When you sign up for a health insurance plan, you know regular doctor visits will likely be covered, along with some prescription drugs and routine vaccinations and screenings. But Aetna Dual Eligible Special Needs Plan, or D-SNP, members get additional benefits and services that make it even easier to support your health needs.  

“It’s really important to know what these are,” says Nicole Wolf, RN, CCM. “They’re all designed to make reaching your health goals even easier. Wolf is a senior principal clinical leader at Aetna. To find out what’s included in an Aetna Special Needs plan and if one might be right for you, keep reading.

Check your eligibility for an Aetna D-SNP today

Find out if you qualify for an Aetna® Dual Eligible Special Needs Plan — we’re ready to help.

Learn more

Learn more

1. An entire care team on your side  

Trying to figure out your health care can be tricky. That’s especially true if you’re dealing with more than one complex health condition. Aetna plans help take the pressure off by pairing each member with a team of health care professionals called a care team. They can help you:

• Create an overall care plan. They work with you and your provider to determine the best benefits and services for reaching your health goals.
• Manage your care. 
• Get the health and community resources you may need.
• Coordinate your benefits.

2. Help paying for everyday expenses

Aetna D-SNP members get a monthly allowance on an Extra Benefits Card to pay for certain over-the-counter (OTC) products. Members who have a qualifying chronic condition and meet all other criteria can use the monthly allowance to help pay for additional everyday expenses, including certain:  

• Healthy foods
• Personal care products
• Transportation 
• Utilities 

3. $0 copays on covered Tier 1 and Tier 2 prescription drugs at in-network pharmacies 

Prescription medications can be expensive. And if you’re taking more than one, the costs can really add up. But Aetna SNPs come with $0 copays on covered Tier 1 and Tier 2 prescription drugs at in-network pharmacies. It’s just one way Aetna helps you get access to the medications you need to feel your best.

4. A 24-Hour Nurse Line*

As an Aetna member, you can call a special hotline to speak to a trained nurse and get support within minutes.“It’s available to Aetna members at all hours of the day or night. Which is important if a patient isn’t sure that they have an emergency,” says Wolf.  

A quick discussion with a nurse can tell you whether it’s better to stay in bed and rest — or whether you should make a trip to an urgent care center or the emergency room. Even better, the next day the information from your call will be sent to your case manager. That way, your case manager can follow up with you as needed.

5. Telehealth visits  

If you struggle with mobility issues, it can be hard to get to your provider in person. In some cases, you can opt for telehealth, if your provider offers virtual visits. This is where you see your provider by phone or secure video from the comfort of home. It can also be a good way to do follow-up visits and quick medication checks. 

Many primary care providers, specialists, urgent care clinics and mental health professionals offer telehealth. It’s included in Aetna Medicare Advantage plans, including D-SNPs.

6. Meal delivery after a hospital stay

The last thing you want to deal with after you’re discharged from the hospital is cooking. That’s why Aetna D-SNPs provide meals to members after a qualifying inpatient acute hospital, inpatient psychiatric hospital or skilled nursing facility stay. They meals are easy to heat in the oven or microwave, so you can focus on resting and getting well. 

“When someone gets out of the hospital, there are a lot of things they’re trying to manage,” says Wolf. “We ensure they can eat healthfully and get enough nutrition so they can optimally heal.”

7. A basic fitness membership 

A fitness center is more than just a place to exercise. It’s also a great place to socialize and make friends, says Wolf. Aetna members can gain access to one, at no added cost, through the SilverSneakers^® basic fitness membership. There are thousands of participating SilverSneakers locations across the country.

If it’s too hard for you to get to the gym, you can exercise at home instead. SilverSneakers also has online videos for yoga, strength training and more. 

8. Healthy home visits  

One in four older adults has a fall each year.* And more than 3.5 million older adults end up in the emergency room with fall-related injuries.* As an Aetna SNP member, you can request a Healthy Home Visit from your care team.

During a Healthy Home Visit, a licensed medical professional can assess your fall risk. 
 

Aetna Medicare is a HMO, PPO plan with a Medicare contract. Our DSNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary.

Participating health care providers are independent contractors and are neither agents nor employees of Aetna. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change. 

SilverSneakers is a registered trademark of Tivity Health, Inc. © 2025 Tivity Health, Inc. All rights reserved. For more information about Aetna plans, refer to our website. 

The benefit(s) mentioned are part of special supplemental benefits for the chronically ill (SSBCI). SSBCI conditions include certain cardiovascular disorders, chronic heart failure, and diabetes. Eligibility is determined by whether you have a chronic condition associated with the benefit(s) and you meet all other criteria. Even if you have a listed chronic condition, you may not necessarily receive the benefit because other eligibility and coverage criteria may apply. Standards and conditions vary for each benefit. Contact us to confirm the specific SSBCI condition requirements for the benefit(s) for this plan and determine your eligibility.For mail-order, you can get prescription drugs shipped to your home through the network mail-order delivery program. Typically, mail-order drugs arrive within 10 days. You can call the number on your member ID card if you do not receive your mail-order drugs within this timeframe. Members may have the option to sign-up for automated mail-order delivery.

For accommodation of persons with special needs at meetings, call 1-833-278-3924 (TTY: 711).

To send a complaint to Aetna, call the Plan or the number on your member ID card. 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. 

Nondiscrimination Notice | CA-Specific Nondiscrimination Notice

©2026 Aetna Inc. 
Y0001_9164456_2026_M 
6113504-18-01