MAPD
2027 plan HMO 3
Aetna Medicare Chronic Care (HMO C-SNP) H0523-095
Plan information effective January 1, 2027.
Plan costs & ratings
Monthly premium$0.00
Medical premium$0.00
Drug premium$0.00
Annual premium$0.00
Medical deductible$0
Drug deductible$700
Max OOP in network$3,600
Max OOP out of network$0
Initial coverage limit$2,400
Catastrophic limit$2,400
Availability
Available in 2 California countiesAlameda County, CA, San Francisco County, CA
Available Cities
This plan is available in 17+ cities in California.
Alameda
Alameda County
Albany
Alameda County
Berkeley
Alameda County
Castro Valley
Alameda County
Dublin
Alameda County
Fremont
Alameda County
Hayward
Alameda County
Kensington
Alameda County
Livermore
Alameda County
Newark
Alameda County
Oakland
Alameda County
Piedmont
Alameda County
Pleasanton
Alameda County
San Leandro
Alameda County
San Lorenzo
Alameda County
Union City
Alameda County
San Francisco
San Francisco County
Benefits
Primary care
In Network
In-Network $0
Inpatient hospital
In Network
In-Network $325 per day, days 1-7; $0 per day, days 8-90
Skilled nursing
In Network
In-Network $20 per day, days 1-20; $218 per day, days 21-100
Emergency care
In Network
$150 If you are admitted to the hospital within 24 hours your cost share may be waived
Urgently needed care
In Network
In-Network: $0 copay for Medicare-covered urgently-needed-care visits.
Ambulance
In Network
In-Network $295
Highlights
- Find plan materials and watch a video about your plan
For members with an eligible chronic condition (Medicaid and LIS are not required for enrollment)
Notes
- This plan offers a local network of select contracted providers. To locate a network provider you may contact Customer Service or search the online provider directory.
- No
Plan Overview
CarrierAetna Medicare
Plan typeMAPD
PlanHMO
Marketing nameAetna Medicare
SNP type3
Drug coverageIncluded
Enrollment hours8 AM to 8 PM, local time, 7 days a week from 10/1 to 3/31; 8 AM to 8 PM, local time, Monday to Friday from 4/01 to 9/30
Provider searchOpen provider directory
Carrier websiteOpen website
Plan identifiers
Plan IDH0523-095-000
Plan number95
ContractH0523
Segment0
DRX IDKT68RTT8W6
Carrier ID6
Formulary ID27014
Formulary versionversion 8<br/>(Formulary last updated 10/1/2026)
Carrier contact
Carrier phone8337712456
Enrollment phone8337712456
Enrollment TTY711
Carrier hours8 AM to 8 PM, local time, 7 days a week from 10/1 to 3/31; 8 AM to 8 PM, local time, Monday to Friday from 4/01 to 9/30
Network & documents
Preferred pharmacy networkYes
Preferred retail pharmacyYes
Preferred mail pharmacyYes
Mail drug benefitsYes
Provider searchYes
Chronic Care
Find plan materials and watch a video about your plan For members with an eligible chronic condition (Medicaid and LIS are not required for enrollment)