Aetna Medicare Partial Dual Care (HMO D-SNP) — 2026 Special Needs Plan

SNPHMO D-SNPSNP: Dual-Eligible

Aetna Medicare

Plan ID: H4523_041

4.0
80/100

Mostly Stable

What affects this score:

Plan is merging with another (consolidated)-20

Monthly Premium

$4.6

+$4.6 drug premium

Medical Deductible

N/A

Drug Deductible

$615

Max Out-of-Pocket

$9,250

Key Copays

$0

Primary Care

Specialist

$110

Emergency Room

$40

Urgent Care

Supplemental Benefits

🦷 Dental
👁️ Vision
👂 Hearing
🏋️ Fitness
💊 OTC Benefit
🚘 Transportation
📱 Telehealth
🍲 Meals

OTC Allowance: $90/quarter

Benefit Details

Preventive Dental
Comprehensive Dental
Vision - Eye Exams
Vision - Eyewear
Hearing Exams & Aids
OTC Allowance · 90.0
Meals$0 copay
Transportation$0 copay
Telehealth$0 copay

Drug Coverage Summary

Drug Deductible

$615

Drug Premium

$4.6/mo

This plan includes Part D prescription drug coverage. Drug costs depend on which tier your medications fall under. Use our comparison tool to estimate your specific drug costs.

Medical Benefits

Inpatient Hospital

inpatient

Emergency Room

emergency

In: $110 copay

Urgent Care

urgent_care

In: $40 copay

Primary Care

primary_care

In: $0 copay

Specialist

specialist

Outpatient Hospital

outpatient

Dental - Preventive

dental

· 20%

Dental - Comprehensive

dental

Vision - Eye Exams

vision

· 20%

Hearing - Exams & Aids

hearing

· 20%

Counties Served (80)

Compare This Plan

See how this plan stacks up against others in your area.

Compare Plans

Find an Agent

Get free help from a licensed Medicare agent to enroll.

Find an Agent

Should You Switch?

Check if a different plan could save you money or offer better coverage.

Check Now

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

This is not a government website. This site is operated by Medicare Compare.