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

Aetna Medicare Signature Care is not offered under this ID in 2027

H3146Contract021Plan

HMO · served 14 counties in North Carolina in 2026

Run by Aetna Better Health Inc. (GA) (contract H3146), sold as Aetna Medicare, owned by CVS Health Corporation

CMS crosswalk: members move into H3146-004 in 3 of its 14 counties; in the others the plan ends

Folds in part

Aetna Medicare Signature Care (H3146-021) is not offered under this ID in 2027. The CMS plan crosswalk of October 1, 2026 moves its members into Aetna Medicare Signature (H3146-004), in the 3 counties where that plan is sold (937 members in September 2026). In its other 11 counties (413 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?

For members in the 3 counties where Aetna Medicare Signature is sold: this plan's 2026 amounts beside Aetna Medicare Signature (H3146-004) in 2027. The changed lines are marked and come first.
What you pay or get	2026	2027	Change
Plan name	Aetna Medicare Signature Care	Aetna Medicare Signature	renamed
In-network out-of-pocket limit	$6,350	$6,750	up $400
Drug deductible	$615	$500	down $115
Specialist visit	$10 copay	$0 copay	down $10
Hospital stay, in network	$382 a day for days 1–8, then $0 a day for days 9–90	$408 a day for days 1–6, then $0 a day for days 7–90	up $130for a 5-day stay
Skilled nursing facility, in network	$10 a day for days 1–20, then $218 a day for days 21–100	$10 a day for days 1–20, then $221 a day for days 21–100	up $30for a 30-day stay
Ground ambulance, in network	$275 copay	$310 copay	up $35
Eyewear, yearly limit	$125 a year	$100 a year	down $25
Over-the-counter items, yearly	$120 a year	$60 a year	down $60
Counties served	14	4	down 10
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
8 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
Emergency room	$130 copay	$130 copay	no change
Medical deductible, in network	none	none	no change
Comprehensive dental, yearly limit	$1,000 a year	$1,000 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

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 Durham (NC), Orange (NC), Wake (NC)

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 Alamance (NC), Cabarrus (NC), Cumberland (NC), Davidson (NC), Forsyth (NC), Gaston (NC), Guilford (NC), Johnston (NC), Mecklenburg (NC), Randolph (NC), Union (NC)

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.

All 14 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
Wake, NC	706	moves into H3146-004
Durham, NC	210	moves into H3146-004
Mecklenburg, NC	87	plan ends here
Johnston, NC	83	plan ends here
Cumberland, NC	67	plan ends here
Gaston, NC	45	plan ends here
Guilford, NC	40	plan ends here
Forsyth, NC	22	plan ends here
Orange, NC	21	moves into H3146-004
Union, NC	19	plan ends here
Alamance, NC	17	plan ends here
Cabarrus, NC	17	plan ends here
Davidson, NC	16	plan ends here
Randolph, NC	fewer than 11	plan ends here

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

What else should you check?

2027 plans in Wake, NCThe 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