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

Aetna Medicare Chronic Care, 2027

H4523Contract037Plan

HMO C-SNP · special needs plan, chronic or disabling condition · 3 counties in Texas

Run by Aetna Health Inc. (TX) (contract H4523), sold as Aetna Medicare, owned by CVS Health Corporation

Renews for 2027

2026 star rating, contract H4523: 4 of 5

Aetna Medicare Chronic Care (H4523-037) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $7,150 ($6,750 in 2026). In 2026 it was called Aetna Medicare Prime Chronic Care.

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 Prime Chronic Care	Aetna Medicare Chronic Care	renamed
In-network out-of-pocket limit	$6,750	$7,150	up $400
Drug deductible	$615	$700	up $85
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
Eyewear, yearly limit	$100 a year	$150 a year	up $50
Over-the-counter items, yearly	$360 a year	$660 a year	up $300
Counties served	2	3	up 1
Drug tier 1, preferred generic	$2	$5	up $3
14 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
Emergency room	$130 copay	$130 copay	no change
Medical deductible, in network	none	none	no change
Hospital stay, in network	$485 a day for days 1–5, then $0 a day for days 6–90	$485 a day for days 1–5, then $0 a day for days 6–90	no change
Ground ambulance, in network	$290 copay	$290 copay	no change
Comprehensive dental, yearly limit	$1,500 a year	$1,500 a year	no change
Hearing aids, yearly limit for both ears	$500 a year	$500 a year	no change
Drug tier 2, generic	$12	$12	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. 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	$5
Tier 3	Preferred Brand	22% of the cost	22% of the cost	22% of the cost
Tier 4	Non-Preferred Drug	25% of the cost	25% of the cost	25% of the cost
Tier 5	Specialty Tier	25% of the cost	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, 20 chronic or disabling condition special needs plans are sold for 2027, this one included. Against the others, 12 plans have a lower out-of-pocket limit, 7 a higher one. On the premium, 15 the same, 4 a higher one.

Out-of-pocket limits of the 20 chronic or disabling condition special needs plans

$0 to under $2,0002 plans

$2,000 to under $4,0006 plans

$4,000 to under $6,0004 plans

$6,000 to under $8,000 (this plan)1 plan

$8,000 to $10,0007 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 3 counties: $0 a month and $7,150.

Texas

Fort Bend Galveston Harris

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: H4523-037
Legal name of the contract: Aetna Health Inc. (TX)
Sold as: Aetna Medicare
Parent company: CVS Health Corporation
Plan type: HMO C-SNP
2026 star rating of the contract: 4 of 5 overall; health plan 4 of 5, drug plan 3.5 of 5
Members, September 2026: 2,510
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 Harris, TXWhere 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 23 plans of contract H4523Same 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.