Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

Aetna Medicare Signature Classic, 2027

H1608Contract001Plan

PPO · 53 counties in Iowa

Run by Coventry Health and Life Insurance Company (contract H1608), sold as Aetna Medicare, owned by CVS Health Corporation

Takes in 1 plan

2026 star rating, contract H1608: 4 of 5

Aetna Medicare Signature Classic (H1608-001) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $7,150 ($5,000 in 2026). In 2026 it was called Aetna Medicare Signature. It leaves 18 counties it served in 2026, where 1,131 of its members lived; they choose another plan for 2027 (the counties are listed below). It takes in the members of H1608-037.

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it.
What you pay or get	2026	2027	Change
Plan name	Aetna Medicare Signature	Aetna Medicare Signature Classic	renamed
In-network out-of-pocket limit	$5,000	$7,150	up $2,150
Drug deductible	$615	$500	down $115
Primary care visit	$0 copay	$5 copay	up $5
Specialist visit	$0 copay	$40 copay	up $40
Hospital stay, in network	$405 a day for days 1–6, then $0 a day for days 7–90	$405 a day for days 1–5, then $0 a day for days 6–90	changed
Skilled nursing facility, in network	$0 a day for days 1–20, then $218 a day for days 21–100	$0 a day for days 1–20, then $221 a day for days 21–100	up $30for a 30-day stay
Counties served	69	53	down 16
Drug tier 1, preferred generic	$2	$5	up $3
Drug tier 3, preferred brand	24% of the cost	17% of the cost	down 7 points
Drug tier 4, non-preferred drug	25% of the cost	28% of the cost	up 3 points
Drug tier 5, specialty tier	25% of the cost	28% of the cost	up 3 points
10 lines do not change
Monthly premium	$0	$0	no change
Part B premium reduction, monthly	none	none	no change
Emergency room	$130 copay	$130 copay	no change
Medical deductible, in network	none	none	no change
Ground ambulance, in network	$335 copay	$335 copay	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Eyewear, yearly limit	$100 a year	$100 a year	no change
Hearing aids, yearly limit for both ears	$1,000 a year	$1,000 a year	no change
Over-the-counter items, yearly	not offered	not offered	no change
Drug tier 2, generic	$12	$12	no change

Source: 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; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.

What will prescriptions cost?

Your share for a 30-day supply at a retail pharmacy, as filed with CMS; tiers whose share changes are marked. The plan charges less at its preferred pharmacies
Tier	What the tier holds	2026, standard pharmacy	2027, standard pharmacy	2027, preferred pharmacy
Tier 1	Preferred Generic	$2	$5	$0
Tier 2	Generic	$12	$12	$0
Tier 3	Preferred Brand	24% of the cost	17% of the cost	17% of the cost
Tier 4	Non-Preferred Drug	25% of the cost	28% of the cost	28% of the cost
Tier 5	Specialty Tier	25% of the cost	28% of the cost	28% of the cost

Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.

How does it compare with plans sold where it is?

In the counties it serves, 49 plans open to everyone are sold for 2027, this one included. Against the others, 24 plans have a lower out-of-pocket limit, 12 the same, 5 a higher one. On the premium, 24 the same, 24 a higher one.

Out-of-pocket limits of the 49 plans open to everyone

$0 to under $2,0000 plans

$2,000 to under $4,0000 plans

$4,000 to under $6,00020 plans

$6,000 to under $8,000 (this plan)19 plans

$8,000 to $10,0003 plans

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where is it sold, and what does it cost there?

It stops serving 18 counties it served in 2026 (listed in the next section).

The premium and the out-of-pocket limit are the same in all 53 counties: $0 a month and $7,150.

Iowa

Allamakee Benton Black Hawk Boone Bremer Buchanan Calhoun Carroll Cedar Clarke Clay Clinton Dallas Delaware Dickinson Fayette Floyd Franklin Fremont Grundy Guthrie Hamilton Hancock Hardin Henry Humboldt Ida Iowa Jackson Jasper Johnson Jones Kossuth Linn Madison Marshall Mills Muscatine Osceola Plymouth Polk Pottawattamie Poweshiek Scott Shelby Tama Warren Washington Webster Winnebago Woodbury Worth Wright

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

What if you live in a county it leaves?

Its 2026 members in the 18 counties listed below cannot stay in it for 2027; each county page lists the 2027 plans sold there.

Your coverage: This plan ends for you on December 31, 2026, because it is no longer sold where you live.
October 15 to December 7, 2026: Open enrollment: join another Medicare Advantage plan, or Original Medicare with a drug plan. Coverage starts January 1, 2027.
December 8, 2026 to the end of February 2027: A special enrollment period because the plan is leaving: you can still join a plan, but coverage starts the first day of the month after you join, so choose by December 31 to have no gap.
If you do nothing: You are enrolled in Original Medicare when the plan ends, without a drug plan unless you join one (with Extra Help or full Medicaid, Medicare enrolls you in one).
Without a drug plan: Going 63 days or more in a row without drug coverage can mean a late enrollment penalty if you join a drug plan later; joining by the end of February keeps a January and February gap under 63 days, waiting longer does not.
If you choose Original Medicare: You have a guaranteed right to buy Medigap Plan A, B, C, D, F, G, K or L sold in your state by any insurance company; if you were new to Medicare on or after January 1, 2020, Plans D and G take the place of C and F. Apply from 60 days before to 63 days after the plan ends; the policy starts once your Medicare Advantage coverage ends. Other Medigap plans are not covered by this right.

The 18 counties it leaves, most members first
County	Members, Sept. 2026
Story, IA	211
Clayton, IA	116
Chickasaw, IA	110
Davis, IA	98
Greene, IA	93
Lyon, IA	77
Butler, IA	73
Van Buren, IA	72
Howard, IA	46
Sac, IA	39
Audubon, IA	38
Taylor, IA	38
Louisa, IA	33
Lee, IA	29
Pocahontas, IA	29
Des Moines, IA	15
Adams, IA	14
Mitchell, IA	fewer than 11

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); Medicare.gov, “Special enrollment periods” and “When can I buy Medigap?” (read Oct. 7, 2026).

Which 2026 plans move into it, and what changes for their members?

For 2027 this plan takes in the members of 1 other plan, beside its own 19,361 members. In 2027 it costs $0 a month with a $7,150 limit; each row compares that with the plan its members had in 2026.

2026 plan	Members, Sept. 2026	Members who move	Premium 2026	Premium change	Limit 2026	Limit change
Aetna Medicare EliteH1608-037	1,639	1,443	$0	no change	$5,500	up $1,650

Only the members of Aetna Medicare Elite (H1608-037) who live in the 51 counties where this plan is sold move into it (1,443 of its 1,639 members); in its other 18 counties the plan ends and members choose a new one. What happens where.

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision). Each moving plan's own page lists every line that changes for its members.

Who runs this plan?

Plan ID: H1608-001
Legal name of the contract: Coventry Health and Life Insurance Company
Sold as: Aetna Medicare
Parent company: CVS Health Corporation
Plan type: PPO
2026 star rating of the contract: 4 of 5 overall; health plan 3.5 of 5, drug plan 3.5 of 5
Members, September 2026: 19,361
Plan website, as filed with CMS: www.aetna.com/medicare

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.

What else should you check?

Other 2027 plans in Polk, IAWhere most of its members live; premiums and limits side by side
Every Aetna Medicare plan for 2027Its contracts, counties and plans that end
The other 28 plans of contract H1608Same company, same contract
Is your prescription covered?Coverage share and tier for 2,259 drugs

Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.