Aetna Medicare Dual Care (PPO D-SNP) in Tensas County, Louisiana — 2026 plan details

Last updated Jul 18, 2026

Reviewed by Jason Burns, Editorial Steward

Published by Senior Direct Answers · Licensed under Citation License 1.0

Aetna Medicare Dual Care (PPO D-SNP) (H5521-472) is a $26-premium Medicare Advantage PPO D-SNP from CVS Health Corporation available in Tensas County, Louisiana in 2026, with a 4.5-star overall rating, a $9,250 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationCVS Health Corporation
Plan nameAetna Medicare Dual Care (PPO D-SNP)
Contract IDH5521
Plan ID472
Segment ID0
Contract year2026
Contract categorySNP
Plan typePPO D-SNP
SNPYes — Dual-Eligible
Monthly consolidated premium$25.80
Part C premium$0.00
Part D basic premium$25.80
Part D total premium$25.80
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$9250.00
Overall star rating4.5

How this plan is structured

How it compares in Tensas County

The CMS CY2026 Landscape file lists 40 Medicare Advantage plans in Tensas County, Louisiana, of which 0 carry a 5.0-star overall rating and 15 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $218.00 per month, and in-network out-of-pocket maximums range from $3300.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Tensas County, Louisiana.

How to verify your doctors take this plan

Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H5521-472.
  2. Call the plan (CVS Health Corporation) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H5521-472 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5521-472, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 5521 are the contract number issued to the organization, and the three-digit 472 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is Aetna Medicare Dual Care (PPO D-SNP) an HMO or PPO?

Aetna Medicare Dual Care (PPO D-SNP) is a PPO D-SNP Medicare Advantage plan.

Does Aetna Medicare Dual Care (PPO D-SNP) include prescription drug coverage?

Yes — Aetna Medicare Dual Care (PPO D-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $615.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for Aetna Medicare Dual Care (PPO D-SNP)?

The 2026 in-network maximum out-of-pocket limit for Aetna Medicare Dual Care (PPO D-SNP) is $9250.00, per the CMS CY2026 Landscape file.

What counties offer Aetna Medicare Dual Care (PPO D-SNP) (H5521-472)?

Aetna Medicare Dual Care (PPO D-SNP) (H5521-472) is offered in 35 Louisiana counties: Acadia County, Ascension County, Calcasieu County, Caldwell County, Cameron County, Catahoula County, Concordia County, East Baton Rouge County, East Carroll County, East Feliciana County, Iberville County, Jefferson County, Jefferson Davis County, Lafayette County, Lafourche County, LaSalle County, Livingston County, Madison County, Orleans County, Plaquemines County, Pointe Coupee County, St. Bernard County, St. Charles County, St. Helena County, St. James County, St. John the Baptist County, St. Mary County, St. Tammany County, Tangipahoa County, Tensas County, Terrebonne County, Vermilion County, West Baton Rouge County, West Carroll County, and West Feliciana County.

Sources