Aetna Medicare Signature Care (HMO) Medicare Advantage Plan H2663-067 • 2026 • Faulkner County, AR
This Medicare Advantage HMO plan, identified by CMS Plan ID H2663-067, is offered by Aetna Medicare for the 2026 plan year. The plan uses a Health Maintenance Organization (HMO) provider network and comes with prescription coverage (Part D ).
Aetna Medicare Signature Care Overview
Plan Overview for
H2663-067-0
|
|
|---|---|
| CMS Plan ID: |
H2663-067-0
|
| Plan Type: | HMO |
| Plan Year: | 2026 |
| Monthly Premium: |
$0.00
Plus your Medicare Part B premium. |
| Medical Deductible: | $0.00 |
| Maximum Out-of-Pocket: | $6750.00 (In-Network) |
| Part B Give Back: | Not offered |
| Prescription Drug Coverage: | Enhanced, $615.00 deductible |
| Additional Benefits: | Dental, Vision, Hearing |
| Service Area: | Faulkner County, AR |
| Enrollment (Nationwide): | 608 beneficiaries |
| Enrollment (CMS – Local) | 127 beneficiaries in Faulkner County |
| Provided By: | Aetna Medicare |
Coverage Overview for Aetna Medicare Signature Care
This Medicare Advantage Prescription Drug (MAPD) HMO plan includes hospital, medical, and prescription drug coverage under Medicare Parts A and B. The monthly premium is $0.00, and services are generally covered when received from in-network providers, except in emergency situations. The annual Part D deductible is $615.00.
Primary care visits have a $0 copay, specialist visits come with a $10-$35 copay, urgent care services carry a $40 copay, and ambulance transportation is $305 copay. These costs apply toward the annual maximum out-of-pocket (MOOP) limit of $6750.00. After this limit is reached, in-network services are fully covered.
This plan is listed by CMS under Plan ID H2663-067. A summary of cost sharing is provided below.
Cost-Sharing Overview
Aetna Medicare Signature Care has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The table below details the most common in-network out-of-pocket expenses for plan H2663-067.
Certain preventive services are covered 100% by Aetna Medicare Signature Care as a Part B benefit.
Prescription Drug Coverage
Aetna Medicare Signature Care includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.
This plan includes an enhanced benefit Medicare Part D plan (PDP), providing coverage beyond the standard CMS-defined minimum.
Prescription Drug Plan Premium
The Part D prescription drug plan premium is included in the overall Medicare Special Needs Plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.
| Basic Part D Premium: | $0.00 |
|---|---|
| Supplemental Part D Premium: | $0.00 |
| Total Part D Premium: | $0.00 |
| Low-Income Premium Subsidy: | $8.93 |
| Low-Income Premium Subsidy Paid by CMS: | $0.00 |
| Low-Income Subsidy Premium: | $0.00 |
For more details, visit the Social Security Extra Help program .
Prescription Drug Plan Deductible
This plan has a $615.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Aetna Medicare starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, Aetna Medicare Signature Care may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Preferred Generic | $0.00 copay | Coming soon |
| Generic | $0.00 copay | Coming soon |
| Preferred Brand | 25% coinsurance | Coming soon |
| Non-Preferred Drug | 25% coinsurance | Coming soon |
| Specialty Tier | 25% coinsurance | Coming soon |
| *Deductible does not apply. | ||
CMS 5-Star Ratings
CMS evaluates Medicare Advantage (Part C) and Part D plans annually using a 5-star rating system. Ratings reflect performance in preventive care, chronic condition management, and member experience.
| CMS Measure | Star Rating |
|---|---|
| 2026 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
How much does plan H2663-067 cost per month?
The 2026 monthly premium is $0.00. The Medicare Part B premium is paid separately.
What is the in-network MOOP for plan H2663-067?
The 2026 in-network MOOP is $6750.00. Once this limit is reached, covered in-network costs are fully covered.
What is the star rating for plan H2663-067 in 2026?
CMS rates this plan at ★4.0 out of 5 stars for 2026.
What is the current enrollment for Aetna Medicare Signature Care?
The plan has 608 enrolled beneficiaries according to CMS.
What is the Part D deductible for plan H2663-067?
The plan’s Part D deductible is $615.00, applied to covered prescription drug costs.
Contact Information for Aetna Medicare
| Contact Type | Details |
|---|---|
| Website: | Aetna Medicare Plan Page |
| New Members: | 1-833-859-6031 |
| Existing Members: | 1-833-570-6670 |
| Plan Address: | PO Box 7405 | London, KY 40742 |
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at medicare.gov.
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | September 8, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Aetna Medicare (official source) | http://www.aetnamedicare.com | October 13, 2025 |
| Medicare.gov | Understanding Medicare Advantage Plans | 25 May, 2025 |
| AARP.org | The Big Choice: Original Medicare vs. Medicare Advantage | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
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