Medicare Advantage
Aetna Medicare Advantage in Texas for 2027: 52 Plans, County by County
AUSTIN — Texans weighing their Medicare choices for next year will see a sizable slate from Aetna (grouped by the Centers for Medicare & Medicaid Services as Aetna (CVS Health)). According to the CMS Medicare Advantage Landscape Source Files for the 2027 plan year, Aetna is offering 52 Medicare Advantage plans across Texas, part of a broader statewide field that includes 421 plans from 21 carriers in all. This article is published by an independent Medicare education site; it is not the government, is not affiliated with CMS, and is not Aetna.
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Key takeaways
- Aetna lists 52 Medicare Advantage plans in Texas for 2027, including 31 HMOs and 21 PPOs, and all 52 include drug coverage.
- The lineup includes 13 D-SNPs and 8 C-SNPs for people with specific eligibility, plus 10 plans that are new for 2027 and 2 that are not returning.
- A plan listed statewide may not be offered in your county, so always confirm availability on Medicare.gov before you decide.
- The Annual Enrollment Period runs October 15 through December 7, 2026, and a choice made in that window takes effect January 1, 2027.
Because Medicare Advantage is sold county by county, any plan named here as "statewide" may not be sold in the county where you live. The plan tables elsewhere on this page show the county counts plan by plan.
What Aetna offers statewide for 2027
For the 2027 plan year, Aetna's Texas Medicare Advantage menu totals 52 plans. By plan type, that breaks down into 31 HMOs and 21 PPOs. Every one of the 52 plans includes Part D prescription drug coverage, so Texans picking an Aetna Medicare Advantage plan would not need a separate stand-alone drug plan.
Aetna also offers Special Needs Plans in Texas for 2027: 13 Dual Eligible Special Needs Plans (D-SNPs) for people who qualify for both Medicare and Medicaid, and 8 Chronic Condition Special Needs Plans (C-SNPs) for people with certain qualifying chronic conditions. Aetna does not list any Institutional Special Needs Plans (I-SNPs) in Texas for 2027.
For context, CMS counts 21 carriers offering Medicare Advantage in Texas for 2027, with 421 plans statewide across all carriers combined.
Plans with the widest county reach
The Aetna plan with the broadest county footprint listed for 2027 is Aetna Medicare Full Dual Care (HMO D-SNP), which appears in 100 counties under one plan ID, along with another new D-SNP, Aetna Medicare QMB Only Care (HMO D-SNP), also listed in 100 counties. Aetna Medicare Full Dual Extra Care (HMO D-SNP) and Aetna Medicare QMB Only Extra Care (HMO D-SNP) each reach 98 counties under their widest listings. Because these are D-SNPs, enrollment is limited to people who meet the dual-eligibility rules.
On the non-SNP side, Aetna Medicare Eagle (PPO) has the widest reach at 48 counties, followed by Aetna Medicare Signature (PPO) at 41 counties under its widest listing. Other broadly offered options include Aetna Medicare Signature Extra (PPO) and Aetna Medicare Value Plus (PPO). The complete plan-by-plan county counts appear in the tables on this page.
What is new or not returning
Aetna has 10 plans that are new for 2027 in Texas. Among them are Aetna Medicare Enhanced Extra (PPO), Aetna Medicare Signature (HMO) in its newly listed service area, several listings of Aetna Medicare QMB Only Care (HMO D-SNP), and additional Aetna Medicare Chronic Care and Chronic Care Total (HMO C-SNP) listings.
A number of 2026 plans are returning under new names. For example, CMS shows Aetna Medicare Dual Care (HMO D-SNP) renamed to Aetna Medicare Full Dual Care (HMO D-SNP); Aetna Medicare Full Dual Care (HMO D-SNP) renamed to Aetna Medicare Full Dual Extra Care (HMO D-SNP); Aetna Medicare Partial Dual Care (HMO D-SNP) renamed to Aetna Medicare QMB Only Extra Care (HMO D-SNP); Aetna Medicare Prime Chronic Care (HMO C-SNP) renamed to Aetna Medicare Chronic Care (HMO C-SNP); Aetna Medicare Prime Chronic Total (HMO C-SNP) renamed to Aetna Medicare Chronic Care Total (HMO C-SNP); Aetna Medicare Prime (HMO) renamed to Aetna Medicare Signature Extra (HMO); and several Aetna Medicare Signature (PPO) listings renamed to Aetna Medicare Signature Extra (PPO). A rename can also come with changes to the plan itself, so current members should read the Annual Notice of Change that arrives in the mail.
Aetna also has 2 Texas plans that are not returning for 2027. If you are enrolled in one, your mailed notice will explain your options.
Checking your county, doctors and prescriptions
A statewide total is a useful snapshot, but Medicare Advantage is bought one ZIP code at a time. To see whether a specific Aetna plan is actually offered where you live:
1. Go to Medicare.gov and use the Medicare Plan Finder with your ZIP code. 2. Filter by Medicare Advantage to see every plan available in your county, from Aetna and from other carriers. 3. Open the plan page to review the premium, deductible, copays, extra benefits and star rating for that specific plan. 4. Enter your prescriptions to see how each plan's drug list treats them. 5. Check the plan's provider directory to confirm that your doctors, specialists and preferred hospitals are in network.
You can also call 1-800-MEDICARE (1-800-633-4227), available 24 hours a day, 7 days a week, or read the plan's own Evidence of Coverage and provider and pharmacy directories.
What to do before December 7
The Annual Enrollment Period for 2027 coverage runs October 15 through December 7, 2026. Any Medicare Advantage or Part D choice you make during that window takes effect January 1, 2027. A simple checklist:
- Read the Annual Notice of Change from your current plan, especially if your plan has been renamed.
- Make a list of your prescriptions, pharmacies and regular providers.
- Compare plans available in your county on Medicare.gov.
- Confirm the enrollment eligibility rules for any D-SNP or C-SNP you are considering.
- Save confirmation numbers for any enrollment you complete.
Where to get free help
Free, unbiased help is available directly from Medicare. Visit Medicare.gov to compare plans with the Plan Finder, or call 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048, any time, day or night.
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.
2027 plan lineup
Aetna Medicare Advantage plans in Texas for 2027
CMS lists 52 Aetna Medicare Advantage plans across Texas for 2027, alphabetically by carrier, widest county reach first. 20 other carriers also offer plans there.
| Plan | Type | Drug coverage | Counties |
|---|---|---|---|
| Aetna (CVS Health) 52 plans | |||
| Aetna Medicare Full Dual Care (HMO D-SNP) | HMO D-SNP | Yes | 100 |
| Aetna Medicare QMB Only Care (HMO D-SNP) | HMO D-SNP | Yes | 100 |
| Aetna Medicare Full Dual Extra Care (HMO D-SNP) | HMO D-SNP | Yes | 98 |
| Aetna Medicare QMB Only Extra Care (HMO D-SNP) | HMO D-SNP | Yes | 98 |
| Aetna Medicare Eagle (PPO) | PPO | Yes | 48 |
| Aetna Medicare Signature (PPO) | PPO | Yes | 41 |
| Aetna Medicare Signature Extra (PPO) | PPO | Yes | 27 |
| Aetna Medicare Signature (PPO) | PPO | Yes | 22 |
| Aetna Medicare Signature Extra (PPO) | PPO | Yes | 22 |
| Aetna Medicare Value Plus (PPO) | PPO | Yes | 22 |
| Aetna Medicare Value Plus (PPO) | PPO | Yes | 22 |
| Aetna Medicare Full Dual Care (HMO D-SNP) | HMO D-SNP | Yes | 20 |
| Aetna Medicare Full Dual Extra Care (HMO D-SNP) | HMO D-SNP | Yes | 20 |
| Aetna Medicare QMB Only Care (HMO D-SNP) | HMO D-SNP | Yes | 20 |
| Aetna Medicare QMB Only Extra Care (HMO D-SNP) | HMO D-SNP | Yes | 20 |
| Aetna Medicare Full Dual Care (HMO D-SNP) | HMO D-SNP | Yes | 19 |
| Aetna Medicare Full Dual Extra Care (HMO D-SNP) | HMO D-SNP | Yes | 19 |
| Aetna Medicare QMB Only Care (HMO D-SNP) | HMO D-SNP | Yes | 19 |
| Aetna Medicare QMB Only Extra Care (HMO D-SNP) | HMO D-SNP | Yes | 19 |
| Aetna Medicare Signature (PPO) | PPO | Yes | 19 |
| Aetna Medicare Signature (PPO) | PPO | Yes | 18 |
| Aetna Medicare Enhanced (PPO) | PPO | Yes | 15 |
| Aetna Medicare Signature Extra (HMO) | HMO | Yes | 11 |
| Aetna Medicare Signature (PPO) | PPO | Yes | 10 |
| Aetna Medicare Signature Extra (HMO) | HMO | Yes | 10 |
| Aetna Medicare Signature (HMO) | HMO | Yes | 8 |
| Aetna Medicare Signature Extra (PPO) | PPO | Yes | 7 |
| Aetna Medicare Enhanced Extra (PPO) | PPO | Yes | 6 |
| Aetna Medicare Signature Care (HMO) | HMO | Yes | 5 |
| Aetna Medicare Signature Extra (PPO) | PPO | Yes | 5 |
| Aetna Medicare Chronic Care (HMO C-SNP) | HMO C-SNP | Yes | 3 |
| Aetna Medicare Chronic Care (HMO C-SNP) | HMO C-SNP | Yes | 3 |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | HMO C-SNP | Yes | 3 |
| Aetna Medicare Full Dual (HMO D-SNP) | HMO D-SNP | Yes | 3 |
| Aetna Medicare Prime Care (HMO) | HMO | Yes | 3 |
| Aetna Medicare Prime Care (HMO) | HMO | Yes | 3 |
| Aetna Medicare Value Plus (PPO) | PPO | Yes | 3 |
| Aetna Medicare Chronic Care (HMO C-SNP) | HMO C-SNP | Yes | 2 |
| Aetna Medicare Enhanced (PPO) | PPO | Yes | 2 |
| Aetna Medicare Prime Care (HMO) | HMO | Yes | 2 |
| Aetna Medicare Signature (HMO) | HMO | Yes | 2 |
| Aetna Medicare Signature Extra (PPO) | PPO | Yes | 2 |
| Aetna Medicare Value Plus (PPO) | PPO | Yes | 2 |
| Aetna Medicare Value Plus (PPO) | PPO | Yes | 2 |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | HMO C-SNP | Yes | 1 |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | HMO C-SNP | Yes | 1 |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | HMO C-SNP | Yes | 1 |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | HMO C-SNP | Yes | 1 |
| Aetna Medicare Enhanced (PPO) | PPO | Yes | 1 |
| Aetna Medicare Signature (HMO) | HMO | Yes | 1 |
| Aetna Medicare Signature Extra (HMO) | HMO | Yes | 1 |
| Aetna Medicare Value Plus (PPO) | PPO | Yes | 1 |
Source: CMS Medicare Advantage Landscape Source Files, plan years 2026 and 2027. Plans are offered county by county; a plan listed for the state may not be offered in your county. 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 across Texas 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. Plans are offered county by county; a plan listed for the state may not be offered in your county. 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.
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Frequently asked questions
How many Aetna Medicare Advantage plans are offered in Texas for 2027?
Does a statewide plan count mean every plan is available in my county?
What changed in Aetna's Texas lineup compared with 2026?
When do I need to make a decision?
- 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.
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This page was last updated: October 2026.