Aetna Expands Services for Dual Eligible Medicare Beneficiaries
Aetna is proud to announce that it has been recommended for a new contract to enhance health care options for Michigan residents who are eligible for both Medicare and Medicaid, furthering its commitment to integration and support for these individuals.
New Contract Benefits Residents
This new contract allows Aetna to offer a Highly Integrated Dual Eligible Special Needs Plan (HIDE SNP). Through this plan, eligible residents will gain access to comprehensive Medicare benefits, an extensive range of Medicaid-covered services, and long-term services and supports (LTSS) tailored for their unique needs.
Expanding Reach in Michigan
Aetna has a strong presence in Michigan's healthcare landscape, currently serving dually eligible members in 10 counties. With the new contract, Aetna is set to expand its services into an additional 29 counties by 2027, broadening access to quality healthcare for many more residents.
Importance of Coordinated Health Care
As stated by Jason Smith, Vice President of Duals Markets at Aetna, "Individuals dually eligible for both Medicare and Medicaid often have complex health care needs, making coordination of benefits essential for positive health outcomes." Aetna's plans are designed to ensure that these individuals receive harmonized care, enabling them to manage their health more effectively.
Aetna’s Commitment to Members
The company has a decade of experience serving dually eligible beneficiaries through the Medicare-Medicaid Plan (MMP). Aetna currently manages health benefits for around 8,500 members in Michigan, demonstrating its deep commitment to this community.
Transition from MMP Plans
This contract marks a significant transition from the traditional MMP design that Aetna has operated under as part of a demonstration program. Aetna's successful transition is aimed at enhancing service delivery and care coordination for dually eligible members.
Future Prospects for the Contract
While the new contract is expected to commence on January 1, 2026, it is contingent upon the completion of the state’s protest period and a readiness review. This contract will continue until December 31, 2033, with provisions for potential renewals, ensuring long-term support for Michigan residents.
About Aetna
Aetna, part of the CVS Health family, serves approximately 36 million people, providing a range of health insurance products and services, from medical to pharmacy and behavioral health plans. The company is dedicated to helping individuals make informed healthcare decisions.
About CVS Health
CVS Health aims to improve community health through a robust support system that includes digital solutions and a skilled workforce, ensuring individuals receive the care they need, when they need it.
Media Contact
For inquiries, please reach out to Robert Joyce: Robert.Joyce@CVSHealth.com.
Frequently Asked Questions
What is the purpose of Aetna's new D-SNP contract?
The contract allows Aetna to provide comprehensive healthcare services to dually eligible residents in Michigan under a Highly Integrated Dual Eligible Special Needs Plan.
How will Aetna's services expand in Michigan?
Aetna will extend its services from 10 to 39 counties in Michigan, increasing access for eligible residents.
What are the key features of the HIDE SNP?
The HIDE SNP offers full Medicare benefits along with a majority of Medicaid benefits, focusing on a coordinated care approach.
How long is the new contract with the State of Michigan?
The contract is set to begin on January 1, 2026, and will be effective until December 31, 2033, with options for renewal.
Who can benefit from Aetna's dual eligible plan?
Individuals who are eligible for both Medicare and Medicaid can benefit from Aetna's dual eligible plan, which is designed to meet their specific healthcare needs.
