Aetna Medicare Dual Care (PPO D-SNP)
Available to residents of Noble County, OK for 2026. Contract H3288, plan 053, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $615.00Tier 1 exempt |
| Plan type | Dual-eligible SNP |
| Special needs plan | Dual-eligible SNP |
| Contract / plan | H3288-053-0 |
| Offered by | Aetna Medicare |
| Parent organization | CVS Health Corporation |
| Formulary drugs | 3,715 |
CMS star ratings
- Overall
- 3.5 out of 5 stars for Overall
- Health plan (Part C)
- 3.5 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 3.5 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H3288 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $10.00 |
| Tier 3 | 22% |
| Tier 4 | 25% |
| Tier 5 | 25% |
Also available in 52 other OK counties
- Adair
- Atoka
- Blaine
- Bryan
- Caddo
- Canadian
- Carter
- Cherokee
- Cleveland
- Coal
- Cotton
- Craig
- Creek
- Custer
- Delaware
- Garfield
- Garvin
- Grady
- Grant
- Haskell
- Hughes
- Jefferson
- Johnston
- Kay
- Kingfisher
- Le Flore
- Lincoln
- Logan
- Love
- McClain
- McIntosh
- Major
- Marshall
- Mayes
- Murray
- Muskogee
- Nowata
- Okfuskee
- Oklahoma
- Okmulgee
- Osage
- Ottawa
- Pawnee
- Pittsburg
- Pontotoc
- Pottawatomie
- Pushmataha
- Seminole
- Sequoyah
- Stephens
- Tulsa
- Wagoner
Plan facts come from the CMS quarterly prescription drug plan public use files.