Aetna Medicare Full Dual (HMO D-SNP) CY2027
Offered by CVS Health Corporation (company name as listed by CMS) · Plan ID H1692-005-000 · Medicare Advantage with drug coverage, Special Needs Plan (D-SNP)
Available in 2027 in: 55 counties in West Virginia. See full service area
2027 Overall Star Rating: 3.5 out of 5 stars What star ratings mean
We do not offer every plan available in your area. Currently we represent 11 organizations which offer 45 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. 1-800-MEDICARE (1-800-633-4227) is open 24 hours a day, 7 days a week. TTY users call 1-877-486-2048.
Medicare evaluates plans every year based on a 5-star rating system. Star Ratings shown are 2027 Star Ratings released by CMS on October 8, 2026.
This plan's 2027 documents
Summary of Benefits (PDF, carrier document, 2027)
The Summary of Benefits is the plan's own description of its costs and benefits. It comes from the plan company.
Key numbers from CMS files
- Monthly plan premium
- $0. You still pay your Part B premium.
- Most you pay in-network in a year (MOOP)
- $9,850CMS lists this as a zero-dollar cost-sharing plan for people with Medicare and Medicaid. As long as you keep your Medicaid, you generally pay $0 for covered Medicare Part A and Part B services from in-network providers. Drug copays may apply. The amount shown is the plan's in-network yearly limit on Part A and Part B cost sharing.
- Drug deductible
- $700
- Part B giveback
- None
- Over-the-counter or benefit card
- OTC allowance: $185 per month. Members who qualify may also use it for other benefits.
- Extra benefits listed
- Dental, Vision, Hearing, OTC
These numbers come from CMS files. For what each benefit covers and costs, read the Summary of Benefits above. We do not write our own descriptions of plan benefits.
See all benefits
- Preventive dental, most the plan pays
- $1,000 per year
- Comprehensive dental, most the plan pays
- one limit shared with preventive dental (amount above)
- Eyewear, most the plan pays
- $250 per year
- Hearing aids, most the plan pays
- $500 per year per ear
Amounts are the most the plan pays, as listed in CMS benefit files.
Compared with 2026
Compared with Aetna Medicare Advantra Dual (HMO D-SNP) (H1692-005-0), the 2026 plan.
| Item | 2026 | 2027 |
|---|---|---|
| Monthly premium | $0 | $0 |
| Most you pay in-network (MOOP) | $9,250 | $9,850 |
| Drug deductible | $615 | $700 |
| Overall star rating | 3.5 out of 5 | 3.5 out of 5 |
Service area
West Virginia (55)
Barbour County, Berkeley County, Boone County, Braxton County, Brooke County, Cabell County, Calhoun County, Clay County, Doddridge County, Fayette County, Gilmer County, Grant County, Greenbrier County, Hampshire County, Hancock County, Hardy County, Harrison County, Jackson County, Jefferson County, Kanawha County, Lewis County, Lincoln County, Logan County, Marion County, Marshall County, Mason County, McDowell County, Mercer County, Mineral County, Mingo County, Monongalia County, Monroe County, Morgan County, Nicholas County, Ohio County, Pendleton County, Pleasants County, Pocahontas County, Preston County, Putnam County, Raleigh County, Randolph County, Ritchie County, Roane County, Summers County, Taylor County, Tucker County, Tyler County, Upshur County, Wayne County, Webster County, Wetzel County, Wirt County, Wood County, Wyoming County
Data used on this page
- CMS CY2027 Landscape Source File, November 2026 release (202611)
- CMS CY2027 plan benefit files and the Medicare Plan Finder benefit summary file dated October 15, 2026
- 2027 Star Ratings data tables dated October 8, 2026
- Summary of Benefits files collected from plan company websites, October 28 to November 11, 2026
- How we build these pages