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

Aetna Medicare Eagle Giveback, 2027

H5521Contract504Plan

PPO · 21 counties in New Jersey

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

Renews for 2027

2026 star rating, contract H5521: 4.5 of 5

Aetna Medicare Eagle Giveback (H5521-504) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 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$9,250$9,850up $600
Part B premium reduction, monthly$75$90up $15
Hospital stay, in network$395 a day for days 1–6, then $0 a day for days 7–90$455 a day for days 1–5, then $0 a day for days 6–90up $300for a 5-day stay
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
Over-the-counter items, yearly$240 a year$280 a yearup $40
10 lines do not change
Monthly premium$0$0no change
Primary care visit$0 copay$0 copayno change
Specialist visit$0 copay$0 copayno change
Emergency room$115 copay$115 copayno change
Medical deductible, in networknonenoneno change
Ground ambulance, in network$300 copay$300 copayno change
Comprehensive dental, yearly limitnot offerednot offeredno change
Eyewear, yearly limit$200 a year$200 a yearno change
Hearing aids, yearly limit for both earsnot offerednot offeredno change
Counties served2121no 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, 54 plans open to everyone are sold for 2027, this one included. Against the others, 26 plans have a lower out-of-pocket limit, 27 the same. On the premium, 30 the same, 23 a higher one.

Out-of-pocket limits of the 54 plans open to everyone

$0 to under $2,0000 plans
$2,000 to under $4,0000 plans
$4,000 to under $6,0002 plans
$6,000 to under $8,00010 plans
$8,000 to $10,000 (this plan)42 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 21 counties: $0 a month and $9,850.

New Jersey

AtlanticBergenBurlingtonCamdenCape MayCumberlandEssexGloucesterHudsonHunterdonMercerMiddlesexMonmouthMorrisOceanPassaicSalemSomersetSussexUnionWarren

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
H5521-504
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
758
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.