Aetna Medicare Dual Complete DSNP

Question 1

What counties is the DSNP available?

Answer 1

Collin, Dallas, Denton, Johnson, Parker, Tarrant

Question 2

Are referrals required for the DSNP?

Answer 2

Referrals ARE required

Question 3

What is the monthly premium for the DSNP?

Answer 3

$15.20 but it is a $0 premium for DSNP eligible

Question 4

What is the MOOP for the DSNP?

Answer 4

$6700

Question 5

What is the hospital copay for the DSNP?

Answer 5

$0/day for days 1-60

$341/day for days 61-90

Question 6

What are the ambulance copays for the Dual Complete DSNP?

Answer 6

$0

Question 7

What are the copays for OP surgery on the DSNP?

Answer 7

$0

Question 8

What are the PCP/Specialist copays on the DSNP?

Answer 8

PCP = $0
Specialist = $0

Question 9

What is the RX deductible for the dual complete DSNP?

Answer 9

$0

Question 10

What are the RX copays for the DSNP?

Answer 10

$0-8.50 depending on tier level

Question 11

Is Silver Sneakers Included on the DSNP?

Answer 11

Yes

Question 12

What is the dental allowance for the DSNP?

Answer 12

$2500

Question 13

What is the vision allowance for the DSNP?

Answer 13

$500

Question 14

Is there a hearing allowance on the DSNP?

Answer 14

$1250

Question 15

Is transportation covered on the DSNP?

Answer 15

60 one-way trips

Question 16

Is OTC covered on the DSNP?

Answer 16

$225/quarter