Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Aetna Medicare Prime Chronic Total is not offered under this ID in 2027
H1206Contract009Plan
HMO C-SNP · served 10 counties in Illinois in 2026
Run by Coventry Health Care of Illinois, Inc. (contract H1206), sold as Aetna Medicare, owned by CVS Health Corporation
CMS crosswalk: members move into H1206-004
Aetna Medicare Prime Chronic Total (H1206-009) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into Aetna Medicare Prime Chronic Care (H1206-004), which is sold in every county it served. 416 people were enrolled in it in September 2026; they can also choose another plan during open enrollment, October 15 to December 7, 2026.
What changes for its members in Aetna Medicare Prime Chronic Care?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | Aetna Medicare Prime Chronic Total | Aetna Medicare Prime Chronic Care | renamed |
| Monthly premium | $15.20 | $0 | ▼down $15.20 |
| In-network out-of-pocket limit | $9,250 | $7,150 | ▼down $2,100 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Specialist visit | 0% of the cost | $0 copay | changed |
| Emergency room | $115 copay | $130 copay | ▲up $15 |
| Hospital stay, in network | $2,230 a stay | $375 a day for days 1–7, then $0 a day for days 8–90 | ▼down $355for a 5-day stay |
| Skilled nursing facility, in network | $0 a day for days 1–20, then $218 a day for days 21–100 | $10 a day for days 1–20, then $221 a day for days 21–100 | ▲up $230for a 30-day stay |
| Ground ambulance, in network | 20% of the cost | $290 copay | changed |
| Comprehensive dental, yearly limit | not offered | $2,500 a year | ▲added |
| Eyewear, yearly limit | $275 a year | $100 a year | ▼down $175 |
| Hearing aids, yearly limit for both ears | $1,250 a year | $750 a year | ▼down $500 |
| Over-the-counter items, yearly | $1,200 a year | $480 a year | ▼down $720 |
| Drug tier 1, preferred generic | $0 | $5 | ▲up $5 |
| Drug tier 2, generic | $5 | $12 | ▲up $7 |
| Drug tier 3, preferred brand | 25% of the cost | 22% of the cost | ▼down 3 points |
| 6 lines do not change | |||
| Part B premium reduction, monthly | none | none | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Medical deductible, in network | none | none | no change |
| Counties served | 10 | 10 | no change |
| Drug tier 4, non-preferred drug | 25% of the cost | 25% of the cost | no change |
| Drug tier 5, specialty tier | 25% of the cost | 25% of the cost | no change |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026. Your plan's Annual Notice of Change is the letter that confirms your 2027 plan; confirm on Medicare Plan Finder.
What can members do, and by when?
- If you do nothing
- You are moved into Aetna Medicare Prime Chronic Care on January 1, 2027.
- October 15 to December 7, 2026
- Open enrollment: choose another Medicare Advantage plan, or Original Medicare with a drug plan, instead.
- January 1 to March 31, 2027
- Medicare Advantage open enrollment: switch once to another Medicare Advantage plan or to Original Medicare.
Source: Medicare.gov, “Special enrollment periods” and “Joining a plan” (read Oct. 7, 2026).
Where did its members live?
Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Cook, IL | 278 | moves into H1206-004 |
| Winnebago, IL | 44 | moves into H1206-004 |
| Kane, IL | 18 | moves into H1206-004 |
| Lake, IL | 18 | moves into H1206-004 |
| McHenry, IL | 17 | moves into H1206-004 |
| Will, IL | 17 | moves into H1206-004 |
| DuPage, IL | 15 | moves into H1206-004 |
| DeKalb, IL | fewer than 11 | moves into H1206-004 |
| Grundy, IL | fewer than 11 | moves into H1206-004 |
| Kankakee, IL | fewer than 11 | moves into H1206-004 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Cook, ILThe plans you can join instead
- Aetna Medicare plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans