Medicare contract · plan years 2026 and 2027CMS landscape and crosswalk
Aetna Health Inc. (TX) (H4523)
H4523Contract
A company of CVS Health Corporation, sold as Aetna Medicare
24 plans in 2027 (18 in 2026) · 38,402 members in September 2026
Aetna Health Inc. (TX) is the CVS Health Corporation company that holds Medicare contract H4523, sold as Aetna Medicare. In 2027 it offers 24 plans (18 in 2026); every one of its 2026 plans continues in 2027. 38,402 people were in its plans in September 2026.
What plans does H4523 offer for 2027?
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| Aetna Medicare Signature ExtraH4523-001 | HMO | $0 | $3,900 | 11 counties | renews |
| Aetna Medicare Signature ExtraH4523-015 | HMO | $0 | $7,150 | 10 counties | renews |
| Aetna Medicare Prime CareH4523-020 | HMO | $0 | $3,900 | 3 counties | renews in more counties |
| Aetna Medicare Prime CareH4523-021 | HMO | $0 | $4,200 | 3 counties | renews |
| Aetna Medicare Prime CareH4523-024 | HMO | $0 | $4,450 | 2 counties | renews in more counties |
| Aetna Medicare Signature CareH4523-027 | HMO | $0 | $4,450 | 5 counties | renews |
| Aetna Medicare Full DualH4523-028 | HMO D-SNP | $0 | $9,850 | 3 counties | renews |
| Aetna Medicare Full Dual Extra CareH4523-029 | HMO D-SNP | $0 | $9,850 | 20 counties | renews in more counties |
| Aetna Medicare Full Dual Extra CareH4523-030 | HMO D-SNP | $0 | $9,850 | 19 counties | renews in fewer counties |
| Aetna Medicare SignatureH4523-031 | HMO | $0 | $9,850 | 1 county | renews |
| Aetna Medicare Full Dual Extra CareH4523-034 | HMO D-SNP | $0 | $9,850 | 98 counties | renews in fewer counties |
| Aetna Medicare Chronic CareH4523-037 | HMO C-SNP | $0 | $7,150 | 3 counties | renews in more counties |
| Aetna Medicare Chronic CareH4523-038 | HMO C-SNP | $0 | $7,150 | 3 counties | renews in more counties |
| Aetna Medicare Chronic Care TotalH4523-039 | HMO C-SNP | $0 | $9,850 | 3 counties | renews |
| Aetna Medicare QMB Only Extra CareH4523-041 | HMO D-SNP | $0 | $9,850 | 98 counties | renews in fewer counties |
| Aetna Medicare SignatureH4523-042 | HMO | $0 | $7,150 | 2 counties | renews in more counties |
| Aetna Medicare QMB Only Extra CareH4523-043 | HMO D-SNP | $0 | $9,850 | 20 counties | renews in more counties |
| Aetna Medicare QMB Only Extra CareH4523-044 | HMO D-SNP | $0 | $9,850 | 19 counties | renews in fewer counties |
| Aetna Medicare SignatureH4523-045 | HMO | $0 | $7,150 | 8 counties | new plan |
| Aetna Medicare Chronic CareH4523-047 | HMO C-SNP | $0 | $7,150 | 2 counties | new plan |
| Aetna Medicare Chronic Care TotalH4523-048 | HMO C-SNP | $0 | $9,850 | 1 county | new plan |
| Aetna Medicare Chronic Care TotalH4523-049 | HMO C-SNP | $0 | $9,850 | 1 county | new plan |
| Aetna Medicare Chronic Care TotalH4523-050 | HMO C-SNP | $0 | $9,850 | 1 county | new plan |
| Aetna Medicare Chronic Care TotalH4523-051 | HMO C-SNP | $0 | $9,850 | 1 county | new plan |
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 crosswalk from 2026 to 2027 (Oct. 1, 2026).
Which employer and union group plans does it hold?
H4523 also holds 2 group plans offered through former employers and unions, with 236 members in September 2026 (plans with fewer than 11 not counted). They are not sold to individuals, so the landscape files list no premiums or benefits for them; the employer or union sends their 2027 terms.
| Plan ID | Plan name | Members, Sept. 2026 | 2027 |
|---|---|---|---|
| H4523-801 | Aetna Medicare Plan | 45 | renews |
| H4523-802 | Aetna Medicare Plan w/Rx | 191 | renews |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026).
How did CMS rate it for 2026?
The overall rating is 4 of 5 (health plan 4 of 5, drug plan 3.5 of 5). Of its 42 rated measures, the lowest and the highest:
| Lowest-rated measures | Stars |
|---|---|
| Improving Bladder Control | 2 |
| Drug Plan Quality Improvement | 2 |
| Breast Cancer Screening | 3 |
| Improving or Maintaining Physical Health | 3 |
| Highest-rated measures | Stars |
|---|---|
| MTM Program Completion Rate for CMR | 5 |
| MPF Price Accuracy | 5 |
| Call Center – Foreign Language Interpreter and TTY Availability | 5 |
| Reviewing Appeals Decisions | 5 |
Source: CMS Part C and D Star Ratings data tables, 2026 (October 2025).
What else should you check?
- All Aetna Medicare plansEvery contract of the brand
- Star ratings of every contractThe 2026 ratings, and 2027 when CMS publishes them
- Find a plan by its IDFrom the card or a letter