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

Aetna Medicare Signature Classic Extra, 2027

H1608Contract081Plan

PPO · 29 counties in North Dakota

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

Renews for 2027

2026 star rating, contract H1608: 4 of 5

Aetna Medicare Signature Classic Extra (H1608-081) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $7,150 ($4,500 in 2026). In 2026 it was called Aetna Medicare Signature Extra.

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 Extra	Aetna Medicare Signature Classic Extra	renamed
In-network out-of-pocket limit	$4,500	$7,150	up $2,650
Drug deductible	$615	$400	down $215
Hospital stay, in network	$350 a day for days 1–6, then $0 a day for days 7–90	$350 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 $207 a day for days 21–100	$0 a day for days 1–20, then $221 a day for days 21–100	up $140for a 30-day stay
Comprehensive dental, yearly limit	not offered	$750 a year	added
Eyewear, yearly limit	$200 a year	$175 a year	down $25
Over-the-counter items, yearly	$120 a year	$80 a year	down $40
Drug tier 1, preferred generic	$2	$5	up $3
Drug tier 3, preferred brand	24% of the cost	13% of the cost	down 11 points
Drug tier 4, non-preferred drug	25% of the cost	30% of the cost	up 5 points
Drug tier 5, specialty tier	25% of the cost	29% of the cost	up 4 points
10 lines do not change
Monthly premium	$0	$0	no change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$0 copay	$0 copay	no change
Specialist visit	$40 copay	$40 copay	no change
Emergency room	$130 copay	$130 copay	no change
Medical deductible, in network	none	none	no change
Ground ambulance, in network	$310 copay	$310 copay	no change
Hearing aids, yearly limit for both ears	$1,250 a year	$1,250 a year	no change
Counties served	29	29	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	13% of the cost	13% of the cost
Tier 4	Non-Preferred Drug	25% of the cost	30% of the cost	30% of the cost
Tier 5	Specialty Tier	25% of the cost	29% of the cost	29% 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, 18 plans open to everyone are sold for 2027, this one included. Against the others, 8 plans have a lower out-of-pocket limit, 9 the same. On the premium, 4 the same, 11 a higher one.

Out-of-pocket limits of the 18 plans open to everyone

$0 to under $2,0000 plans

$2,000 to under $4,0002 plans

$4,000 to under $6,0005 plans

$6,000 to $8,000 (this plan)11 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?

The premium and the out-of-pocket limit are the same in all 29 counties: $0 a month and $7,150.

North Dakota

Barnes Burleigh Cass Dickey Eddy Emmons Foster Grand Forks Grant Griggs Kidder LaMoure Logan McIntosh McLean Mercer Morton Nelson Oliver Ransom Richland Sargent Sheridan Sioux Steele Stutsman Traill Walsh Wells

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

Who runs this plan?

Plan ID: H1608-081
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: 2,248
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 Cass, NDWhere 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.