Aetna Medicare Eagle Giveback (PPO) CY2027
Offered by CVS Health Corporation (company name as listed by CMS) · Plan ID H5521-322-000 · Medicare Advantage only
Available in 2027 in: 1 county in District of Columbia; 117 counties in Virginia. See full service area
2027 Part C Star Rating: 4.5 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
- Not listed
- Most you pay in-network in a year (MOOP)
- $6,750
- Drug deductible
- No drug coverage
- Part B giveback
- $100 a month
- Over-the-counter or benefit card
- OTC allowance: $90 every 3 months
- 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
- Comprehensive dental, most the plan pays
- $2,000 per year (in and out of network)
- Eyewear, most the plan pays
- $250 per year (in and out of network)
- Hearing aids, most the plan pays
- $1,500 per year per ear (in and out of network)
Amounts are the most the plan pays, as listed in CMS benefit files.
Compared with 2026
Compared with Aetna Medicare Eagle Giveback (PPO) (H5521-322-0), the 2026 plan.
| Item | 2026 | 2027 |
|---|---|---|
| Monthly premium | Not applicable | Not applicable |
| Most you pay in-network (MOOP) | $6,750 | $6,750 |
| Drug deductible | Not applicable | Not applicable |
| Overall star rating | 4.5 out of 5 | 4 out of 5 |
Service area
District of Columbia (1)
Virginia (117)
Accomack County, Albemarle County, Alexandria City, Alleghany County, Amelia County, Arlington County, Augusta County, Bath County, Bland County, Botetourt County, Brunswick County, Buchanan County, Buckingham County, Buena Vista City, Caroline County, Carroll County, Charles City, Charlotte County, Charlottesville City, Chesapeake City, Chesterfield County, Clarke County, Colonial Heights City, Covington City, Craig County, Cumberland County, Danville City, Dickenson County, Dinwiddie County, Emporia City, Essex County, Fairfax County, Fairfax City, Falls Church City, Fauquier County, Floyd County, Fluvanna County, Franklin County, Franklin City, Frederick County, Fredericksburg City, Galax City, Giles County, Gloucester County, Goochland County, Grayson County, Greene County, Greensville County, Halifax County, Hampton City, Hanover County, Henrico County, Henry County, Highland County, Hopewell City, Isle of Wight County, James City, King George County, King William County, King and Queen County, Lancaster County, Lee County, Lexington City, Loudoun County, Louisa County, Lunenburg County, Madison County, Manassas City, Martinsville City, Mathews County, Mecklenburg County, Middlesex County, Montgomery County, Nelson County, New Kent County, Norfolk City, Northampton County, Norton City, Nottoway County, Orange County, Page County, Patrick County, Petersburg City, Pittsylvania County, Portsmouth City, Powhatan County, Prince George County, Prince William County, Pulaski County, Radford City, Rappahannock County, Richmond County, Richmond City, Roanoke County, Roanoke City, Rockbridge County, Russell County, Salem City, Scott County, Smyth County, Southampton County, Spotsylvania County, Stafford County, Staunton City, Suffolk City, Surry County, Sussex County, Tazewell County, Virginia Beach City, Washington County, Waynesboro City, Westmoreland County, Williamsburg City, Winchester City, Wise County, Wythe County, York 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
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