Talk to Member Services – 8 AM to 8 PM, 7 days a week, local time.
They can also help you:
- Update your contact information
- Change your (PCP)
Welcome to your D-SNP plan
You’ve made a great choice with Aetna®. Your Dual Eligible Special Needs Plan (D-SNP) comes with lots of helpful benefits. And you have a care team to help make it easier to get the care you need.
What's covered in your plan?
Find out what benefits and services are covered in your plan. Select your plan link below to view important documents like your over-the-counter (OTC) catalog and Summary of Benefits. You can also search for covered doctors, drugs and more.
Here’s what to expect as a new member
Welcome call
A member of our team will call you to:
- Confirm your plan
- Review your primary care physician (PCP)
- Help answer your questions
Member ID card
Your Aetna member ID card will arrive by mail.
- It will include important phone numbers
- Always bring your ID card (and your Medicaid ID, if you have one) to pharmacies and doctor visits
Meet your D-SNP care team
Taking care of your health and well-being is a lifelong journey. As a member of an Aetna Dual Eligible Special Needs Plan, or D-SNP, you don’t have to go through it alone. You have an entire Aetna care team on your side every step of the way.
Your care team may include a nurse care manager, care coordinator, social worker, member advocate and health survey specialist. They are there to help you manage your health and get the most out of your benefits.
Soon after your plan begins, a member of your care team will give you a call to complete your health survey. This will help them get to know you and your health and wellness needs. And once it’s complete, you’ll receive a $50 gift card in the mail. Since your needs can change over time, the survey should be updated each year — your care team will reach out each year when it’s time.
Are you managing one or more health conditions? Struggling with certain symptoms? Confused about your medications? Sharing your questions and concerns with your care team can help them develop a care plan that best fits your needs.
That might include questions and concerns about seeing more than one health care provider. But don’t worry. Your care team may be able to help coordinate and schedule visits to your doctors, the dentist and other providers you need to see.
Having trouble getting to an appointment? Your care team may be able to help with that too. Most plans include transportation to and from approved locations. These include doctor’s offices and hospitals, pharmacies, senior centers and more.
Many D-SNP members have questions about their medications, like: How often should I take it? What are the side effects? What happens if I miss a dose? Understanding your medications is important for staying well. And your care team can help provide answers.
Beyond health care services, you also need a safe place to live to stay well. If that’s missing from your life, your care team can provide assistance. They can connect you with local and state programs that can help you with safe housing, your utility bills and more.
Sometimes, understanding your Medicaid benefits can be hard. If you have questions, your care team is there to answer them. They can help you access your state Medicaid benefits and make sure you get the benefits and services you need.
At Aetna, our number 1 goal is to make getting the care you need easy. That’s why your care team is here for you — to help you get the most out of your plan and reach your health goals. So give them a call at 1-866-409-1221 (TTY: 711). They’re available between 8:30 AM and 5:00 PM local time, Monday through Friday.
To learn more about what your D-SNP plan can do for you, visit AetnaMedicare.com/MyDSNP
Meet your D-SNP care team
As a D-SNP member, you have the support of a personal care team. Your team will help you get the heath care you need, when you need it.
Watch the video and see how your care team can help you.
Your personal care team includes:
- Care coordinator
- Nurse care manager
- Social worker
- Member advocate
- Health survey specialist
And they can:
- Learn your individual needs
- Develop your care plan with your doctor
- Coordinate visits to doctors, dentists and other health care providers
- Help you understand your medications
- Connect you with programs to help with safe housing, healthy foods, utility bills and more
- Help you access your state Medicaid benefits
Take your annual health survey
It’s easy –– and it will help us to help you
We want to make sure you get the care you need. That’s why we encourage you to complete your annual health survey.
Get started online:
Or call 1-866-409-1221 ${tty} and press option 2 to reach a Health Survey Specialist. They’re available Monday to Friday, 8:30 AM to 5:00 PM local time.
Your privacy matters. Anything you tell your care team is kept private. It won’t affect what’s covered under your medical plan.
Get the most from your benefits
Your Aetna plan covers medical services and includes helpful benefits:*
$0 copays on covered Part D prescriptions at in-network pharmacies
Benefit for covered dental services at an in-network dental provider, including cleanings, extractions, crowns, and more**
Annual benefits for covered prescription eyewear, including glasses, lenses, frames, or contacts and a routine eye exam
Annual benefit for hearing aids plus a $0 in-network routine hearing exam through NationsHearing®
Help is just a phone call away
1-866-409-1221 ${tty}
Your Aetna team is here for you. Call to get the help and answers you need.
Questions about your plan, benefits or claims?
Questions about your health?
Talk to your care team – Monday to Friday, 8:30 AM to 5:00 PM, local time.
They'll help you get the care you need. This includes:
- Scheduling visits to health care providers
- Understanding your medications
After-hours questions about your health?
Talk to our 24/7 Nurse Line – 24 hours a day, 7 days a week.
They'll help with non-emergency health questions or concerns.
Get in touch with your care team today
1-866-409-1221 ${tty}
8 AM to 8 PM, 7 days a week, local time
Benefits may vary by plan
*FOR PLAN INCLUDES BENEFITS:The benefits mentioned are part of a special supplemental program for the chronically ill. Not all members qualify.
**FOR DENTAL BENEFIT FOR COVERED SERVICES: Dental benefit does not apply to CA Wrap and VA DentaQuest plans.
This material is for informational purposes only and is not medical advice. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Contact a health care professional with any questions or concerns about specific health care needs. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna is not a provider of health care services and, therefore, cannot guarantee any results or outcomes. The availability of any particular provider cannot be guaranteed and is subject to change. Information is believed to be accurate as of the production date; however, it is subject to change. For more information about Aetna plans, refer to our website . To send a complaint to Medicare, call 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week. If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance.