Medicare Advantage
Aetna's 2027 Medicare Advantage lineup in Lexington: one new plan, nothing dropped
Lexington, Ky. — As the Annual Enrollment Period for 2027 Medicare coverage runs from October 15 through December 7, 2026, Aetna's slate of Medicare Advantage plans in Fayette County is shifting slightly: one new plan is joining the lineup, and none of the carrier's current plans are leaving. If you have an Aetna plan now, the changes for next year are spelled out in your Annual Notice of Change (ANOC), the packet mailed each fall.
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Key takeaways
- Aetna offers 7 Medicare Advantage plans in Fayette County for 2027, including 1 new plan and 0 plans not returning.
- The 2027 lineup includes 3 HMO plans, 1 HMO-POS plan, and 3 PPO plans; 6 of the 7 include drug coverage, and 3 are Special Needs Plans.
- The Annual Enrollment Period for 2027 coverage runs October 15 through December 7, 2026, and changes take effect January 1, 2027.
- Confirm any plan against your doctors and prescriptions at medicare.gov or by calling 1-800-MEDICARE before signing up.
| Fact | Figure | Source |
|---|---|---|
| Medicare Advantage plans offered in Fayette County (2026) | 65 | CMS |
| Medicare Advantage plans offered in Fayette County (2027) | 66 | CMS |
| Plans not returning for 2027 / new for 2027 | 11 / 12 | CMS |
| Organizations offering Medicare Advantage in Fayette County (2026) | 9 | CMS |
| Share of eligible beneficiaries in Medicare Advantage, Fayette County | 54% | CMS |
| Residents age 65 and older, Fayette County | 47,626 | U.S. Census Bureau |
| Part B standard monthly premium (2026) | $202.90 | Medicare.gov |
| Part D out-of-pocket cap (2026) | $2,100 | CMS |
| Part D out-of-pocket cap (2027) | $2,400 | CMS |
| Annual Enrollment Period (for 2027 coverage) | October 15 – December 7, 2026 | Medicare.gov |
| Medicare Advantage Open Enrollment Period | January 1 – March 31 | Medicare.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 news site and is not affiliated with Aetna, CVS Health, or Medicare. Aetna is one of 9 carriers offering Medicare Advantage plans in Fayette County for 2027; across all carriers, 66 plans are offered countywide.
What Medicare Advantage plans does Aetna offer in Lexington for 2027?
Aetna offers 7 Medicare Advantage plans in Fayette County — the county Lexington sits in — for the 2027 plan year, according to the CMS Medicare Advantage Landscape Source File. The table below lists every plan by name, plan type, and whether it includes drug coverage.
By plan type, that breaks down to 3 HMO plans, 1 HMO-POS plan, and 3 PPO plans. Six of the seven plans include Part D drug coverage; one PPO is offered without drug coverage, which generally means enrollees would pair it with a stand-alone Part D plan if they want drug coverage.
Does Aetna offer Special Needs Plans in Fayette County in 2027?
Yes. Three of Aetna's 7 Fayette County plans for 2027 are Special Needs Plans (SNPs): 2 Dual-Eligible SNPs (D-SNPs) for people with both Medicare and Medicaid, and 1 Chronic Condition SNP (C-SNP) for people with a qualifying chronic condition. There are no Institutional SNPs (I-SNPs) in Aetna's Lexington lineup for 2027.
SNPs have eligibility rules beyond standard Medicare Advantage enrollment. If you think a D-SNP or C-SNP might fit your situation, confirm eligibility with the plan or at 1-800-MEDICARE before enrolling.
What is new or not returning in Aetna's Lexington lineup for 2027?
For 2027, Aetna is adding 1 new Medicare Advantage plan in Fayette County — Aetna Medicare Chronic Care (HMO C-SNP) — and is not discontinuing any of the plans it offered in 2026. No plans in the carrier's lineup are listed as renamed.
If you are already enrolled in an Aetna plan, that plan renews automatically on January 1, 2027, if it is offered next year. The specifics of any changes to premiums, copays, drug formularies, provider networks, or extra benefits are in your ANOC. It is worth reading that packet carefully, even if the plan name stays the same.
How do I check an Aetna plan against my doctors and prescriptions before December 7?
The most reliable way to check a specific plan against your doctors and prescriptions for 2027 is the Medicare Plan Finder at medicare.gov. You can enter your ZIP code, list your prescriptions, and see each plan's drug costs and whether your pharmacy is in network. For provider networks, check the plan's online directory or call Aetna directly to confirm your doctors and hospitals are in network for 2027 — networks can change from year to year.
A short checklist before you decide:
- List your current prescriptions, doses, and pharmacy.
- List the doctors, specialists, and hospitals you want to keep.
- Have your Medicare number ready.
- Review the plan's Evidence of Coverage, Summary of Benefits, and ANOC for 2027.
- Call 1-800-MEDICARE (TTY 1-877-486-2048), available 24/7, with any questions.
The deadline to make a change for coverage starting January 1, 2027, is December 7, 2026. If you do nothing, your current plan renews as described in its ANOC.
What else should Lexington readers know about 2027 Medicare costs?
A few program-wide 2027 figures are already set by CMS. The Part D out-of-pocket cap rises to $2,400 in 2027 (up from $2,100 in 2026), and the Part D maximum deductible rises to $700 in 2027 (from $615 in 2026). The Part D national base beneficiary premium for 2027 is $41.33 — that is a formula input Medicare uses to set certain surcharges, not what any specific plan charges.
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.
Note that the Medicare Advantage Open Enrollment Period (January 1 – March 31, 2027) also gives Medicare Advantage enrollees one chance to switch to a different Medicare Advantage plan or return to Original Medicare after January 1.
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.
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 Fayette County
(MA penetration in Fayette County)
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 Fayette County for 2027
CMS lists 7 Aetna Medicare Advantage plans in Fayette County for 2027, alphabetically by carrier. 8 other carriers also offer plans there.
| Plan | Type | Drug coverage | For 2027 |
|---|---|---|---|
| Aetna (CVS Health) 7 plans | |||
| Aetna Medicare Chronic Care (HMO C-SNP) | HMO C-SNP | Yes | New |
| Aetna Medicare Eagle Giveback (PPO) | PPO | No | Returning |
| Aetna Medicare HIDE (HMO D-SNP) | HMO D-SNP | Yes | Returning |
| Aetna Medicare Partial Dual (HMO D-SNP) | HMO D-SNP | Yes | Returning |
| Aetna Medicare Signature (HMO-POS) | HMO-POS | Yes | Returning |
| Aetna Medicare Signature (PPO) | PPO | Yes | Returning |
| Aetna Medicare Value Plus (PPO) | PPO | Yes | Returning |
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 Fayette County break down for 2027
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.
Explore
When can you enroll? An interactive year
Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.
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The parts of Medicare
Good to know
Frequently asked questions
Do I have to do anything if I like my current Aetna plan?
How many Medicare Advantage carriers serve Fayette County in 2027?
What is the deadline to pick a plan for 2027?
Where can I get help comparing plans?
- 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 Lexington
Sources and methodology
- CMS, Medicare Advantage and Part D Landscape Source Files
- CMS, Medicare Advantage state/county penetration and enrollment files
- U.S. Census Bureau, American Community Survey (table B01001, age 65 and older)
- Medicare.gov, Medicare costs (Part B premium)
- CMS, Medicare prescription drug coverage (Part D) program rules
- CMS, Medicare Advantage and Part D plan-year announcements
- Medicare.gov, enrollment periods and plan rules
Figures cited in this article
- CMS Medicare Advantage Landscape Source File (CY2026 and CY2027): Aetna's Fayette County plan counts, plan types, SNP counts, drug coverage, and year-over-year changes.
- Medicare.gov: Annual Enrollment Period dates, Medicare Advantage Open Enrollment dates, and the Plan Finder tool.
- CMS: confirmed 2027 Part D out-of-pocket cap, Part D maximum deductible, and Part D national base beneficiary premium; and 2026 Part D figures and IRMAA threshold.
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.
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This page was last updated: October 2026.