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Aetna Medicare Signature Extra Plus (PPO) (H5521-233) in 2027

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

PPO: about this plan type · Legal name: AETNA LIFE INSURANCE COMPANY

Called Aetna Medicare Signature Plus (PPO) in 2026 and Aetna Medicare Signature Extra Plus (PPO) in 2027. The plan ID stayed the same.

Offered again in 11 of 31 counties. Not offered in 20. Check your county below.

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Offered Againin 2027
11
of 31 countiesin 2026
Not Offeredin 2027
20
of 31 countiesin 2026
People inThis Plan
~5,600
CMS enrollment,October 2026

Not offered: CMS's 2027 plan list and plan crosswalk show the plan isn't offered in the county (for drug plans, the state) in 2027 and its members aren't moved to another plan there. Members need to pick a new plan, unless their plan's letter offers another option. If they do nothing, Medicare Advantage and Cost plan members will have Original Medicare. Members of any plan that covered drugs will have no Medicare drug coverage, unless they get Extra Help (outside U.S. territories, Medicare then puts them in a drug plan). Everyone in these plans keeps Medicare.

Louisiana

See the 31 counties in LouisianaHide the counties
Where H5521-233 is offered in Louisiana, 2026 and 2027
CountyWhat's HappeningPeople in Plan
Ascension Parish: what this means for you
All plans in Ascension Parish
Offered in 2027~70
Assumption Parish: what this means for you
All plans in Assumption Parish
Not offered in this county~40
Calcasieu Parish: what this means for you
All plans in Calcasieu Parish
Not offered in this county~1,900
Cameron Parish: what this means for you
All plans in Cameron Parish
Offered in 2027~30
Catahoula Parish: what this means for you
All plans in Catahoula Parish
Not offered: left this county~50
East Baton Rouge Parish: what this means for you
All plans in East Baton Rouge Parish
Offered in 2027~240
East Carroll Parish: what this means for you
All plans in East Carroll Parish
Not offered: left this county~30
East Feliciana Parish: what this means for you
All plans in East Feliciana Parish
Not offered: left this county~40
Iberville Parish: what this means for you
All plans in Iberville Parish
Not offered: left this county~30
Jefferson Parish: what this means for you
All plans in Jefferson Parish
Offered in 2027~200
Jefferson Davis Parish: what this means for you
All plans in Jefferson Davis Parish
Offered in 2027~250
LaSalle Parish: what this means for you
All plans in LaSalle Parish
Not offered: left this county~80
Lafourche Parish: what this means for you
All plans in Lafourche Parish
Offered in 2027~100
Livingston Parish: what this means for you
All plans in Livingston Parish
Offered in 2027~110
Madison Parish: what this means for you
All plans in Madison Parish
Not offered: left this county~70
Orleans Parish: what this means for you
All plans in Orleans Parish
Offered in 2027~150
Ouachita Parish: what this means for you
All plans in Ouachita Parish
Offered in 2027~1,200
Plaquemines Parish: what this means for you
All plans in Plaquemines Parish
Not offered: left this county~20
Pointe Coupee Parish: what this means for you
All plans in Pointe Coupee Parish
Not offered: left this county~20
St. Bernard Parish: what this means for you
All plans in St. Bernard Parish
Not offered: left this county~30
St. Charles Parish: what this means for you
All plans in St. Charles Parish
Offered in 2027~20
St. Helena Parish: what this means for you
All plans in St. Helena Parish
Not offered: left this county~20
St. James Parish: what this means for you
All plans in St. James Parish
Not offered: left this county~30
St. John the Baptist Parish: what this means for you
All plans in St. John the Baptist Parish
Not offered: left this county~60
St. Mary Parish: what this means for you
All plans in St. Mary Parish
Not offered: left this county~180
Tangipahoa Parish: what this means for you
All plans in Tangipahoa Parish
Not offered in this county~300
Tensas Parish: what this means for you
All plans in Tensas Parish
Not offered: left this county~40
Terrebonne Parish: what this means for you
All plans in Terrebonne Parish
Offered in 2027~220
West Baton Rouge Parish: what this means for you
All plans in West Baton Rouge Parish
Not offered: left this county~10
West Carroll Parish: what this means for you
All plans in West Carroll Parish
Not offered: left this county~40
West Feliciana Parish: what this means for you
All plans in West Feliciana Parish
Not offered: left this county~50

Costs and Star Rating

Costs for H5521-233, 2026 and 2027
What20262027
Monthly premium (without Extra Help)$0 a month$0 a month
Maximum you pay for covered medical care$7,900 (in-network)$7,150 (in-network)
Drug deductible$615$600
Overall star rating (from CMS)4.5 out of 5 stars4 out of 5 stars

PPO plans also have a limit for in- and out-of-network care combined. See Medicare Plan Finder.

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.