MAPD
2027 plan HMO 3
Aetna Medicare Chronic Care (HMO C-SNP) H0523-097
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$299
Max OOP out of network$0
Initial coverage limit$2,400
Catastrophic limit$2,400
Availability
Available in 2 California countiesRiverside County, CA, San Bernardino County, CA
Available Cities
This plan is available in 76+ cities in California.
Banning
Riverside County
Beaumont
Riverside County
Cabazon
Riverside County
Calimesa
Riverside County
Canyon Lake
Riverside County
Cathedral City
Riverside County
Coachella
Riverside County
Corona
Riverside County
Desert Hot Sprin
Riverside County
Eagle Mountain
Riverside County
Hemet
Riverside County
Homeland
Riverside County
Idyllwild
Riverside County
Indian Wells
Riverside County
Indio
Riverside County
La Quinta
Riverside County
Lake Elsinore
Riverside County
March Air Force
Riverside County
Mead Valley
Riverside County
Menifee
Riverside County
Mira Loma
Riverside County
Moreno Valley
Riverside County
Mountain Center
Riverside County
Murrieta
Riverside County
North Palm Sprin
Riverside County
Palm Desert
Riverside County
Palm Springs
Riverside County
Perris
Riverside County
Rancho Mirage
Riverside County
Riverside
Riverside County
Rubidoux
Riverside County
San Jacinto
Riverside County
Sun City
Riverside County
Temecula
Riverside County
Wildomar
Riverside County
Adelanto
San Bernardino County
Alta Loma
San Bernardino County
Angelus Oaks
San Bernardino County
Apple Valley
San Bernardino County
Arrowbear Lake
San Bernardino County
Barstow
San Bernardino County
Big Bear City
San Bernardino County
Big Bear Lake
San Bernardino County
Bloomington
San Bernardino County
Bryn Mawr
San Bernardino County
Chino
San Bernardino County
Chino Hills
San Bernardino County
Crestline
San Bernardino County
Daggett
San Bernardino County
East Highland
San Bernardino County
Essex
San Bernardino County
Etiwanda
San Bernardino County
Fontana
San Bernardino County
Grand Terrace
San Bernardino County
Helendale
San Bernardino County
Hesperia
San Bernardino County
Joshua Tree
San Bernardino County
Lake Arrowhead
San Bernardino County
Landers
San Bernardino County
Loma Linda
San Bernardino County
Lucerne Valley
San Bernardino County
Mentone
San Bernardino County
Montclair
San Bernardino County
Muscoy
San Bernardino County
Ontario
San Bernardino County
Phelan
San Bernardino County
Pinon Hills
San Bernardino County
Rancho Cucamonga
San Bernardino County
Redlands
San Bernardino County
Rialto
San Bernardino County
San Bernardino
San Bernardino County
Spring Valley La
San Bernardino County
Twentynine Palms
San Bernardino County
Upland
San Bernardino County
Yucaipa
San Bernardino County
Yucca Valley
San Bernardino County
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
- 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 IDH0523-097-000
Plan number97
ContractH0523
Segment0
DRX ID1K764MPPMB
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)