Aetna Medicare HIDE (HMO D-SNP) in Macomb County, Michigan — 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 HIDE (HMO D-SNP) (H9314-001) is a $9-premium Medicare Advantage HMO D-SNP from CVS Health Corporation available in Macomb County, Michigan in 2026, with a —-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)
| Organization | CVS Health Corporation |
|---|---|
| Plan name | Aetna Medicare HIDE (HMO D-SNP) |
| Contract ID | H9314 |
| Plan ID | 001 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | SNP |
| Plan type | HMO D-SNP |
| SNP | Yes — Dual-Eligible |
| Monthly consolidated premium | $8.80 |
| Part C premium | $0.00 |
| Part D basic premium | $8.80 |
| Part D total premium | $8.80 |
| Annual Part D deductible | $615.00 |
| Maximum out-of-pocket (in-network) | $9250.00 |
| Overall star rating | — |
How this plan is structured
- $9 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
- HMO D-SNP plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
- $9,250 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
- Service area = Macomb County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.
How it compares in Macomb County
The CMS CY2026 Landscape file lists 86 Medicare Advantage plans in Macomb County, Michigan, of which 0 carry a 5.0-star overall rating and 52 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $298.60 per month, and in-network out-of-pocket maximums range from $3500.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Macomb County, Michigan.
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:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H9314-001.
- 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.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H9314-001 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H9314-001, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 9314 are the contract number issued to the organization, and the three-digit 001 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 HIDE (HMO D-SNP) an HMO or PPO?
Aetna Medicare HIDE (HMO D-SNP) is an HMO D-SNP — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.
Does Aetna Medicare HIDE (HMO D-SNP) include prescription drug coverage?
Yes — Aetna Medicare HIDE (HMO 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 HIDE (HMO D-SNP)?
The 2026 in-network maximum out-of-pocket limit for Aetna Medicare HIDE (HMO D-SNP) is $9250.00, per the CMS CY2026 Landscape file.
What counties offer Aetna Medicare HIDE (HMO D-SNP) (H9314-001)?
Aetna Medicare HIDE (HMO D-SNP) (H9314-001) is offered in ten Michigan counties: Barry County, Berrien County, Branch County, Calhoun County, Cass County, Kalamazoo County, Macomb County, St. Joseph County, Van Buren County, and Wayne County.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.