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Aetna Medicare QMB Only Extra Care (HMO D-SNP) (H4523-041) in 2027

We are not affiliated with Aetna Medicare. Plan and company names are shown only to identify plans.

HMO D-SNP: about this plan type · For people with Medicare and Medicaid: about Special Needs Plans · Legal name: AETNA HEALTH INC. (TX)

Called Aetna Medicare Partial Dual Care (HMO D-SNP) in 2026 and Aetna Medicare QMB Only Extra Care (HMO D-SNP) in 2027. The plan ID stayed the same.

Offered again in 72 of 80 counties. Not offered in 8. Check your county below. In 2027 it is also offered in 26 counties where it wasn't offered in 2026.

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Offered Againin 2027
72
of 80 countiesin 2026
Not Offeredin 2027
8
of 80 countiesin 2026
People inThis Plan
at least 180
CMS enrollment,October 2026

Texas

See the 106 counties in TexasHide the counties
Where H4523-041 is offered in Texas, 2026 and 2027
CountyWhat's HappeningPeople in Plan
Anderson County: what this means for you
All plans in Anderson County
New in this county for 2027Not listed
Aransas County: what this means for you
All plans in Aransas County
Offered in 202710 or fewer
Atascosa County: what this means for you
All plans in Atascosa County
Offered in 202710 or fewer
Bandera County: what this means for you
All plans in Bandera County
Offered in 202710 or fewer
Bee County: what this means for you
All plans in Bee County
Offered in 202710 or fewer
Bell County: what this means for you
All plans in Bell County
Offered in 202710 or fewer
Bexar County: what this means for you
All plans in Bexar County
Offered in 2027~80
Bowie County: what this means for you
All plans in Bowie County
Not offered: left this county10 or fewer
Brooks County: what this means for you
All plans in Brooks County
Offered in 202710 or fewer
Burleson County: what this means for you
All plans in Burleson County
Offered in 202710 or fewer
Burnet County: what this means for you
All plans in Burnet County
Offered in 202710 or fewer
Caldwell County: what this means for you
All plans in Caldwell County
Offered in 202710 or fewer
Calhoun County: what this means for you
All plans in Calhoun County
Offered in 202710 or fewer
Cameron County: what this means for you
All plans in Cameron County
Offered in 2027~20
Carson County: what this means for you
All plans in Carson County
New in this county for 2027Not listed
Cass County: what this means for you
All plans in Cass County
Offered in 202710 or fewer
Cherokee County: what this means for you
All plans in Cherokee County
Not offered: left this county10 or fewer
Colorado County: what this means for you
All plans in Colorado County
Not offered: left this county10 or fewer
Comal County: what this means for you
All plans in Comal County
Offered in 202710 or fewer
Comanche County: what this means for you
All plans in Comanche County
Offered in 202710 or fewer
Coryell County: what this means for you
All plans in Coryell County
Offered in 202710 or fewer
Crosby County: what this means for you
All plans in Crosby County
New in this county for 2027Not listed
DeWitt County: what this means for you
All plans in DeWitt County
Not offered: left this county10 or fewer
Deaf Smith County: what this means for you
All plans in Deaf Smith County
New in this county for 2027Not listed
Dimmit County: what this means for you
All plans in Dimmit County
New in this county for 2027Not listed
Duval County: what this means for you
All plans in Duval County
Offered in 202710 or fewer
Ector County: what this means for you
All plans in Ector County
Offered in 202710 or fewer
Edwards County: what this means for you
All plans in Edwards County
New in this county for 2027Not listed
El Paso County: what this means for you
All plans in El Paso County
Offered in 202710 or fewer
Erath County: what this means for you
All plans in Erath County
Offered in 202710 or fewer
Falls County: what this means for you
All plans in Falls County
Offered in 202710 or fewer
Fayette County: what this means for you
All plans in Fayette County
Offered in 202710 or fewer
Floyd County: what this means for you
All plans in Floyd County
New in this county for 2027Not listed
Frio County: what this means for you
All plans in Frio County
New in this county for 2027Not listed
Garza County: what this means for you
All plans in Garza County
New in this county for 2027Not listed
Goliad County: what this means for you
All plans in Goliad County
Offered in 202710 or fewer
Gonzales County: what this means for you
All plans in Gonzales County
Offered in 202710 or fewer
Gregg County: what this means for you
All plans in Gregg County
Offered in 202710 or fewer
Guadalupe County: what this means for you
All plans in Guadalupe County
Offered in 202710 or fewer
Hale County: what this means for you
All plans in Hale County
New in this county for 2027Not listed
Hamilton County: what this means for you
All plans in Hamilton County
Not offered: left this county10 or fewer
Harrison County: what this means for you
All plans in Harrison County
Offered in 202710 or fewer
Henderson County: what this means for you
All plans in Henderson County
Not offered: left this county10 or fewer
Hidalgo County: what this means for you
All plans in Hidalgo County
Offered in 2027~40
Hockley County: what this means for you
All plans in Hockley County
New in this county for 2027Not listed
Houston County: what this means for you
All plans in Houston County
Offered in 202710 or fewer
Hudspeth County: what this means for you
All plans in Hudspeth County
New in this county for 2027Not listed
Hutchinson County: what this means for you
All plans in Hutchinson County
New in this county for 2027Not listed
Jackson County: what this means for you
All plans in Jackson County
Offered in 202710 or fewer
Jasper County: what this means for you
All plans in Jasper County
Offered in 202710 or fewer
Jim Hogg County: what this means for you
All plans in Jim Hogg County
Offered in 202710 or fewer
Jim Wells County: what this means for you
All plans in Jim Wells County
Offered in 202710 or fewer
Karnes County: what this means for you
All plans in Karnes County
Offered in 202710 or fewer
Kendall County: what this means for you
All plans in Kendall County
Offered in 202710 or fewer
Kenedy County: what this means for you
All plans in Kenedy County
Offered in 202710 or fewer
Kerr County: what this means for you
All plans in Kerr County
New in this county for 2027Not listed
Kinney County: what this means for you
All plans in Kinney County
New in this county for 2027Not listed
Kleberg County: what this means for you
All plans in Kleberg County
Offered in 202710 or fewer
La Salle County: what this means for you
All plans in La Salle County
New in this county for 2027Not listed
Lamar County: what this means for you
All plans in Lamar County
Offered in 202710 or fewer
Lamb County: what this means for you
All plans in Lamb County
New in this county for 2027Not listed
Lampasas County: what this means for you
All plans in Lampasas County
Offered in 202710 or fewer
Lavaca County: what this means for you
All plans in Lavaca County
Offered in 202710 or fewer
Lee County: what this means for you
All plans in Lee County
Offered in 202710 or fewer
Leon County: what this means for you
All plans in Leon County
Offered in 202710 or fewer
Live Oak County: what this means for you
All plans in Live Oak County
Offered in 202710 or fewer
Lubbock County: what this means for you
All plans in Lubbock County
Offered in 2027~20
Lynn County: what this means for you
All plans in Lynn County
New in this county for 2027Not listed
Madison County: what this means for you
All plans in Madison County
Offered in 202710 or fewer
Marion County: what this means for you
All plans in Marion County
Offered in 202710 or fewer
Maverick County: what this means for you
All plans in Maverick County
Offered in 202710 or fewer
McMullen County: what this means for you
All plans in McMullen County
New in this county for 2027Not listed
Medina County: what this means for you
All plans in Medina County
Offered in 202710 or fewer
Midland County: what this means for you
All plans in Midland County
Offered in 202710 or fewer
Milam County: what this means for you
All plans in Milam County
Offered in 202710 or fewer
Morris County: what this means for you
All plans in Morris County
Offered in 202710 or fewer
Nacogdoches County: what this means for you
All plans in Nacogdoches County
Offered in 202710 or fewer
Newton County: what this means for you
All plans in Newton County
Offered in 202710 or fewer
Nueces County: what this means for you
All plans in Nueces County
Offered in 202710 or fewer
Panola County: what this means for you
All plans in Panola County
Offered in 202710 or fewer
Potter County: what this means for you
All plans in Potter County
Offered in 202710 or fewer
Rains County: what this means for you
All plans in Rains County
Offered in 202710 or fewer
Randall County: what this means for you
All plans in Randall County
Not offered: left this county10 or fewer
Real County: what this means for you
All plans in Real County
New in this county for 2027Not listed
Red River County: what this means for you
All plans in Red River County
Offered in 202710 or fewer
Refugio County: what this means for you
All plans in Refugio County
Offered in 202710 or fewer
Robertson County: what this means for you
All plans in Robertson County
Offered in 202710 or fewer
Rusk County: what this means for you
All plans in Rusk County
Offered in 202710 or fewer
San Augustine County: what this means for you
All plans in San Augustine County
Offered in 202710 or fewer
San Patricio County: what this means for you
All plans in San Patricio County
New in this county for 2027Not listed
Smith County: what this means for you
All plans in Smith County
Not offered: left this county10 or fewer
Starr County: what this means for you
All plans in Starr County
Offered in 202710 or fewer
Swisher County: what this means for you
All plans in Swisher County
New in this county for 2027Not listed
Terry County: what this means for you
All plans in Terry County
New in this county for 2027Not listed
Titus County: what this means for you
All plans in Titus County
Offered in 202710 or fewer
Tom Green County: what this means for you
All plans in Tom Green County
Offered in 2027~10
Tyler County: what this means for you
All plans in Tyler County
Offered in 202710 or fewer
Upshur County: what this means for you
All plans in Upshur County
Offered in 202710 or fewer
Uvalde County: what this means for you
All plans in Uvalde County
New in this county for 2027Not listed
Val Verde County: what this means for you
All plans in Val Verde County
New in this county for 2027Not listed
Van Zandt County: what this means for you
All plans in Van Zandt County
Offered in 202710 or fewer
Webb County: what this means for you
All plans in Webb County
Offered in 2027~10
Willacy County: what this means for you
All plans in Willacy County
Offered in 202710 or fewer
Wilson County: what this means for you
All plans in Wilson County
Offered in 202710 or fewer
Wood County: what this means for you
All plans in Wood County
Offered in 202710 or fewer
Zapata County: what this means for you
All plans in Zapata County
New in this county for 2027Not listed

Costs and Star Rating

Costs for H4523-041, 2026 and 2027
What20262027
Monthly premium (without Extra Help)$4.60 a month$0 a month
Maximum you pay for covered medical careCovered by Medicaid (see note)Covered by Medicaid (see note)
Drug deductible$615$700
Overall star rating (from CMS)4 out of 5 stars3 out of 5 stars

Covered by Medicaid: if you have Medicare and Medicaid, most of your costs are covered. What you pay depends on your Medicaid level.

CMS rates contracts, so plans under one contract share its rating. For costs with Extra Help, use the lookup.

What Happens Next

If this plan is not offered in your county in 2027, you can pick a new plan from October 15 to December 7, 2026. If your plan is ending, you also have until February 28, 2027. Check your county to see what happens if you do nothing.

These numbers come from CMS's plan files. If you're in this plan, confirm with your Annual Notice of Change or the letter from your plan.

Source: CMS CY2027 Landscape, data as of October 18, 2026 (release 202610). Enrollment: CMS Monthly Enrollment by Contract/Plan/State/County, October 2026. Plan moves: CMS 2027 Plan Crosswalk, file dated October 1, 2026. People counts add up the counties where this plan is offered. They leave out members who live outside that area. See how we get our numbers.