Aetna Medicare Full Dual (HMO D-SNP) in Lewis County, New York — 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 Full Dual (HMO D-SNP) (H3312-070) is a $23-premium Medicare Advantage HMO D-SNP from CVS Health Corporation available in Lewis County, New York in 2026, with a 3.0-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 Full Dual (HMO D-SNP)
Contract IDH3312
Plan ID070
Segment ID0
Contract year2026
Contract categorySNP
Plan typeHMO D-SNP
SNPYes — Dual-Eligible
Monthly consolidated premium$23.10
Part C premium$0.00
Part D basic premium$23.10
Part D total premium$23.10
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$9250.00
Overall star rating3.0

How this plan is structured

  • $23 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 = Lewis 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 Lewis County

The CMS CY2026 Landscape file lists 41 Medicare Advantage plans in Lewis County, New York, of which 0 carry a 5.0-star overall rating and 21 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $135.00 per month, and in-network out-of-pocket maximums range from $4300.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Lewis County, New York.

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 — H3312-070.
  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 H3312-070 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H3312-070, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 3312 are the contract number issued to the organization, and the three-digit 070 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 Full Dual (HMO D-SNP) an HMO or PPO?

Aetna Medicare Full Dual (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 Full Dual (HMO D-SNP) include prescription drug coverage?

Yes — Aetna Medicare Full Dual (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 Full Dual (HMO D-SNP)?

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

What counties offer Aetna Medicare Full Dual (HMO D-SNP) (H3312-070)?

Aetna Medicare Full Dual (HMO D-SNP) (H3312-070) is offered in 45 New York counties: Albany County, Allegany County, Broome County, Cattaraugus County, Cayuga County, Chautauqua County, Chemung County, Chenango County, Clinton County, Columbia County, Cortland County, Delaware County, Dutchess County, Erie County, Essex County, Franklin County, Fulton County, Greene County, Hamilton County, Herkimer County, Jefferson County, Lewis County, Madison County, Montgomery County, Niagara County, Oneida County, Onondaga County, Orange County, Oswego County, Otsego County, Putnam County, Rensselaer County, Saratoga County, Schenectady County, Schoharie County, Schuyler County, St. Lawrence County, Steuben County, Sullivan County, Tioga County, Tompkins County, Ulster County, Warren County, Washington County, and Wyoming County.

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