Special Needs Plan (Medicare Advantage) · HMO C-SNP · Plan ID H3959-075
Aetna Medicare Chronic Care Value (HMO C-SNP)
Offered by Aetna Medicare (CVS Health Corporation) · available in 8 counties in PA
Only for people with a qualifying chronic condition the plan names.
Monthly premium$12.80health + drug coverage
Yearly out-of-pocket max$9,850in network
Drug deductible$700Enhanced Alternative
Star Rating★★★½ 3.5 out of 52027 CMS rating
Extra benefits listed in the CMS file
| Dental | Preventive and comprehensive dental, up to $1,500 a year for comprehensive |
|---|---|
| Vision | routine eye exam; eyewear |
| Hearing | routine hearing exam; hearing aids, plan pays up to $500 per year |
| Over-the-counter items | $54 per month allowance |
| Fitness | Fitness benefit (gym membership or program) |
| Meals | Meal benefit (usually after a hospital stay or for a qualifying condition) |
| Transportation | Rides to health-related locations |
Allowances and limits come from the plan's filing with CMS and are simplified here. Some benefits are only for members with certain chronic conditions. The plan's Evidence of Coverage is the final word.
Check the details that matter most
- Is my doctor in the network? (plan's provider directory)
- Are my prescriptions covered? (plan's drug list)
- Is my pharmacy in the network?
- Plan website
- See this plan on Medicare.gov, where you can add your prescriptions and compare estimated yearly costs.
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