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Aetna Better Health of Virginia Virginia Dual Eligible Special Needs Plans (D-SNP)

Virginia

Aetna Better Health of Virginia offers 2 Medicare-Medicaid Dual Eligible plans in Virginia. The average government quality score of these plans is 3.0 out of 5 stars (2025 plan ratings).

All of these plans include Part D Prescription Drug coverage because Medicare-Medicaid Dual Eligible Plans are required to include prescription drug coverage. All of these plans include coverage for additional benefits such as dental, vision, or hearing. There may not be a plan in your area that has all of these benefits in one plan.

Summary of Available Medicare-Medicaid Dual Eligible Plans from Aetna Better Health of Virginia in Virginia

To view plans available by county

Aetna Medicare Assure Value (HMO D-SNP)

Additional Coverage

Overall Star Rating (2025)

Rx
Dental
Vision
Hearing

out of 5 stars

Coverage Summary

Medical Deductible

Out-of-Pocket Maximum

$9350

Rx Deductible

$590

Specialist Office Visit

$0 copay

More Details & Pricing

Online Sign Up

Plan ID: H1610-003-0

Available in Counties: Accomack, Albemarle, Alexandria City, Alleghany, Amelia, Amherst, Appomattox, Arlington, Augusta, Bath, Bedford, Bland, Botetourt, Bristol City, Brunswick, Buchanan, Buckingham, Buena Vista City, Campbell, Caroline, Carroll, Charles City, Charlotte, Charlottesville City, Chesapeake City, Chesterfield, Clarke, Colonial Heights City, Covington City, Craig, Culpeper, Cumberland, Danville City, Dickenson, Dinwiddie, Emporia City, Essex, Fairfax, Fairfax City, Falls Church City, Fauquier, Floyd, Fluvanna, Franklin, Franklin City, Frederick, Fredericksburg City, Galax City, Giles, Gloucester, Goochland, Grayson, Greene, Greensville, Halifax, Hampton City, Hanover, Harrisonburg City, Henrico, Henry, Highland, Hopewell City, Isle Of Wight, James City, King And Queen, King George, King William, Lancaster, Lee, Lexington City, Loudoun, Louisa, Lunenburg, Lynchburg City, Madison, Manassas City, Manassas Park City, Martinsville City, Mathews, Mecklenburg, Middlesex, Montgomery, Nelson, New Kent, Newport News City, Norfolk City, Northampton, Northumberland, Norton City, Nottoway, Orange, Page, Patrick, Petersburg City, Pittsylvania, Poquoson City, Portsmouth City, Powhatan, Prince Edward, Prince George, Prince William, Pulaski, Radford, Rappahannock, Richmond, Richmond City, Roanoke, Roanoke City, Rockbridge, Rockingham, Russell, Salem, Scott, Shenandoah, Smyth, Southampton, Spotsylvania, Stafford, Staunton City, Suffolk City, Surry, Sussex, Tazewell, Virginia Beach City, Warren, Washington, Waynesboro City, Westmoreland, Williamsburg City, Winchester City, Wise, Wythe, York

Aetna Medicare Better Health (HMO D-SNP)

Additional Coverage

Overall Star Rating (2025)

Rx
Dental
Vision
Hearing

out of 5 stars

Coverage Summary

Medical Deductible

Out-of-Pocket Maximum

$9350

Rx Deductible

$590

Specialist Office Visit

$0 copay

More Details & Pricing

Online Sign Up

Plan ID: H1610-001-0

About Medicare-Medicaid Dual Eligible SNP

What are Medicare-Medicaid Dual Eligible Special Needs plans?

Medicare-Medicaid Dual Eligible Special Needs Plans (D-SNP) are Medicare Advantage plans specifically designed for beneficiaries who are eligible for both Medicaid and Medicare. These plans can include benefits and coverage from both State-level Medicaid and Federal-level Medicare programs.

Who is eligible for Medicare-Medicaid Dual plans? What are the dual eligible income limits?

In order to be eligible for Medicare-Medicaid Dual plans you will likely have to be eligible for your State’s Medicaid program and also eligible for Medicare. Each State has different requirements and income limits to qualify for Medicaid. You may need to meet the income limit requirements for your State’s Medicaid program in order to qualify for a Medicare-Medicaid Dual Eligible plan.

How does Medicare and Medicaid work together for Dual Eligible plans?

Medicare and Medicaid coordinate benefits and coverage for Dual Eligible Plans. Medicare is primary and pays first for medical services, while Medicaid is secondary and may cover medical costs not covered, or partially covered, by Medicare.

There are several different types of dual eligible beneficiaries, which can determine how Medicare and Medicaid coordinate coverage:

QMB (Qualified Medicare Beneficiary)
- Medicaid pays premiums and cost sharing for Medicare Part A and Part B benefits
QMB Plus (Qualified Medicare Beneficiary Plus)
- Same as QMB, but Medicaid also pays for full Medicaid benefits
SLMB (Specified Low-Income Medicare Beneficiary)
- Medicaid pays for Medicare Part B premium
SLMB Plus (Specified Low-Income Medicare Beneficiary Plus)
- Same as SLMB, but Medicaid also pays for full Medicaid benefits
Other FBDE (Full Benefit Dual Eligible)
- Medicaid pays Medicare Part B premium and full Medicaid benefits
QDWI (Qualified Disabled & Working Individual)
- Medicaid pays Medicare Part A premium

For more information on this topic please visit Medicare.gov