Copayment for Routine Care $0
|
| Diabetes Supplies, Training, Nutrition Therapy and Monitoring | Out-of-Network|0% for Roche/Accu-Chek and TRUE/Trividia diabetic supplies|$0 - 20% based on level of Medicaid eligibility for other covered diabetic supplies |
| Durable Medical Equipment (DME) | Out-of-Network|$0 - 20% based on level of Medicaid eligibility |
| Diagnostic Tests, Lab and Radiology Services, and X-Rays | Lab Services: In-Network|$0 Diagnostic Procedures: In-Network|$0 for services provided by your primary care provider in their office|$0 - $95 based on level of Medicaid eligibility for services performed by a provider other than your primary care provider Imaging: In-Network|Xray: $0|CT Scans: $0 - 20%|Diagnostic Radiology other than CT Scans: $0 - 20%|based on level of Medicaid eligibility|Diagnostic Radiology Mammogram: 0% |
| Home Health Care | In-Network|$0 |
| Mental Health Inpatient Care | In-Network: Psychiatric Hospital Services: $678 per day for days 1 to 3 $0 per day for days 4 to 90 Prior Authorization Required for Psychiatric Hospital Services |
| Mental Health Outpatient Care | In-Network|$0 - $40 for Mental Health - Group Sessions|$0 - $40 for Mental Health - Individual Sessions|$0 - $40 for Psychiatric Services - Group Sessions|$0 - $40 for Psychiatric Services - Individual Sessions||based on level of Medicaid eligibility |
| Outpatient Services / Surgery | Ambulatory Surgical Center: Out-of-Network|$0 - 50% based on level of Medicaid eligibility |
| Outpatient Substance Abuse Care | In-Network: Outpatient Substance Abuse Services: Copayment for Medicare-covered Individual Sessions $0 or $40 Coinsurance for Medicare-covered Group Sessions 0% or 20% Prior Authorization Required for Outpatient Substance Abuse Services Out-of-Network: Outpatient Substance Abuse Services: Coinsurance for Medicare Covered Individual Sessions 0% or 30% Coinsurance for Medicare Covered Group Sessions 0% or 30% |
| Over-the-counter (OTC) Items | Over-the-Counter (OTC) Wallet with a $45 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), and online or by phone through CVS OTC Health Solutions.||Qualifying members may be eligible for additional spending categories on the Extra Supports Wallet. See EOC for more information on the Extra Supports Wallet. |
| Podiatry Services | In-Network: Podiatry Services: Copayment for Medicare-Covered Podiatry Services $0 or $25 Copayment for Routine Foot Care $0
Out-of-Network: Podiatry Services: Copayment for Medicare Covered Podiatry Services $0 |
| Skilled Nursing Facility Care | Out-of-Network|$0 - $0 per day, days 1-20; $218 per day, days 21-100 based on level of Medicaid eligibility |
Dental Benefits
The following dental services are covered from in-network providers.
| Coverage | Cost |
|---|---|
| Dental Care | Out-of-Network||Preventive dental services:|20% for oral exams|20% for cleanings|20% for fluoride treatments|20% for x-rays|20% for other diagnostic dental services|20% for other preventive dental services||Comprehensive dental services:|20% for restorative services|20% for endodontic services|20% for periodontic services|20% for removeable prosthodontics|20% for fixed prosthodontics|20% for oral and maxillofacial surgery|20% for adjunctive services||$1,000 benefit amount (allowance) every year in and out-of-network for covered preventive and comprehensive dental services combined.||ADA recognized dental services are covered up to the benefit amount excluding implants and implant related services, orthodontics, cosmetic services, those considered medical in nature, and administrative charges. See EOC for a full list of exclusions. |
Vision Benefits
The following vision services are covered from in-network providers.
| Coverage | Cost |
|---|---|
| Vision Benefits | In-Network||Eye Exams:|$0 for Diabetic eye exams|$0-$25 based on level of Medicaid eligibility for all other Medicare-covered eye exams|$0 for non-Medicare covered eye exams|Maximum one non-Medicare covered routine eye exam every calendar year in or out-of-network with an EyeMed provider||Eyewear:|$0 for Medicare-covered prescription eyewear|$0 for Contacts|$0 for Eyeglasses|$0 for Eyeglass Frames|$0 for Eyeglass Lenses|$0 for Upgrades |
Hearing Benefits
The following hearing services are covered from in-network providers.
| Coverage | Cost |
|---|---|
| Hearing Benefits | Out-of-Network:||Hearing Exams:|0%-50% based on level of Medicaid eligibility for Medicare-covered hearing exams|0% for non-Medicare covered hearing exams|(Maximum one non-Medicare covered hearing exam every year in or out-of-network||Hearing Aids: You must purchase hearing aids through NationsHearing |
Preventive Services and Health/Wellness Education Programs
The following services are covered from in-network providers.
| Coverage | Cost |
|---|---|
| Preventive Services and Health/Wellness Education Programs | In-Network|$0 for all preventive services covered under Original Medicare |
Prescription Drug Costs and Coverage
The Aetna Medicare Dual (PPO D-SNP) plan offers the following prescription drug coverage, with an annual drug deductible of $615 (excludes Tiers 1) per year.
| Coverage |
Cost
|
|---|---|
|
Coverage & Cost
|
|
| Annual Drug Deductible | $615 (excludes Tiers 1) |
| Preferred Generic |
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| Annual Drug Deductible | $615 (excludes Tiers 1) |
| Preferred Generic |
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| Annual Drug Deductible | $615 (excludes Tiers 1) |
| Preferred Generic |
|