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

Aetna Medicare Eagle Plus Giveback, 2027

H5521Contract235Plan

PPO · 18 counties in Louisiana

Run by Aetna Life Insurance Company (contract H5521), sold as Aetna Medicare, owned by CVS Health Corporation

Renews in fewer counties

2026 star rating, contract H5521: 4.5 of 5

Aetna Medicare Eagle Plus Giveback (H5521-235) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $6,750. It leaves 19 counties it served in 2026, where 38 of its members lived; they choose another plan for 2027 (the counties are listed below).

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
Skilled nursing facility, in network$0 a day for days 1–20, then $218 a day for days 21–100$0 a day for days 1–20, then $221 a day for days 21–100up $30for a 30-day stay
Counties served3718down 19
13 lines do not change
Monthly premium$0$0no change
In-network out-of-pocket limit$6,750$6,750no change
Part B premium reduction, monthly$100$100no 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
Hospital stay, in network$285 a day for days 1–8, then $0 a day for days 9–90$285 a day for days 1–8, then $0 a day for days 9–90no change
Ground ambulance, in network$275 copay$275 copayno change
Comprehensive dental, yearly limit$4,000 a year$4,000 a yearno change
Eyewear, yearly limit$300 a year$300 a yearno change
Hearing aids, yearly limit for both ears$500 a year$500 a yearno change
Over-the-counter items, yearly$780 a year$780 a yearno 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.

How does it compare with plans sold where it is?

In the counties it serves, 59 plans open to everyone are sold for 2027, this one included. Against the others, 30 plans have a lower out-of-pocket limit, 3 the same, 25 a higher one. On the premium, 46 the same, 12 a higher one.

Out-of-pocket limits of the 59 plans open to everyone

$0 to under $2,0000 plans
$2,000 to under $4,0009 plans
$4,000 to under $6,00015 plans
$6,000 to under $8,000 (this plan)27 plans
$8,000 to $10,0008 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?

It stops serving 19 counties it served in 2026 (listed in the next section).

The premium and the out-of-pocket limit are the same in all 18 counties: $0 a month and $6,750.

Louisiana

AcadiaAscensionAssumptionCalcasieuCameronEast Baton RougeJeffersonJefferson DavisLafayetteLafourcheLivingstonOrleansOuachitaSt. CharlesSt. TammanyTangipahoaTerrebonneVermilion

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

What if you live in a county it leaves?

Its 2026 members in the 19 counties listed below cannot stay in it for 2027; each county page lists the 2027 plans sold there.

Your coverage
This plan ends for you on December 31, 2026, because it is no longer 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).
If you choose Original Medicare
You have a guaranteed right to buy Medigap Plan A, B, C, D, F, G, K or L sold in your state by any insurance company; if you were new to Medicare on or after January 1, 2020, Plans D and G take the place of C and F. Apply from 60 days before to 63 days after the plan ends; the policy starts once your Medicare Advantage coverage ends. Other Medigap plans are not covered by this right.
The 19 counties it leaves, most members first
CountyMembers, Sept. 2026
St. Martin, LA20
St. Mary, LA18
Caldwell, LAfewer than 11
Catahoula, LAfewer than 11
Concordia, LAfewer than 11
East Carroll, LAfewer than 11
East Feliciana, LAfewer than 11
LaSalle, LAfewer than 11
Madison, LAfewer than 11
Plaquemines, LAfewer than 11
Pointe Coupee, LAfewer than 11
St. Bernard, LAfewer than 11
St. Helena, LAfewer than 11
St. James, LAfewer than 11
St. John the Baptist, LAfewer than 11
Tensas, LAfewer than 11
West Baton Rouge, LAfewer than 11
West Carroll, LAfewer than 11
West Feliciana, LAfewer than 11

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); Medicare.gov, “Special enrollment periods” and “When can I buy Medigap?” (read Oct. 7, 2026).

Who runs this plan?

Plan ID
H5521-235
Legal name of the contract
Aetna Life Insurance Company
Sold as
Aetna Medicare
Parent company
CVS Health Corporation
Plan type
PPO
2026 star rating of the contract
4.5 of 5 overall; health plan 4.5 of 5, drug plan 5 of 5
Members, September 2026
731
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?

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.