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Aetna's 2027 Medicare Advantage lineup in Santa Ana: two new plans, three gone, two renamed

SANTA ANA, Calif. — Fall 2026. Aetna's Medicare Advantage lineup in Orange County is shifting for 2027. The carrier will offer six Medicare Advantage plans in the county next year — down from seven this year — with two plans new for 2027, three not returning, and two renamed. If you live in Santa Ana and have an Aetna plan today, the changes show up in the Annual Notice of Change (ANOC) your plan mailed before Annual Enrollment opened on October 15, 2026.

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Key takeaways

  • Aetna will offer six Medicare Advantage plans in Orange County for 2027: five HMOs and one HMO-POS, with five including drug coverage.
  • Two Aetna plans are new for 2027, three are not returning, and two have been renamed — your ANOC spells out what applies to you.
  • Annual Enrollment runs October 15 through December 7, 2026, and any change you make takes effect January 1, 2027.
  • Confirm your doctors, hospitals and prescriptions against each plan at medicare.gov or by calling 1-800-MEDICARE before December 7.
2027 plan lineupSanta Ana, CA
Video: T Leish Video by T Leish on Pexels
Key facts: Medicare in Santa Ana, California (data as of 2026-06-01)
FactFigureSource
Medicare Advantage plans offered in Orange County (2026)104CMS
Medicare Advantage plans offered in Orange County (2027)111CMS
Plans not returning for 2027 / new for 202721 / 28CMS
Organizations offering Medicare Advantage in Orange County (2026)17CMS
Share of eligible beneficiaries in Medicare Advantage, Orange County56%CMS
Residents age 65 and older, Orange County514,824U.S. Census Bureau
Part B standard monthly premium (2026)$202.90Medicare.gov
Part D out-of-pocket cap (2026)$2,100CMS
Part D out-of-pocket cap (2027)$2,400CMS
Annual Enrollment Period (for 2027 coverage)October 15 – December 7, 2026Medicare.gov
Medicare Advantage Open Enrollment PeriodJanuary 1 – March 31Medicare.gov

Area counts are for the county as a whole and are not a recommendation of any plan. Program figures are set nationally.

MyMedicarePlans.org is an independent consumer site, not Aetna and not Medicare. Aetna is one of 16 carriers offering Medicare Advantage plans in Orange County for 2027; all carriers combined offer 111 plans in the county next year.

What Aetna Medicare Advantage plans are available in Santa Ana for 2027?

Santa Ana is in Orange County, where Aetna will offer six Medicare Advantage plans for 2027. By type, that is five HMO plans and one HMO-POS plan. Five of the six include Part D drug coverage; one does not. Aetna is not offering a PPO in the county next year, which is a change from 2026.

The full roster is in the table below. In alphabetical order, Aetna's 2027 plans are: Aetna Medicare Chronic Care (HMO C-SNP), Aetna Medicare Eagle (HMO), Aetna Medicare Prime (HMO), Aetna Medicare Signature (HMO), Aetna Medicare Signature Extra (HMO), and Aetna Medicare Signature Legacy (HMO).

Does Aetna offer a Special Needs Plan in Orange County for 2027?

Yes — one. Aetna Medicare Chronic Care (HMO C-SNP) is a Chronic Condition Special Needs Plan, and it is new for 2027. C-SNPs are built around people living with specific chronic conditions; eligibility depends on the condition the plan is designed for, which the plan documents will spell out. Aetna is not offering a Dual Eligible SNP (D-SNP) or an Institutional SNP (I-SNP) in the county for 2027.

What is new, renamed or not returning in Aetna's Santa Ana lineup for 2027?

Two Aetna plans are new in Orange County for 2027: Aetna Medicare Chronic Care (HMO C-SNP) and Aetna Medicare Eagle (HMO). Two existing plans have been renamed. Aetna Medicare Prime, which was offered as an HMO-POS in 2026, carries the HMO label in its 2027 name. And a plan now called Aetna Medicare Signature Legacy (HMO) was previously part of the Aetna Medicare Signature (HMO) line. A renamed plan is still a plan change — the ANOC your plan mailed before October 15 shows what moved, including network, drug list and cost changes for 2027.

Three Aetna plans offered in 2026 are not returning for 2027. If one of them is yours, Aetna will have sent a non-renewal notice explaining your options and your Special Enrollment Period rights. You will not lose Medicare — your Part A and Part B stay in place — but you do need to pick a new Medicare Advantage plan or return to Original Medicare before coverage changes on January 1, 2027.

How do I check an Aetna plan against my doctors and prescriptions before December 7?

Use the Medicare Plan Finder at medicare.gov. You can enter your ZIP code, add your prescriptions and pharmacies, and see each plan's drug costs for the coming year side by side. For doctors and hospitals, check the plan's own provider directory on Aetna's website, or call the number on the plan materials, because a Plan Finder listing does not confirm that a specific physician is in network.

A short checklist that works for any plan:

What Medicare dates and figures should Santa Ana residents keep in mind for 2027?

Annual Enrollment runs October 15 through December 7, 2026, for coverage that starts January 1, 2027. If you do nothing and your plan is offered again, it renews automatically with the changes described in the ANOC. If you are already in a Medicare Advantage plan on January 1, you also have the Medicare Advantage Open Enrollment Period from January 1 to March 31, 2027, to make one change.

A few program-level figures for context. For 2027, CMS has confirmed the Part D out-of-pocket cap rises to $2,400 (up from $2,100 in 2026) and the Part D maximum deductible rises to $700 (up from $615 in 2026). The 2027 Part B standard premium and deductible, and the 2027 IRMAA income brackets, had not been announced as of this writing; CMS typically publishes those in the fall. The coverage gap ("donut hole") has been gone since 2025, and the Medicare Prescription Payment Plan remains available if you want to spread drug costs over the plan year.

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 Orange County

56% are on Medicare Advantage
(MA penetration in Orange County)
56%
44%
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 Orange County for 2027

CMS lists 6 Aetna Medicare Advantage plans in Orange County for 2027, alphabetically by carrier. 15 other carriers also offer plans there.

PlanTypeDrug coverageFor 2027
Aetna (CVS Health) 6 plans
Aetna Medicare Chronic Care (HMO C-SNP)HMO C-SNPYesNew
Aetna Medicare Eagle (HMO)HMONoNew
Aetna Medicare Prime (HMO)HMO-POSYesRenamed
Aetna Medicare Signature (HMO)HMOYesReturning
Aetna Medicare Signature Extra (HMO)HMOYesReturning
Aetna Medicare Signature Legacy (HMO)HMOYesRenamed

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 Orange County break down for 2027

6
Medicare Advantage plans
5
HMO plans
1
HMO-POS plans
1
Chronic-condition (C-SNP)

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 Period (Open Enrollment)Anyone 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 Santa Ana & speak with a licensed agent

Medicare Advantage companies in Orange County

By local enrollment size · informational, not a ranking
CompanyLocal enrollmentPlans offeredLocal agentsAction
Kaiser PermanenteRegional—Yes
Scan GroupRegional—Yes
UnitedHealthcareNational—Yes
Orange County Health AuthorityRegional—Yes
Aetna (CVS Health)National—Yes
California Physicians' ServiceRegional—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

What happens if my Aetna plan is one of the three not returning in 2027?
Your coverage under that plan ends December 31, 2026. Aetna will mail a non-renewal notice with details, and you qualify for a Special Enrollment Period to pick another Medicare Advantage plan or return to Original Medicare (with or without a stand-alone Part D plan). Your Part A and Part B are not affected.
Can I keep my doctor if Aetna renamed my plan?
A rename does not automatically change your network, but network, drug list and cost details can change from one plan year to the next. Check your plan's 2027 ANOC and confirm your doctors and prescriptions on the plan's 2027 directory and formulary, or by calling the plan.
Does Aetna offer a PPO in Santa Ana for 2027?
Based on CMS's 2027 Landscape data for Orange County, Aetna's six 2027 plans are five HMOs and one HMO-POS. If you want a PPO, 15 other carriers also offer Medicare Advantage plans in the county, and the Plan Finder at medicare.gov will show every option in your ZIP code.
What if I do nothing before December 7, 2026?
If your current plan is offered again in 2027, it renews automatically on January 1 with the changes in your ANOC. If it is not being offered, you will need to choose a new plan or you will revert to Original Medicare. Either way, nothing happens to your underlying Medicare — Part A and Part B continue. For personalized answers, visit medicare.gov or call 1-800-MEDICARE (TTY 1-877-486-2048), 24 hours a day, seven days a week.

Watch

The Medicare Advantage changes for 2027 in California, in 30 seconds

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 Santa Ana

Sources and methodology

Figures cited in this article

  • CMS Medicare Advantage Landscape Source Files, plan years 2026 and 2027: Aetna's plan roster in Orange County, year-over-year changes, and total carrier and plan counts in the county.
  • Medicare.gov: the Annual Enrollment Period dates, Medicare Advantage Open Enrollment dates, and the Plan Finder tool for checking doctors and prescriptions.
  • CMS Part D program parameters for 2026 and 2027: the out-of-pocket cap and maximum deductible figures cited.

How we put this together: area counts come from the CMS files listed above for the county that contains this city, program figures come from CMS, Medicare.gov and the Social Security Administration, and no plan is ranked or recommended.

By The Medicare Desk · Published . For personalized answers, contact Medicare.gov or 1-800-MEDICARE.

Content Integrity Standards

  • No invented figures. Program-level numbers come from CMS / Medicare.gov; we never use placeholder data.
  • No plan recommendations. This is educational content. We don't score or recommend specific plans; any Star Ratings shown are Medicare's own CMS ratings, stated as published.
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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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