Medicare Advantage
Aetna Medicare Advantage in Virginia for 2027: 15 Plans, County by County
RICHMOND — For the 2027 plan year, Aetna (which CMS groups as Aetna (CVS Health)) is offering 15 Medicare Advantage plans in Virginia, according to the CMS Medicare Advantage Landscape Source Files for CY2027. The lineup is one of 10 Medicare Advantage carriers in the state, which together list 148 plans statewide. Because plans are approved county by county, a plan on Aetna's Virginia list may or may not be offered where you live.
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Key takeaways
- Aetna lists 15 Medicare Advantage plans in Virginia for 2027, and all 15 include drug coverage.
- The lineup includes 3 HMO, 6 HMO-POS and 6 PPO plans, plus 1 Dual Eligible Special Needs Plan (D-SNP).
- Two Aetna plans are new for 2027 and one 2026 plan is not returning; several others have been renamed.
- The Annual Enrollment Period runs October 15 – December 7, 2026, and choices made in that window take effect January 1, 2027.

| Fact | Figure | Source |
|---|---|---|
| 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.
What is Aetna offering across Virginia for 2027?
Aetna is offering 15 Medicare Advantage plans in Virginia for 2027, and every one of them includes prescription drug coverage. By plan type, that breaks down to 3 HMO plans, 6 HMO-POS plans and 6 PPO plans. Aetna's Special Needs Plan lineup in Virginia for 2027 consists of 1 D-SNP (Dual Eligible Special Needs Plan), with no C-SNP or I-SNP offerings. Aetna is one of 10 Medicare Advantage carriers operating in Virginia for 2027; across all carriers, Virginians can see 148 Medicare Advantage plans listed statewide, though the number available in any single county is smaller.
Which Aetna plans reach the most Virginia counties for 2027?
The Aetna Medicare FIDE (HMO D-SNP) has the widest county footprint in Virginia for 2027, listed in 133 counties, followed by Aetna Medicare Eagle Giveback (PPO) in 117 counties and Aetna Medicare Premier (PPO) in 70 counties. The full county counts for every Aetna plan — including Aetna Medicare Enhanced (PPO) in 67 counties, Aetna Medicare Signature (HMO-POS) in 62 counties, Aetna Medicare Enhanced Plus (PPO) in 29 counties, and smaller-footprint plans such as Aetna Medicare Prime (HMO) in 3 counties — are shown in the plan table on this page. County reach only tells you where a plan is on offer; it says nothing about premium, benefits, provider network, drug list or star rating, and this article makes no comparison on those points.
What is new or not returning in Aetna's Virginia lineup for 2027?
For 2027 in Virginia, Aetna has 2 new plans and 1 plan from 2026 that is not returning. The two plans listed as new for next year are Aetna Medicare Enhanced Plus (PPO), offered in 29 counties, and Aetna Medicare Prime Elite (HMO), offered in 10 counties. Several returning plans have been renamed on the CMS filing: Aetna Medicare Elite Extra (HMO) was Aetna Medicare Elite (HMO-POS); Aetna Medicare Enhanced (PPO) was Aetna Medicare Enhanced Plus (PPO); and Aetna Medicare Signature Plus (HMO-POS) was Aetna Medicare Signature Care (HMO-POS). If you are in a plan that is not returning, Medicare will send a non-renewal notice explaining your options and the dates that apply to you.
How do I check whether an Aetna plan is offered in my Virginia county and covers my doctors and drugs?
To confirm whether a specific Aetna plan is offered in your Virginia county for 2027 — and whether it covers your doctors and prescriptions — use the Medicare Plan Finder at medicare.gov, call 1-800-MEDICARE (available 24 hours a day, 7 days a week), or read the plan's Evidence of Coverage and provider and pharmacy directories. The statewide list on this page shows which Aetna plans are filed somewhere in Virginia for 2027; it does not show whether any one of them is available in, say, Fairfax, Henrico, Roanoke or Wise County. Three things are worth checking before you decide: that the plan is offered in your county, that your doctors and preferred hospitals are in-network, and that the medications you take appear on the plan's formulary at a tier you can live with.
What should Virginians do before December 7, 2026?
Before December 7, 2026, Virginians who want to join, switch or drop a Medicare Advantage plan for 2027 should compare their current coverage against what will be offered in their county next year. The Annual Enrollment Period runs October 15 – December 7, 2026, and the plan you pick in that window takes effect January 1, 2027. A short checklist helps: read the Annual Notice of Change your current plan mailed in September; list your doctors, hospitals and prescriptions; look up each plan you are considering on the Medicare Plan Finder; and confirm the plan is offered in your specific county. If you take no action, your current plan generally continues into 2027 unless it is one of the plans not returning, in which case your notice will spell out the next steps.
Where can Virginians get free help comparing Medicare plans?
Virginians can get free, unbiased help comparing Medicare plans by going to medicare.gov or calling 1-800-MEDICARE (TTY 1-877-486-2048), which is staffed 24 hours a day, 7 days a week. The Medicare Plan Finder at medicare.gov lets you enter your ZIP code, county and medications to see which plans are offered where you live and what each one covers. You can also read a specific plan's Evidence of Coverage, Summary of Benefits and provider and pharmacy directories directly from the plan. This site is privately owned and independent — it is not Medicare, not a government agency, and not Aetna or any other insurance carrier.
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 Virginia for 2027
CMS lists 15 Aetna Medicare Advantage plans across Virginia for 2027, alphabetically by carrier, widest county reach first. 9 other carriers also offer plans there.
| Plan | Type | Drug coverage | Counties |
|---|---|---|---|
| Aetna (CVS Health) 15 plans | |||
| Aetna Medicare FIDE (HMO D-SNP) | HMO D-SNP | Yes | 133 |
| Aetna Medicare Eagle Giveback (PPO) | PPO | Yes | 117 |
| Aetna Medicare Premier (PPO) | PPO | Yes | 70 |
| Aetna Medicare Enhanced (PPO) | PPO | Yes | 67 |
| Aetna Medicare Signature (HMO-POS) | HMO-POS | Yes | 62 |
| Aetna Medicare Enhanced Plus (PPO) | PPO | Yes | 29 |
| Aetna Medicare Elite (PPO) | PPO | Yes | 24 |
| Aetna Medicare Signature Plus (HMO-POS) | HMO-POS | Yes | 22 |
| Aetna Medicare Elite (PPO) | PPO | Yes | 17 |
| Aetna Medicare Elite (HMO-POS) | HMO-POS | Yes | 16 |
| Aetna Medicare Elite Extra (HMO) | HMO-POS | Yes | 16 |
| Aetna Medicare Carilion Health Prime (HMO-POS) | HMO-POS | Yes | 12 |
| Aetna Medicare Prime Elite (HMO) | HMO | Yes | 10 |
| Aetna Medicare Signature Plus (HMO-POS) | HMO-POS | Yes | 9 |
| Aetna Medicare Prime (HMO) | HMO | Yes | 3 |
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 Virginia 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 Virginia for 2027?
Does Aetna offer any Special Needs Plans in Virginia for 2027?
What if my current Aetna plan is not returning in 2027?
When do 2027 Medicare Advantage choices take effect?
- 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.
Sources and methodology
- 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
- CMS, Medicare Advantage and Part D Landscape Source Files
Figures cited in this article
- CMS — Medicare Advantage Landscape Source File (CY2027): Aetna's Virginia plan counts, plan types, SNP breakdown, drug coverage, new and non-returning plans, renames and per-plan county reach.
- CMS — Medicare Advantage Landscape Source Files (CY2026 and CY2027): the year-over-year comparison used to flag what is new and what is not returning.
- Medicare.gov (CMS — Medicare enrollment periods): the Annual Enrollment Period dates and January 1, 2027 effective date, plus the Plan Finder and 1-800-MEDICARE contact information.
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.