Aetna Medicare Full Dual Extra (HMO D-SNP) (2027)
Dual Special Needs Plan (Medicare Advantage) from Aetna Medicare, plan ID H2663-114-000. Sold in 50 counties in Missouri.
Who can join
Only for people who have both Medicare and Medicaid.
2027 costs
With a Medicare Advantage plan you also keep paying your Medicare Part B premium, unless Medicaid pays it for you.
What this plan would cost for your prescriptions
Add your prescriptions to see this plan's estimated yearly cost for them, which of them are on its drug list, and how each compares with Cost Plus Drugs prices.
See this plan with my prescriptionsWhat you pay for medical care
In-network amounts. A range means it depends on the service or provider.
Extra benefits
Drug costs by tier
| Tier | 30 days, standard pharmacy | 30 days, preferred pharmacy | 90 days by mail |
|---|---|---|---|
| 1 Preferred Generic | $0 | $0 | $0 |
| 2 Generic | $0 | $0 | $0 |
| 3 Preferred Brand | 21% | 21% | 21% |
| 4 Non-Preferred Drug | 25% | 25% | 25% |
| 5 Specialty Tier | 25% | 25% | N/A |
A percentage is coinsurance: your share of the drug's price. The drug deductible may apply first, depending on the tier. Your Part D out-of-pocket costs are capped at $2,400 for 2027.
Where it's sold
Missouri (50 counties)
- Adair County
- Audrain County
- Bollinger County
- Boone County
- Butler County
- Camden County
- Cape Girardeau County
- Carter County
- Chariton County
- Cole County
- Cooper County
- Dent County
- Howard County
- Howell County
- Iron County
- Knox County
- Lewis County
- Linn County
- Macon County
- Maries County
- Marion County
- Miller County
- Mississippi County
- Moniteau County
- Monroe County
- Montgomery County
- Morgan County
- Oregon County
- Osage County
- Pemiscot County
- Perry County
- Phelps County
- Pike County
- Pulaski County
- Putnam County
- Ralls County
- Randolph County
- Reynolds County
- Ripley County
- Schuyler County
- Scott County
- Shannon County
- Shelby County
- St. Francois County
- Ste. Genevieve County
- Stoddard County
- Sullivan County
- Texas County
- Washington County
- Wayne County
Plan costs and benefits are from CMS's 2027 Medicare plan data (data as of October 27, 2026). Star ratings are CMS's 2027 Star Ratings. Every year, Medicare evaluates plans based on a 5-star rating system. Benefits, premiums and copays can change from year to year; check the plan's Evidence of Coverage, call the plan, or use Medicare.gov before you enroll.