Skip to main content

Independent; not a government site. Official answers: Medicare.gov, 1-800-MEDICARE.

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

Aetna Medicare Signature is not offered in 2027

H5521Contract484Plan

PPO · served 76 counties in Virginia in 2026

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

CMS crosswalk: not offered in 2027

Not offered in 2027

Aetna Medicare Signature (H5521-484) is not offered in 2027: the CMS plan crosswalk of October 1, 2026 lists it as terminated, so its coverage ends December 31, 2026. The plan's $100 eyewear allowance and $1,000 hearing aid (both ears) allowance end with it; other plans sold in its counties may offer them (each county page lists the 2027 plans). 1,726 people were enrolled in it in September 2026. They can choose another plan during open enrollment, October 15 to December 7, 2026, to have no gap (or by the end of February, with coverage from the first of the next month); anyone who does not join another plan before it ends moves to Original Medicare, without a drug plan unless they join one (members with Extra Help or full Medicaid are enrolled in one by Medicare).

What do members lose for 2027?

The plan's 2026 amounts; it has none for 2027 under this ID.
What you pay or get20262027Change
Monthly premium$0not offeredplan ends
In-network out-of-pocket limit$8,900not offeredplan ends
Eyewear, yearly limit$100 a yearnot offeredplan ends
Hearing aids, yearly limit for both ears$1,000 a yearnot offeredplan ends
Counties served76noneplan ends

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); 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.

What can members do, and by when?

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; if you have Extra Help or full Medicaid, Medicare enrolls you in a drug plan automatically.
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.
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.
If you have Medicaid or Extra Help
You can switch to a different drug plan, or leave a Medicare Advantage plan for Original Medicare with a drug plan, once a calendar month; the change starts the first day of the next month.

Source: Medicare.gov, “Special enrollment periods”, “When can I buy a Medigap policy?” and “Help with drug costs” (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 76 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
CountyMembers, Sept. 2026
Henrico, VA295
Chesterfield, VA280
Richmond City, VA131
Hanover, VA77
Albemarle, VA61
Carroll, VA34
Roanoke, VA30
Augusta, VA27
New Kent, VA27
Prince George, VA26
Henry, VA25
Roanoke City, VA25
Montgomery, VA23
Patrick, VA23
Franklin, VA21
King William, VA21
Mecklenburg, VA21
Orange, VA21
Pittsylvania, VA21
Pulaski, VA21
Caroline, VA19
Danville City, VA19
Charlottesville City, VA18
Fluvanna, VA18
Powhatan, VA18
King George, VA17
Louisa, VA17
Nelson, VA17
Tazewell, VA17
Colonial Heights City, VA16
Staunton City, VA15
Dinwiddie, VA14
Floyd, VA14
Madison, VA14
Petersburg City, VA14
Buckingham, VA13
Greene, VA13
Goochland, VA12
Hopewell City, VA12
Nottoway, VA12
Rockbridge, VA12
Waynesboro City, VA11
Wythe, VA11
Alleghany, VAfewer than 11
Amelia, VAfewer than 11
Bath, VAfewer than 11
Bland, VAfewer than 11
Botetourt, VAfewer than 11
Brunswick, VAfewer than 11
Buchanan, VAfewer than 11
Buena Vista City, VAfewer than 11
Charles City, VAfewer than 11
Charlotte, VAfewer than 11
Covington City, VAfewer than 11
Craig, VAfewer than 11
Cumberland, VAfewer than 11
Dickenson, VAfewer than 11
Emporia City, VAfewer than 11
Galax City, VAfewer than 11
Giles, VAfewer than 11
Grayson, VAfewer than 11
Greensville, VAfewer than 11
Halifax, VAfewer than 11
Highland, VAfewer than 11
Lee, VAfewer than 11
Lexington City, VAfewer than 11
Lunenburg, VAfewer than 11
Martinsville City, VAfewer than 11
Norton City, VAfewer than 11
Radford City, VAfewer than 11
Russell, VAfewer than 11
Salem City, VAfewer than 11
Scott, VAfewer than 11
Smyth, VAfewer than 11
Washington, VAfewer than 11
Wise, VAfewer than 11

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

What else should you check?