Have a chronic condition? Medicare Advantage can provide more personalized support.

Did you know more than 90% of adults 65 and older have at least one chronic condition and more than half have two or more?

If you or a loved one is an older adult with a chronic condition, you may already know how overwhelming and expensive managing that condition can be. But you shouldn't have to do it alone. If you're eligible for Medicare and are diagnosed with a qualifying chronic condition like diabetes, chronic heart failure or certain other cardiovascular disorders, you may be eligible for a type of Medicare Advantage plan called a Chronic Condition Special Needs Plan (C-SNP). A C-SNP provides targeted coverage and benefits to support your health.

In 2027, Aetna^® is expanding the availability of its C-SNPs and will offer them in 25 states.

Customized benefits to support chronic health conditions

Aetna Medicare Advantage C-SNPs are for people who are eligible for Medicare and have a qualifying chronic condition. These plans provide added support and resources to help members live healthier, more empowered lives. They even include a personal care team to help members manage their care and improve their quality of life.

"A comprehensive medical plan like an Aetna Medicare Advantage C-SNP provides members with additional benefits and services, including a care team that checks in regularly to help manage their condition, coordinate appointments and connect them to resources," said Dr. Terence Offenberger, associate vice president and deputy chief medical officer, Aetna Medicare. "When you have a chronic health condition, that kind of care isn't just nice to have — it makes a real difference for your overall well-being."

One Aetna C-SNP member explained, "My Aetna care team supports my chronic condition by helping me understand my medical coverage and prescriptions. They make sure I have the doctors I need and arrange for transportation to my appointments."

Another Aetna C-SNP member shared, "The support from my Aetna plan goes above and beyond. My care team even checks in to see how I'm doing. I feel at ease knowing that they are there for me."

Affordable options and supplemental benefits

An Aetna Medicare Advantage C-SNP also offers:

• $0 copays for in-network primary care and certain in-network specialty care related to the qualifying chronic conditions. This includes cardiology, nephrology, endocrinology and pulmonology.
• Extra Benefits Card with a monthly allowance for certain over-the-counter products. Those with a qualifying chronic condition who meet all other eligibility requirements can use the monthly allowance to help pay for additional everyday expenses, including certain healthy groceries, personal care products, transportation and utilities.
• $0 copays on over 200 Tier 1 chronic condition drugs at in-network pharmacies.
• Dental care, eyewear and hearing aid benefits.

Fitness membership and vital resources

Staying active is crucial as people age, especially for those with chronic conditions. Aetna C-SNPs include a SilverSneakers^® basic fitness membership with access to thousands of participating locations and exercise classes at recreation centers and parks.

C-SNP members also have access to the CVS Health^® Resources For Living^® program.* This program connects members with community services and resources like transportation, housing, food programs and caregiver support, based on individual members' needs. In addition, it offers resources that address issues affecting members' physical and mental health, such as loneliness.

Who is eligible for an Aetna Medicare Advantage C-SNP?

You may qualify for an Aetna Medicare Advantage C-SNP if you've been diagnosed with certain chronic conditions, verified by your health care provider during enrollment.

Eligible chronic conditions include:

• Diabetes mellitus (high blood sugar)
• Chronic heart failure (CHF) (heart is unable to pump blood as it should)
• Cardiac arrhythmias (irregular heartbeats)
• Coronary artery disease (blocked blood vessels in the heart)
• Peripheral vascular disease (poor circulation in the arms and legs)
• Valvular heart disease (damage of flaps in the heart that control blood flow)

Aetna C-SNPs are available in the following states:

Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Missouri, Nevada, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Texas and Washington.

Enrolling in a C-SNP

The Medicare Advantage Annual Enrollment Period is October 15 through December 7 (for benefits beginning January 1, 2027). If you're eligible for Medicare, this is an important time to review which health plans can best support your needs. You can also enroll in a C-SNP throughout the year if you're newly diagnosed with a chronic condition covered by a C-SNP.

Because Medicare plans change every year, it's a good idea to review your Evidence of Coverage or Annual Notice of Change (ANOC) to decide if your current plan still fits your needs. Choosing the right plan based on your specific needs is one of the most important decisions you can make for your well-being.

Find out if you qualify for a C-SNP by talking to a licensed Aetna agent who can confirm your eligibility and answer your questions, at no cost. Call 1-844-588-0041 (TTY: 711) 8 AM–8 PM, 7 days a week. They can also help you complete the eligibility form and work with your provider to verify your condition.

Learn more about Medicare Advantage plans to help support your health, or the health of a loved one, at Aetna.com/Medicare.

SilverSneakers is a registered trademark of Tivity Health, Inc. © Tivity Health, Inc. All rights reserved.

*FOR RESOURCES FOR LIVING: There's no added cost to contact Resources For Living. Members only pay for the costs (if any apply) for services they use.

Resources For Living^® is the brand name used for products and services offered through the Aetna^® group of subsidiary companies.

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. The Aetna C-SNP is available to Medicare members who have at least one of the qualifying chronic conditions. To ensure a successful enrollment process, we'll confirm with your health care provider that you have one of these eligible conditions. If verification of eligible condition is not received, involuntary disenrollment will occur. 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.

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.

This material is for informational purposes only and is not medical advice. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Contact a health care professional with any questions or concerns about specific health care needs. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna is not a provider of health care services and, therefore, cannot guarantee any results or outcomes. The availability of any particular provider cannot be guaranteed and is subject to change. Information is believed to be accurate as of the production date; however, it is subject to change. For more information about Aetna plans, refer to our website.

Plan features and availability may vary by service area.

© Aetna Inc.

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