Medicare Advantage

Aetna's 2027 Medicare Advantage plans in Sacramento: a plan-by-plan look

SACRAMENTO — Fall 2026. If you have an Aetna Medicare Advantage plan in Sacramento, or you are weighing one for next year, the 2027 lineup looks a little different than the one you see today. Aetna is offering four Medicare Advantage plans in Sacramento County for 2027, down from five this year. Two are new, three are not returning, and one has been renamed. The Annual Enrollment Period runs October 15 through December 7, 2026, and any change you make takes effect January 1, 2027.

MyMedicarePlans.org is an independent consumer site and is not Aetna. Aetna is one of 10 carriers offering Medicare Advantage plans in Sacramento County for 2027; together those carriers offer 32 plans. This article walks through what Aetna is selling here next year and how to check any plan against your own doctors and prescriptions before the deadline.

What Medicare Advantage plans is Aetna offering in Sacramento for 2027?

Aetna is offering 4 Medicare Advantage plans in Sacramento County for the 2027 plan year. By type, that is 3 HMO plans and 1 HMO-POS plan. All 4 include Part D prescription drug coverage. Of Aetna's Special Needs Plans in the county, there is 1 C-SNP (a Chronic Condition SNP), 0 D-SNPs and 0 I-SNPs.

The table below lists every Aetna plan available in the county for 2027, in alphabetical order. The plans are:

• Aetna Medicare Chronic Care (HMO C-SNP) — HMO C-SNP, with drug coverage, new for 2027
• Aetna Medicare Eagle (HMO) — HMO, with drug coverage, new for 2027
• Aetna Medicare Signature (HMO) — HMO, with drug coverage
• Aetna Medicare Value Plus (HMO) — HMO-POS, with drug coverage, renamed (was Aetna Medicare Value Plus (HMO-POS))

Sacramento sits inside Sacramento County, and Medicare Advantage availability is set at the county level, so these are the plans anyone with a Sacramento County ZIP code can shop.

What is new or not returning from Aetna in Sacramento County for 2027?

Three Aetna plans offered in 2026 are not returning in 2027, two plans are new, and one has been renamed. Aetna will mail an Annual Notice of Change (ANOC) in the fall to current members describing what is changing in their specific plan for next year — the premium, the drug list, the provider network, cost-sharing and extra benefits.

Two of the 2027 plans are flagged as new: Aetna Medicare Chronic Care (HMO C-SNP) and Aetna Medicare Eagle (HMO). The Chronic Care plan is a C-SNP, which means it is designed for people who have a specific qualifying chronic condition — eligibility rules apply. Aetna Medicare Value Plus has been renamed; it was previously listed as Aetna Medicare Value Plus (HMO-POS) and is now Aetna Medicare Value Plus (HMO). The plan type on the Landscape file for 2027 is HMO-POS.

If you are currently on an Aetna plan that is not on the 2027 list, your ANOC and your non-renewal notice will explain your options and the special enrollment rights that come with a plan being discontinued.

What should I check before I pick a plan by December 7?

Before you enroll, confirm three things for each plan you are considering: your doctors and hospitals are in-network, your prescriptions are on the plan's formulary, and the plan covers the pharmacies you actually use. These details change year to year, even if the plan name stays the same.

The free, official way to do this is the Medicare Plan Finder at medicare.gov. You can enter your ZIP code and your medication list, and the tool will show how each plan treats those drugs. You can also call 1-800-MEDICARE around the clock. For plan-specific rules, Aetna's Evidence of Coverage and provider and pharmacy directories are the authoritative source.

If you do nothing during the window and your current plan is still offered in 2027, it simply renews on January 1 with the changes described in your ANOC. If your plan is not returning, you will need to pick a new one or you will fall back to Original Medicare.

How does Part D drug coverage change in 2027?

Part D's annual out-of-pocket cap rises to $2,400 in 2027, up from $2,100 in 2026. The maximum Part D deductible a plan can charge is $700 in 2027, up from $615 in 2026. All 4 of Aetna's Sacramento County plans for 2027 include Part D drug coverage.

A couple of related 2027 figures have not been announced yet. The Part B standard premium and deductible for 2027, and the IRMAA income brackets that trigger higher Part B and Part D premiums, are published by CMS later in the fall — typically in November. We will update coverage when CMS posts them.

The Medicare Prescription Payment Plan is still available in 2027 for anyone with Part D who wants to spread drug costs across the year in monthly payments instead of paying at the pharmacy counter.

What else should Sacramento residents know about enrollment this fall?

The Annual Enrollment Period runs October 15 through December 7, 2026, for coverage that starts January 1, 2027. After that, if you are already in a Medicare Advantage plan, there is a second window — the Medicare Advantage Open Enrollment Period from January 1 through March 31 — when you can switch MA plans once or go back to Original Medicare.

Sacramento County has 10 carriers offering Medicare Advantage plans for 2027, with 32 plans in total across all carriers. Aetna is one of those carriers. If you want to compare Aetna against other options in the county, the Plan Finder will show every plan available at your address side by side.