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

Aetna Medicare Full Dual, 2027

H5793Contract017Plan

HMO-POS D-SNP · special needs plan, dual-eligible · 8 counties in Connecticut

Run by Aetna Health Inc. (CT) (contract H5793), sold as Aetna Medicare, owned by CVS Health Corporation

Renews for 2027

2026 star rating, contract H5793: 3.5 of 5

Aetna Medicare Full Dual (H5793-017) costs $0 a month in 2027, down $35.80 from 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
Monthly premium$35.80$0down $35.80
In-network out-of-pocket limit$9,250$9,850up $600
Drug deductible$615$700up $85
Hospital stay, in network$2,100 a stay$2,001 a staydown $99for a 5-day stay
Skilled nursing facility, in networknot filed$0 a day for days 1–20, then $221 a day for days 21–100changed
Eyewear, yearly limit$175 a year$125 a yeardown $50
Hearing aids, yearly limit for both ears$1,250 a year$500 a yeardown $750
Over-the-counter items, yearly$1,800 a year$1,380 a yeardown $420
Drug tier 2, generic$10$0down $10
Drug tier 3, preferred brand22% of the cost21% of the costdown 1 point
11 lines do not change
Part B premium reduction, monthlynonenoneno change
Primary care visit20% of the cost20% of the costno change
Specialist visit20% of the cost20% of the costno change
Emergency room$115 copay$115 copayno change
Medical deductible, in networknonenoneno change
Ground ambulance, in network20% of the cost20% of the costno change
Comprehensive dental, yearly limitnot offerednot offeredno change
Counties served88no change
Drug tier 1, preferred generic$0$0no change
Drug tier 4, non-preferred drug25% of the cost25% of the costno change
Drug tier 5, specialty tier25% of the cost25% of the costno 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
TierWhat the tier holds20262027
Tier 1Preferred Generic$0$0
Tier 2Generic$10$0
Tier 3Preferred Brand22% of the cost21% of the cost
Tier 4Non-Preferred Drug25% of the cost25% of the cost
Tier 5Specialty Tier25% of the cost25% 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, 12 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 11 the same. On the premium, 4 the same, 7 a higher one.

Out-of-pocket limits of the 12 dual-eligible special needs plans

$0 to under $2,0000 plans
$2,000 to under $4,0000 plans
$4,000 to under $6,0000 plans
$6,000 to under $8,0000 plans
$8,000 to $10,000 (this plan)12 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 8 counties: $0 a month and $9,850.

Connecticut

FairfieldHartfordLitchfieldMiddlesexNew HavenNew LondonTollandWindham

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
H5793-017
Legal name of the contract
Aetna Health Inc. (CT)
Sold as
Aetna Medicare
Parent company
CVS Health Corporation
Plan type
HMO-POS D-SNP
2026 star rating of the contract
3.5 of 5 overall; health plan 3.5 of 5, drug plan 3.5 of 5
Members, September 2026
6,682
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.