Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026

Aetna Medicare Elite is not offered under this ID in 2027

H1608Contract037Plan

PPO · served 69 counties in Iowa in 2026

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

CMS crosswalk: members move into H1608-001 in 51 of its 69 counties; in the others the plan ends

Folds in part

Aetna Medicare Elite (H1608-037) is not offered under this ID in 2027. The CMS plan crosswalk of October 1, 2026 moves its members into Aetna Medicare Signature Classic (H1608-001), in the 51 counties where that plan is sold (1,443 members in September 2026). In its other 18 counties (17 members) there is no plan to move into: coverage ends December 31, 2026, and members there need to choose a new plan (counties with fewer than 11 members are not counted).

What changes for its members in Aetna Medicare Signature Classic?

For members in the 51 counties where Aetna Medicare Signature Classic is sold: this plan's 2026 amounts beside Aetna Medicare Signature Classic (H1608-001) in 2027. The changed lines are marked and come first.
What you pay or get	2026	2027	Change
Plan name	Aetna Medicare Elite	Aetna Medicare Signature Classic	renamed
In-network out-of-pocket limit	$5,500	$7,150	up $1,650
Drug deductible	$615	$500	down $115
Primary care visit	$0 copay	$5 copay	up $5
Specialist visit	$0 copay	$40 copay	up $40
Medical deductible, in network	$1,500	none	dropped
Hospital stay, in network	$390 a day for days 1–5, then $0 a day for days 6–90	$405 a day for days 1–5, then $0 a day for days 6–90	up $75for a 5-day stay
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
Ground ambulance, in network	$345 copay	$335 copay	down $10
Eyewear, yearly limit	$200 a year	$100 a year	down $100
Hearing aids, yearly limit for both ears	$1,250 a year	$1,000 a year	down $250
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
6 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
Comprehensive dental, yearly limit	not offered	not offered	no change
Over-the-counter items, yearly	not offered	not offered	no change
Drug tier 2, generic	$12	$12	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 live in Allamakee (IA), Benton (IA), Black Hawk (IA), Boone (IA), Bremer (IA), Buchanan (IA), Calhoun (IA), Carroll (IA), Cedar (IA), Clarke (IA), Clay (IA), Clinton (IA), Dallas (IA), Delaware (IA), Dickinson (IA), Fayette (IA), Floyd (IA), Franklin (IA), Fremont (IA), Grundy (IA), Guthrie (IA), Hamilton (IA), Hancock (IA), Hardin (IA), Henry (IA), Humboldt (IA), Ida (IA), Iowa (IA), Jackson (IA), Jasper (IA), Johnson (IA), Jones (IA), Linn (IA), Madison (IA), Marshall (IA), Mills (IA), Muscatine (IA), Osceola (IA), Plymouth (IA), Polk (IA) and 11 more (listed below)

If you do nothing: You are moved into Aetna Medicare Signature Classic 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.

If you live in Adams (IA), Audubon (IA), Butler (IA), Chickasaw (IA), Clayton (IA), Davis (IA), Des Moines (IA), Greene (IA), Howard (IA), Lee (IA), Louisa (IA), Lyon (IA), Mitchell (IA), Pocahontas (IA), Sac (IA), Story (IA), Taylor (IA), Van Buren (IA)

Your coverage: Ends December 31, 2026: Aetna Medicare Signature Classic is not 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.

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.

All 69 counties, most members first; CMS hides counts under 11 per county, so the counties add up to a little less than the plan's total
County	Members, Sept. 2026	For 2027
Linn, IA	312	moves into H1608-001
Polk, IA	189	moves into H1608-001
Scott, IA	146	moves into H1608-001
Johnson, IA	112	moves into H1608-001
Woodbury, IA	94	moves into H1608-001
Pottawattamie, IA	86	moves into H1608-001
Black Hawk, IA	63	moves into H1608-001
Dallas, IA	33	moves into H1608-001
Plymouth, IA	33	moves into H1608-001
Webster, IA	30	moves into H1608-001
Poweshiek, IA	28	moves into H1608-001
Benton, IA	26	moves into H1608-001
Clinton, IA	25	moves into H1608-001
Muscatine, IA	25	moves into H1608-001
Warren, IA	25	moves into H1608-001
Bremer, IA	23	moves into H1608-001
Fayette, IA	23	moves into H1608-001
Allamakee, IA	20	moves into H1608-001
Carroll, IA	20	moves into H1608-001
Clayton, IA	17	plan ends here

Show the other 49 counties

County	Members, Sept. 2026	For 2027
Iowa, IA	17	moves into H1608-001
Shelby, IA	17	moves into H1608-001
Jasper, IA	16	moves into H1608-001
Tama, IA	15	moves into H1608-001
Jones, IA	14	moves into H1608-001
Washington, IA	14	moves into H1608-001
Buchanan, IA	13	moves into H1608-001
Delaware, IA	13	moves into H1608-001
Wright, IA	11	moves into H1608-001
Adams, IA	fewer than 11	plan ends here
Audubon, IA	fewer than 11	plan ends here
Boone, IA	fewer than 11	moves into H1608-001
Butler, IA	fewer than 11	plan ends here
Calhoun, IA	fewer than 11	moves into H1608-001
Cedar, IA	fewer than 11	moves into H1608-001
Chickasaw, IA	fewer than 11	plan ends here
Clarke, IA	fewer than 11	moves into H1608-001
Clay, IA	fewer than 11	moves into H1608-001
Davis, IA	fewer than 11	plan ends here
Des Moines, IA	fewer than 11	plan ends here
Dickinson, IA	fewer than 11	moves into H1608-001
Floyd, IA	fewer than 11	moves into H1608-001
Franklin, IA	fewer than 11	moves into H1608-001
Fremont, IA	fewer than 11	moves into H1608-001
Greene, IA	fewer than 11	plan ends here
Grundy, IA	fewer than 11	moves into H1608-001
Guthrie, IA	fewer than 11	moves into H1608-001
Hamilton, IA	fewer than 11	moves into H1608-001
Hancock, IA	fewer than 11	moves into H1608-001
Hardin, IA	fewer than 11	moves into H1608-001
Henry, IA	fewer than 11	moves into H1608-001
Howard, IA	fewer than 11	plan ends here
Humboldt, IA	fewer than 11	moves into H1608-001
Ida, IA	fewer than 11	moves into H1608-001
Jackson, IA	fewer than 11	moves into H1608-001
Lee, IA	fewer than 11	plan ends here
Louisa, IA	fewer than 11	plan ends here
Lyon, IA	fewer than 11	plan ends here
Madison, IA	fewer than 11	moves into H1608-001
Marshall, IA	fewer than 11	moves into H1608-001
Mills, IA	fewer than 11	moves into H1608-001
Mitchell, IA	fewer than 11	plan ends here
Osceola, IA	fewer than 11	moves into H1608-001
Pocahontas, IA	fewer than 11	plan ends here
Sac, IA	fewer than 11	plan ends here
Story, IA	fewer than 11	plan ends here
Taylor, IA	fewer than 11	plan ends here
Van Buren, IA	fewer than 11	plan ends here
Worth, IA	fewer than 11	moves into H1608-001

Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).

What else should you check?

2027 plans in Linn, IAThe 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