Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Aetna Medicare Signature Extra is not offered under this ID in 2027
H2663Contract061Plan
HMO-POS · served 18 counties in Kansas, Missouri in 2026
Run by Coventry Health Care of Missouri, Inc. (contract H2663), sold as Aetna Medicare, owned by CVS Health Corporation
CMS crosswalk: members move into H2663-026 in 17 of its 18 counties; in the others the plan ends
Aetna Medicare Signature Extra (H2663-061) is not offered under this ID in 2027. The CMS plan crosswalk of October 1, 2026 moves its members into Aetna Medicare Signature (H2663-026), in the 17 counties where that plan is sold (6,445 members in September 2026). In its other 1 county (75 members) there is no plan to move into: coverage ends December 31, 2026, and members there need to choose a new plan.
What changes for its members in Aetna Medicare Signature?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | Aetna Medicare Signature Extra | Aetna Medicare Signature | renamed |
| In-network out-of-pocket limit | $5,200 | $4,200 | ▼down $1,000 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Emergency room | $130 copay | $150 copay | ▲up $20 |
| Hospital stay, in network | $370 a day for days 1–6, then $0 a day for days 7–90 | $340 a day for days 1–6, then $0 a day for days 7–90 | ▼down $150for a 5-day stay |
| Skilled nursing facility, in network | $10 a day for days 1–20, then $218 a day for days 21–100 | $20 a day for days 1–20, then $221 a day for days 21–100 | ▲up $230for a 30-day stay |
| Ground ambulance, in network | $340 copay | $325 copay | ▼down $15 |
| Comprehensive dental, yearly limit | $2,500 a year | $2,000 a year | ▼down $500 |
| Over-the-counter items, yearly | $120 a year | $280 a year | ▲up $160 |
| Counties served | 18 | 17 | ▼down 1 |
| 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 |
| 9 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 | $0 copay | $0 copay | no change |
| Medical deductible, in network | none | none | no change |
| Eyewear, yearly limit | $225 a year | $225 a year | no change |
| Hearing aids, yearly limit for both ears | $1,250 a year | $1,250 a year | no change |
| Drug tier 2, generic | $12 | $12 | 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 live in Bourbon (KS), Douglas (KS), Franklin (KS), Jefferson (KS), Johnson (KS), Leavenworth (KS), Linn (KS), Miami (KS), Wyandotte (KS), Caldwell (MO), Clay (MO), Clinton (MO), Jackson (MO), Lafayette (MO), Livingston (MO), Platte (MO), Saline (MO)
- If you do nothing
- You are moved into Aetna Medicare Signature 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 Ray (MO)
- Your coverage
- Ends December 31, 2026: Aetna Medicare Signature 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.
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Jackson, MO | 2,278 | moves into H2663-026 |
| Johnson, KS | 1,840 | moves into H2663-026 |
| Wyandotte, KS | 841 | moves into H2663-026 |
| Clay, MO | 407 | moves into H2663-026 |
| Leavenworth, KS | 193 | moves into H2663-026 |
| Miami, KS | 158 | moves into H2663-026 |
| Platte, MO | 157 | moves into H2663-026 |
| Lafayette, MO | 101 | moves into H2663-026 |
| Clinton, MO | 94 | moves into H2663-026 |
| Franklin, KS | 89 | moves into H2663-026 |
| Saline, MO | 77 | moves into H2663-026 |
| Ray, MO | 75 | plan ends here |
| Linn, KS | 47 | moves into H2663-026 |
| Douglas, KS | 43 | moves into H2663-026 |
| Bourbon, KS | 42 | moves into H2663-026 |
| Livingston, MO | 31 | moves into H2663-026 |
| Jefferson, KS | 30 | moves into H2663-026 |
| Caldwell, MO | 17 | moves into H2663-026 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Jackson, MOThe 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