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

Allina Health Aetna Medicare Chronic, 2027

H3219Contract015Plan

PPO C-SNP · special needs plan, chronic or disabling condition · 8 counties in Minnesota

Run by Allina Health and Aetna Insurance Company (contract H3219), sold as Allina Health Aetna Medicare, owned by Allina Health and Aetna Insurance Holding Company

Renews for 2027

2026 star rating, contract H3219: 4 of 5

Allina Health Aetna Medicare Chronic (H3219-015) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $6,750 ($6,350 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 get20262027Change
In-network out-of-pocket limit$6,350$6,750up $400
Drug deductible$615$700up $85
Hospital stay, in network$400 a day for days 1–6, then $0 a day for days 7–90$450 a day for days 1–6, then $0 a day for days 7–90up $250for a 5-day stay
Skilled nursing facility, in network$10 a day for days 1–20, then $218 a day for days 21–50, then $0 a day for days 51–100$10 a day for days 1–20, then $221 a day for days 21–100up $30for a 30-day stay
Eyewear, yearly limit$250 a year$225 a yeardown $25
Over-the-counter items, yearly$480 a year$660 a yearup $180
Drug tier 1, preferred generic$2$5up $3
14 lines do not change
Monthly premium$0$0no change
Part B premium reduction, monthlynonenoneno change
Primary care visit$0 copay$0 copayno change
Specialist visit$0 copay$0 copayno change
Emergency room$130 copay$130 copayno change
Medical deductible, in networknonenoneno change
Ground ambulance, in network$300 copay$300 copayno change
Comprehensive dental, yearly limit$1,500 a year$1,500 a yearno change
Hearing aids, yearly limit for both ears$500 a year$500 a yearno change
Counties served88no change
Drug tier 2, generic$12$12no change
Drug tier 3, preferred brand22% of the cost22% of the costno change
Drug tier 4, non-preferred drug25% of the cost25% of the costno change
Drug tier 5, specialty tier25% of the cost25% of the costno 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
TierWhat the tier holds2026, standard pharmacy2027, standard pharmacy2027, preferred pharmacy
Tier 1Preferred Generic$2$5$0
Tier 2Generic$12$12$5
Tier 3Preferred Brand22% of the cost22% of the cost22% of the cost
Tier 4Non-Preferred Drug25% of the cost25% of the cost25% of the cost
Tier 5Specialty Tier25% of the cost25% of the cost25% 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, 4 chronic or disabling condition special needs plans are sold for 2027, this one included. Against the others, 3 a higher one. On the premium, 2 the same, 1 a higher one.

Out-of-pocket limits of the 4 chronic or disabling condition 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 $8,000 (this plan)4 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 8 counties: $0 a month and $6,750.

Minnesota

AnokaCarverDakotaHennepinRamseyScottWashingtonWright

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
H3219-015
Legal name of the contract
Allina Health and Aetna Insurance Company
Sold as
Allina Health Aetna Medicare
Parent company
Allina Health and Aetna Insurance Holding Company
Plan type
PPO C-SNP
2026 star rating of the contract
4 of 5 overall; health plan 4 of 5, drug plan 3 of 5
Members, September 2026
1,140
Plan website, as filed with CMS
www.AllinaHealthAetnaMedicare.com

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?

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.