Aetna Medicare Dual Choice (PPO D-SNP)

Monthly premium

$0.00
CMS Plan Rating
Contract ID
H5521-539-000
Medical deductible
$0 - $257
Rx deductible
$0
Medicare Part B Giveback
$0

Monthly premium

$0.00
Aetna Medicare Dual Choice (PPO D-SNP)
Contract ID
CMS Plan Rating
H5521-539-000
Medical deductible
$0 - $257
Rx deductible
$0
Medicare Part B Giveback
$0

Medicare Advantage, also known as Medicare Part C, is a health plan option that provides Medicare Part A and Part B coverage. Medicare Advantage plans are offered by private insurance companies that are approved by Medicare. These plans provide benefits similar to Original Medicare Part A and Part B, but often include additional benefits such as dental, hearing and vision.

Medical benefits

In-network

What you pay

Primary doctor
$0 copay
Specialist
$0 copay
Outpatient diagnostic tests/Lab and X-Rays
$0 copay
Urgent care
$0 copay
Maximum Out-of-Pocket (Annually)
$9,350
Ambulance services
$0 copay
Emergency room (waived if admitted to hospital within 24 hours)
$0 copay
Inpatient hospital care
$0 copay
Skilled nursing facility
$0 per day (Days 1‑100)

For full plan details, see the Evidence of Coverage or Summary of Benefits in the Plan Documents

Rx benefits

Tier 1 - Preferred generic
$0 copay
Tier 2 - Generic
$0 copay
Tier 3 - Preferred brand
$0 copay
Tier 4 - Non-preferred brand
$0 copay
Tier 5 - Specialty
$0 copay

Additional Benefits

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