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Medicare Open Enrollment

Open Enrollment starts October 15

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1-on-1 Medicare for Californians

San Fernando Valley, California

MAPD 2027 plan HMO 3

Aetna Medicare Chronic Care (HMO C-SNP) H0523-096

Plan information effective January 1, 2027.

Aetna Medicare Plan ID H0523-096-000 Plan #96 MAPD

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$299
Max OOP out of network$0
Initial coverage limit$2,400
Catastrophic limit$2,400

Availability

Available in 2 California counties

Los Angeles County, CA, Orange County, CA

Available Cities

This plan is available in 147+ cities in California.

Benefits

Primary care In Network

In-Network $0

Inpatient hospital In Network

In-Network $0 per stay

Skilled nursing In Network

In-Network $0 per day, days 1-20; $50 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 $275

Highlights

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
Carrier websiteOpen website

Plan identifiers

Plan IDH0523-096-000
Plan number96
ContractH0523
Segment0
DRX ID1JNNSB41WK
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)