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HomeMedicare AdvantageCaliforniaSan JoseAetna's 2027 Medicare Advantage plans in San Jose: one gone, one new, two renamed

Medicare Advantage

Aetna's 2027 Medicare Advantage plans in San Jose: one gone, one new, two renamed

San Jose, Calif. — Aetna's Medicare Advantage lineup in Santa Clara County looks different for 2027, and San Jose residents enrolled with the carrier should take a few minutes this fall to see what changed before the Annual Enrollment Period closes on December 7, 2026.

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Medicare Advantage plans in your area are changing or leaving for 2027.

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2027 plan lineupSan Jose, CA
Video: antonlukin Video by antonlukin on Pixabay

Key takeaways

  • Aetna will offer 3 Medicare Advantage plans in Santa Clara County for 2027, down from 4 in 2026, and all 3 include drug coverage.
  • One Aetna plan is new for 2027, two were renamed, and two 2026 plans are not returning — your Annual Notice of Change (ANOC) spells out exactly what shifted.
  • The Annual Enrollment Period runs October 15 through December 7, 2026; any change you make takes effect January 1, 2027.
  • If you do nothing and your current plan is still offered, it renews automatically with the changes described in the ANOC.

According to the CMS Medicare Advantage Landscape Source File for 2027, Aetna (which CMS lists as Aetna (CVS Health)) will offer three Medicare Advantage plans in Santa Clara County next year, down from four in 2026. One plan is new, two have been renamed, and two 2026 plans are not returning. All three 2027 plans include prescription drug coverage.

MyMedicarePlans.org is an independent consumer site. We are not Aetna, and we are not Medicare. Aetna is one of ten carriers offering Medicare Advantage plans in Santa Clara County for 2027 — all carriers together offer 36 plans — so the lineup below is one slice of what is available locally.

What Aetna is offering in Santa Clara County for 2027

San Jose is in Santa Clara County, and Medicare Advantage plan availability is set at the county level. For 2027, Aetna's three plans here include one HMO and two HMO-POS plans. There are no Special Needs Plans (D-SNP, C-SNP or I-SNP) from Aetna in the county this year.

The table below lists every Aetna plan offered in Santa Clara County for 2027, with its plan type and drug-coverage status.

What's new, what's renamed, and what's not returning

Three things changed in Aetna's local lineup between 2026 and 2027:

A renamed plan is not necessarily the same plan with a new label — benefits, networks and drug lists can shift from year to year. The Annual Notice of Change (ANOC) that your plan mailed in September is the document that lays out exactly what is changing for your 2027 coverage.

If your current plan is not returning, Medicare gives you a Special Enrollment Period to pick something else, but the simplest path is to choose during the regular window that ends December 7.

How to check a plan against your doctors and medications

Before you lock in any plan — Aetna's or another carrier's — do these three checks:

1. Doctors and hospitals. Confirm each provider is in-network for the specific 2027 plan you are considering. Call the provider's billing office directly and name the plan, because networks can change on January 1. 2. Prescriptions. Look up every medication you take on the plan's 2027 formulary. Check the tier, any prior authorization or step therapy, and the preferred pharmacies near you. 3. Total yearly cost. The Medicare Plan Finder at medicare.gov lets you enter your drugs and preferred pharmacies and shows an estimated annual cost for each plan — not just the monthly premium.

2027 Part D figures worth knowing

Even if you keep the same plan, the Part D rules change in 2027. CMS has confirmed:

The 2027 Part B standard premium and deductible, and the 2027 IRMAA income brackets, have not yet been announced. CMS typically publishes those figures later in the fall.

The coverage gap (the old "donut hole") was eliminated in 2025, so Part D now has three phases: deductible, initial coverage, and catastrophic. If drug costs are a worry, ask your plan about the Medicare Prescription Payment Plan, which spreads out-of-pocket drug costs across the calendar year.

Dates to put on the calendar

Nothing happens to you if you do nothing. Your plan renews with the changes described in its ANOC — which is exactly why it is worth reading the ANOC this fall rather than next January.

By the numbers

Medicare Part B premium, 2006–2026

The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.

$0$50$100$150$200200820122016202020242026

Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.

By the numbers

How people get Medicare in Santa Clara County

51% are on Medicare Advantage
(MA penetration in Santa Clara County)
51%
49%
Medicare Advantage Medicare Supplement (Medigap) Original Medicare only
U.S. average

MA penetration from CMS enrollment data; Medigap share is an estimate. U.S. average is about 54% Medicare Advantage. These are area-level figures, not plan-specific.

2027 plan lineup

Aetna Medicare Advantage plans in Santa Clara County for 2027

CMS lists 3 Aetna Medicare Advantage plans in Santa Clara County for 2027, alphabetically by carrier. 9 other carriers also offer plans there.

PlanTypeDrug coverageFor 2027
Aetna (CVS Health) 3 plans
Aetna Medicare Eagle (HMO)HMOYesNew
Aetna Medicare Signature (HMO)HMO-POSYesRenamed
Aetna Medicare Signature Extra (HMO)HMO-POSYesRenamed

Source: CMS Medicare Advantage Landscape Source Files, plan years 2026 and 2027. Plan availability is set at the county level. No plan is ranked or recommended; premiums, benefits, networks and star ratings are not shown. Plan details come from the Medicare Plan Finder at medicare.gov or the plan itself.

The 2027 choices, by type

How Aetna Medicare Advantage plans in Santa Clara County break down for 2027

3
Medicare Advantage plans
1
HMO plans
2
HMO-POS plans

HMO plans use a network and usually a primary-care doctor and referrals; HMO-POS plans add some out-of-network coverage; PPO plans also cover out-of-network care, at a higher share; PFFS plans pay any provider that accepts the plan’s terms. Special Needs Plans serve people with Medicare and Medicaid (D-SNP), certain chronic conditions (C-SNP) or living in an institution (I-SNP).

Source: CMS Medicare Advantage Landscape Source Files, plan years 2026 and 2027. Plan availability is set at the county level. No plan is ranked or recommended; premiums, benefits, networks and star ratings are not shown. Plan details come from the Medicare Plan Finder at medicare.gov or the plan itself.

Key dates

Medicare enrollment periods at a glance

  • Around your 65thInitial Enrollment PeriodA 7-month window around the month you turn 65 — your first chance to sign up.
  • October 15 – December 7Annual Enrollment PeriodAnyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan.
  • January 1 – March 31Medicare Advantage Open EnrollmentIf you're already in a Medicare Advantage plan, you can make one change.
  • January 1 – March 31General Enrollment PeriodFor people who missed their first chance to sign up for Part B.
  • VariesSpecial Enrollment PeriodTriggered by life events like moving or losing other coverage.

Dates are set by Medicare and apply nationwide. Confirm your personal windows at Medicare.gov or 1-800-MEDICARE.

Compare with a licensed agent

See Medicare options serving San Jose & speak with a licensed agent

Medicare Advantage companies in Santa Clara County

By local enrollment size · informational, not a ranking
CompanyLocal enrollmentPlans offeredLocal agentsAction
Kaiser PermanenteRegional—Yes
Alignment Healthcare Usa LLCRegional—Yes
Elevance Health (Anthem)National—Yes
Santa Clara County Health AuthorityRegional—Yes
Scan GroupRegional—Yes
UnitedHealthcareNational—Yes
Enrollment data: CMS Medicare Advantage enrollment by company (county level). Listed by enrollment size, largest first — this is not a ranking, recommendation, or endorsement of any company or plan.

Provided by licensed insurance partners; MyMedicarePlans.org may be compensated. Not a ranking or endorsement of any plan.

Explore

When can you enroll? An interactive year

JFMAMJJASOND
October 15 – December 7 — anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan. Changes take effect January 1.

Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.

Explore

The parts of Medicare

Part A covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care. Most people pay no premium for Part A.

Good to know

Frequently asked questions

How do I know which Aetna plan I'm in now, and whether it's returning?
Look at your member ID card or the Annual Notice of Change (ANOC) that arrived in September 2026. The ANOC tells you whether the plan is being offered in 2027, what the new name is if it was renamed, and what is changing. You can also call the member services number on your card.
What happens if my 2026 Aetna plan isn't offered in 2027?
You'll get a non-renewal notice from the plan and a Special Enrollment Period to pick a new plan. The cleanest option is to choose a new plan during the Annual Enrollment Period that ends December 7, 2026, so your coverage transitions on January 1 without a gap. If you do nothing, you'll generally return to Original Medicare without a Part D plan.
How do I compare Aetna's plans to other carriers in Santa Clara County?
Use the Medicare Plan Finder at medicare.gov. Enter your ZIP code, your prescriptions and your preferred pharmacy, and the tool will show every Medicare Advantage and Part D plan sold in the county — all 36 MA plans from ten carriers — side by side.
Does the new $2,400 Part D cap apply to Aetna plans?
Yes. The $2,400 out-of-pocket cap on covered Part D drugs in 2027 is set by federal law and applies to every Medicare Part D plan, whether it is a stand-alone drug plan or built into a Medicare Advantage plan. ## Where to get personalized answers For plan-by-plan details — premiums, copays, networks, drug lists and star ratings — go directly to the source: **medicare.gov** — the official Medicare Plan Finder. **1-800-MEDICARE** (TTY 1-877-486-2048) — available 24 hours a day, 7 days a week. **Your plan's Evidence of Coverage and provider/pharmacy directories** — the binding documents for 2027 coverage. Take the time this fall to read your ANOC, run your drug list through the Plan Finder, and confirm your doctors are in-network for 2027. December 7 is the date to work backward from.
Sources & further reading
  • CMS — MA Landscape Source File (plan-level availability by county)
  • CMS — MA Landscape Source Files, current and coming plan year (year-over-year comparison)
  • CMS — Medicare enrollment periods (medicare.gov)

For personalized answers, contact Medicare.gov or 1-800-MEDICARE.

Also for San Jose

Content Integrity Standards

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  • Inline sourcing. Facts and figures are cited to primary sources — CMS, SSA, and Medicare.gov.
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This page was last updated: October 2026.

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