Aetna Dual Special Needs Plans 2027: Who Qualifies, States and Benefits

Reviewed by Russell Noga, Licensed Medicare Insurance Broker (all 50 states) — Last updated October 12, 2026

Aetna’s Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans for people who have both Medicare and Medicaid. You’ll see them as Aetna Medicare Full Dual, Partial Dual, Dual Care, QMB Only, FIDE and HIDE plans, depending on your state and your level of Medicaid.

CMS’s 2027 plan data lists 112 individual Aetna D-SNPs in 27 states and 1,570 counties, about the same as the 111 plans in 2026, with new QMB Only plans for 2027. Annual Enrollment runs October 15 to December 7, 2026, and people with Medicaid can often change plans at other times of the year too.

Aetna D-SNPs are sold in 27 states for 2027. These are the 15 states with the largest footprint:

Source: CMS 2027 Plan Benefit Package and plan service area data, individual (non-employer) plans.

Aetna D-SNPs are also sold in parts of Arkansas, South Carolina, Michigan, Florida, New Jersey, Iowa, Maine, Colorado, South Dakota, Connecticut, Nevada and Utah. Florida has the most separate Aetna D-SNPs, sold under the Select name. Check by ZIP code for the plans in your county.

Aetna names its D-SNPs by the kind of Medicaid help you get. In general:

• Full Dual plans are for people with full Medicaid benefits.
• Partial Dual plans are for people who get help with some Medicare costs through a Medicare Savings Program but not full Medicaid.
• QMB Only plans, new for 2027, are for people in the Qualified Medicare Beneficiary program.
• Dual, Dual Care and Dual Extra plans generally accept several levels of Medicaid.
• FIDE and HIDE plans coordinate your Medicare and Medicaid benefits more closely, sometimes in a single plan. Aetna sells them in Virginia, Illinois, New Jersey, New York, Kentucky and Michigan.

Each plan sets the exact Medicaid levels it accepts, and you’ll need to keep your Medicaid to stay enrolled. Learn more in our guide to Medicare Advantage special needs plans.

Of the 112 Aetna D-SNPs for 2027, 96 are HMOs, 10 are PPOs and 6 are HMO-POS plans. Here’s what else CMS’s 2027 benefit data shows. Amounts and rules depend on the plan and county:

• An over-the-counter allowance on every Aetna D-SNP for 2027.
• Food and grocery help on every Aetna D-SNP, for members who qualify.
• Prescription drug coverage. Many people with Medicaid also get Extra Help, which lowers drug costs.
• Dental, vision and hearing benefits may be included, depending on the plan.

Medicaid may also help pay your Medicare premiums and cost-sharing, depending on your level of coverage. Check each plan’s 2027 Summary of Benefits for exact amounts.

Comparing CMS’s 2026 and 2027 plan data, Aetna’s D-SNP lineup changed in a few ways:

• New QMB Only plans. 12 QMB Only plans are new for 2027, in Texas, Louisiana, Florida and Connecticut.
• Renamed plans. Several 2026 plans, such as Dual Select and Advantra Dual, are not listed under those names for 2027, while new Full Dual Extra and Partial Dual Select plans appear.
• About the same size. 112 individual Aetna D-SNPs for 2027, compared with 111 in 2026.

Aetna overall is exiting 123 counties for 2027 and leaving Maryland and New Hampshire. If you’re in an Aetna dual plan now, read your Annual Notice of Change to see whether your plan continues or changes names. See our guide to Aetna Medicare Advantage plans for the full lineup.

1. Confirm your Medicaid level. Full Dual, Partial Dual and QMB Only plans accept different levels.
2. Confirm your county. Aetna D-SNPs differ by state and county.
3. Check your doctors and hospitals. Most Aetna D-SNPs are HMOs.
4. Run your prescriptions. Confirm your drugs are on the plan’s list.
5. Read your Annual Notice of Change. Your plan may have a new name for 2027.
6. Mark the dates. Medicare Open Enrollment 2027 runs October 15 to December 7, 2026.