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Aetna Medicare Signature Extra (PPO) (H5521-263) in 2027

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

Offered again in all 29 counties where it was offered in 2026. In 2027 it is also offered in 9 counties where it wasn't offered in 2026.

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Offered Againin 2027
29
of 29 countiesin 2026
People inThis Plan
~3,600
CMS enrollment,October 2026

Pennsylvania

See the 38 counties in PennsylvaniaHide the counties
Where H5521-263 is offered in Pennsylvania, 2026 and 2027
CountyWhat's HappeningPeople in Plan
Adams County: what this means for you
All plans in Adams County
Offered in 2027~50
Berks County: what this means for you
All plans in Berks County
Offered in 2027~190
Bradford County: what this means for you
All plans in Bradford County
Offered in 2027~40
Bucks County: what this means for you
All plans in Bucks County
Offered in 2027~1,100
Carbon County: what this means for you
All plans in Carbon County
New in this county for 2027Not listed
Chester County: what this means for you
All plans in Chester County
Offered in 2027~1,000
Clinton County: what this means for you
All plans in Clinton County
Offered in 2027~10
Columbia County: what this means for you
All plans in Columbia County
Offered in 2027~10
Cumberland County: what this means for you
All plans in Cumberland County
Offered in 2027~50
Dauphin County: what this means for you
All plans in Dauphin County
Offered in 2027~80
Delaware County: what this means for you
All plans in Delaware County
New in this county for 2027Not listed
Franklin County: what this means for you
All plans in Franklin County
Offered in 2027~70
Juniata County: what this means for you
All plans in Juniata County
Offered in 202710 or fewer
Lackawanna County: what this means for you
All plans in Lackawanna County
Offered in 2027~70
Lancaster County: what this means for you
All plans in Lancaster County
Offered in 2027~260
Lebanon County: what this means for you
All plans in Lebanon County
Offered in 2027~90
Lehigh County: what this means for you
All plans in Lehigh County
New in this county for 2027Not listed
Luzerne County: what this means for you
All plans in Luzerne County
Offered in 2027~80
Lycoming County: what this means for you
All plans in Lycoming County
Offered in 2027~30
Mifflin County: what this means for you
All plans in Mifflin County
New in this county for 2027Not listed
Monroe County: what this means for you
All plans in Monroe County
New in this county for 2027Not listed
Montgomery County: what this means for you
All plans in Montgomery County
New in this county for 2027Not listed
Montour County: what this means for you
All plans in Montour County
Offered in 202710 or fewer
Northampton County: what this means for you
All plans in Northampton County
New in this county for 2027Not listed
Northumberland County: what this means for you
All plans in Northumberland County
Offered in 2027~30
Perry County: what this means for you
All plans in Perry County
Offered in 2027~20
Philadelphia County: what this means for you
All plans in Philadelphia County
New in this county for 2027Not listed
Pike County: what this means for you
All plans in Pike County
Offered in 2027~180
Potter County: what this means for you
All plans in Potter County
Offered in 202710 or fewer
Schuylkill County: what this means for you
All plans in Schuylkill County
New in this county for 2027Not listed
Snyder County: what this means for you
All plans in Snyder County
Offered in 202710 or fewer
Sullivan County: what this means for you
All plans in Sullivan County
Offered in 202710 or fewer
Susquehanna County: what this means for you
All plans in Susquehanna County
Offered in 2027~30
Tioga County: what this means for you
All plans in Tioga County
Offered in 2027~30
Union County: what this means for you
All plans in Union County
Offered in 202710 or fewer
Wayne County: what this means for you
All plans in Wayne County
Offered in 2027~40
Wyoming County: what this means for you
All plans in Wyoming County
Offered in 202710 or fewer
York County: what this means for you
All plans in York County
Offered in 2027~190

Costs and Star Rating

Costs for H5521-263, 2026 and 2027
What20262027
Monthly premium (without Extra Help)$0 a month$0 a month
Maximum you pay for covered medical care$6,750 (in-network)$7,150 (in-network)
Drug deductible$615$700
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

Where it is offered again, members who do nothing stay in this plan.

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.