Aetna Medicare Full Dual Select (HMO D-SNP)

AETNA HEALTH INC. (FL) · 2027 plan year

Plan ID H1609-074-000

HMO★ 4 CMS StarsDual-Eligible SNP
MOOP (in-network)
$9,850
MOOP (combined)
—
Monthly premium
$0/mo
Part C $0 + Part D $0
Prescription drugs
Included

This plan in 2026

Plan information

Contract / Plan / Segment
H1609-074-000
Medical deductible
Medicare Part B deductible (CMS has not yet announced the 2027 amount)
Part D premium
$0/mo (part of the monthly premium above)
Part D deductible
$700/yr
Also owed
Your Medicare Part B premium, paid separately

More AETNA HEALTH INC. (FL) plans in FL

Benefits & cost sharing

Primary Care

BenefitIn-network
Chiropractic — Routine CareNo charge

Hospital

BenefitIn-network
Worldwide Urgent Care CoverageNo charge
Inpatient Hospital — Acute$2,178 per stay
Inpatient Hospital — Additional Days (Acute)No charge
Inpatient Hospital — Psychiatric$2,091 per stay

Pharmacy

BenefitIn-network
Part B DrugsSee plan details
Chemotherapy & Radiation Drugs (Part B)0%-20% coinsurance
Other Part B Drugs0%-20% coinsurance

Mental Health

BenefitIn-network
Supplemental Health BenefitsSee plan details
Mental Health Specialty ServicesSee plan details
Mental Health — Individual Sessions20% coinsurance
Mental Health — Group Sessions20% coinsurance

Other

BenefitIn-network
Ground Ambulance20% coinsurance
Vision — Eye ExamsSee plan details
Vision — Eyeglass LensesNo charge
Vision — Eyewear UpgradesNo charge
Hearing — Exams30% coinsurance
Worldwide Emergency TransportationNo charge
Partial Hospitalization Program30% coinsurance
Intensive Outpatient Program (IOP)30% coinsurance
Home Health ServicesNo charge
Primary Care Physician Services30% coinsurance
Chiropractic Services30% coinsurance
Chiropractic ServicesSee plan details
Occupational Therapy Services30% coinsurance
Physician Specialist Services30% coinsurance
Podiatry Services30% coinsurance
Podiatry ServicesNo charge
Other Health Care Professional Services30% coinsurance
Psychiatric ServicesSee plan details
Psychiatric Services — Individual Sessions20% coinsurance
Psychiatric Services — Group Sessions20% coinsurance
Physical Therapy & Speech-Language Pathology30% coinsurance
Air Ambulance20% coinsurance
Annual Physical ExamNo charge
Health EducationNo charge
Smoking & Tobacco Cessation CounselingNo charge
Fitness BenefitNo charge
Dental — Oral ExamsNo charge
Dental — X-RaysNo charge
Dental — Diagnostic ServicesNo charge
Dental — Prophylaxis (Cleaning)No charge
Dental — ComprehensiveSee plan details
Dental — Restorative ServicesNo charge
Dental — Endodontics (Root Canal)No charge
Dental — Periodontics (Gum Care)No charge
Dental — Removable Prosthodontics (Dentures)No charge
Dental — Fixed Prosthodontics (Bridges)No charge
Dental — Oral & Maxillofacial SurgeryNo charge
Dental — Adjunctive General ServicesNo charge
Vision — Eye Exams30% coinsurance
Vision — Routine Eye ExamsNo charge
Vision — Other Eye ServicesNo charge
Vision — EyewearNo charge
Vision — EyewearSee plan details
Vision — Contact LensesNo charge
Vision — Eyeglasses (Lenses & Frames)No charge
Vision — Eyeglass FramesNo charge
Hearing — ExamsSee plan details
Hearing — Routine ExamsNo charge
Hearing — Fitting & Evaluation for Hearing AidNo charge
Hearing — Prescription Hearing AidsSee plan details
Hearing — Hearing Aids (All Types)No charge
Skilled Nursing Facility (SNF)$0/day for days 1–20, $221/day for days 21–100
Cardiac Rehabilitation — Additional Sessions30% coinsurance
Intensive Cardiac Rehabilitation — Additional Sessions30% coinsurance
Pulmonary Rehabilitation — Additional Sessions30% coinsurance
Supervised Exercise Therapy (SET)30% coinsurance
Emergency Services$115
Urgently Needed Services30% coinsurance (max $40)
Worldwide Emergency & Urgent CoverageSee plan details
Worldwide Emergency CoverageNo charge
Additional Telehealth Services (Part B)30% coinsurance
Opioid Treatment Program Services20% coinsurance
Diagnostic Tests & Lab ServicesSee plan details
Diagnostic Procedures & Tests0%-20% coinsurance
Laboratory ServicesNo charge
Radiological ServicesSee plan details
Diagnostic Radiology0%-20% coinsurance
Therapeutic Radiology20% coinsurance
X-Ray Services$0-$50
Outpatient Hospital Services20% coinsurance
Hospital Observation Services20% coinsurance
Ambulatory Surgical Center (ASC)20% coinsurance
Outpatient Substance Abuse ServicesSee plan details
Substance Abuse — Individual Sessions20% coinsurance
Substance Abuse — Group Sessions20% coinsurance
Outpatient Blood ServicesNo charge
Ambulance ServicesSee plan details
Non-Emergency Transportation — Health FacilityNo charge
Durable Medical Equipment (DME)20% coinsurance
Prosthetics & OrthoticsSee plan details
Prosthetic Devices20% coinsurance
Medical Supplies0%-20% coinsurance
Diabetic Supplies & ServicesSee plan details
Diabetic SuppliesNo charge
Diabetic Therapeutic Shoes & Inserts20% coinsurance
Diabetic MonitorsNo charge
Dialysis Services20% coinsurance
Over-the-Counter (OTC) ItemsNo charge
Meal BenefitNo charge
Other Supplemental BenefitNo charge
Other Supplemental BenefitNo charge
Medicare-Covered Preventive ServicesSee plan details
Remote Access TechnologiesNo charge
Home & Bathroom Safety DevicesNo charge
Personal Emergency Response System (PERS)No charge
Wigs for Chemotherapy Hair LossNo charge
Kidney Disease Education Services20% coinsurance
Glaucoma ScreeningNo charge
Diabetes Self-Management TrainingNo charge
Digital Rectal ExamsNo charge
Welcome to Medicare EKGNo charge
Insulin (Part B)$35
Dental — Medicare-Covered Services30% coinsurance
Dental — PreventiveSee plan details
Cardiac & Pulmonary RehabilitationSee plan details

Service area

  • FL: 5 counties

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