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

Aetna Medicare Dual Care, 2027

H2293Contract004Plan

PPO D-SNP · special needs plan, dual-eligible · 53 counties in Georgia

Run by Silverscript Insurance Company (contract H2293), sold as Aetna Medicare, owned by CVS Health Corporation

Renews for 2027

2026 star rating, contract H2293: 4 of 5

Aetna Medicare Dual Care (H2293-004) costs $1.80 a month in 2027, down $12.80 from 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026).

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
Monthly premium	$14.60	$1.80	down $12.80
In-network out-of-pocket limit	$9,250	$9,850	up $600
Drug deductible	$615	$700	up $85
Specialist visit	$30 copay	$35 copay	up $5
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
16 lines do not change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$0 copay	$0 copay	no change
Emergency room	$115 copay	$115 copay	no change
Medical deductible, in network	none	none	no change
Hospital stay, in network	$407 a day for days 1–6, then $0 a day for days 7–90	$407 a day for days 1–6, then $0 a day for days 7–90	no change
Ground ambulance, in network	$270 copay	$270 copay	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Eyewear, yearly limit	$150 a year	$150 a year	no change
Hearing aids, yearly limit for both ears	$1,250 a year	$1,250 a year	no change
Over-the-counter items, yearly	$600 a year	$600 a year	no change
Counties served	53	53	no change
Drug tier 1, preferred generic	$0	$0	no change
Drug tier 2, generic	$10	$10	no change
Drug tier 3, preferred brand	22% of the cost	22% of the cost	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 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
Tier	What the tier holds	2026	2027
Tier 1	Preferred Generic	$0	$0
Tier 2	Generic	$10	$10
Tier 3	Preferred Brand	22% of the cost	22% of the cost
Tier 4	Non-Preferred Drug	25% of the cost	25% of the cost
Tier 5	Specialty Tier	25% of the cost	25% 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, 29 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 5 plans have a lower out-of-pocket limit, 23 the same. On the premium, 24 plans have a lower premium, 4 a higher one.

Out-of-pocket limits of the 29 dual-eligible special needs plans

$0 to under $2,0000 plans

$2,000 to under $4,0000 plans

$4,000 to under $6,0000 plans

$6,000 to under $8,0003 plans

$8,000 to $10,000 (this plan)26 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 53 counties: $1.80 a month and $9,850.

Georgia

Baldwin Bibb Bleckley Bryan Burke Camden Chatham Chattahoochee Cherokee Clayton Cobb Columbia Coweta Crawford DeKalb Dooly Douglas Effingham Fayette Forsyth Fulton Glascock Glynn Gwinnett Hancock Harris Henry Houston Jefferson Jenkins Jones Lamar Liberty Lincoln Long Macon Marion McDuffie McIntosh Monroe Muscogee Paulding Peach Pulaski Richmond Rockdale Screven Spalding Taylor Twiggs Warren Wayne Wilkinson

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: H2293-004
Legal name of the contract: Silverscript Insurance Company
Sold as: Aetna Medicare
Parent company: CVS Health Corporation
Plan type: PPO D-SNP
2026 star rating of the contract: 4 of 5 overall; health plan 4 of 5, drug plan 4 of 5
Members, September 2026: 3,658
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 Fulton, GAWhere 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 15 plans of contract H2293Same 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.