Aetna Medicare Chronic Care (HMO C-SNP) H2663-100 • 2027 • Saint Clair County, IL
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- Coming soon
- Maximum Out-of-Pocket
- $7150.00In-network
- Part B Giveback
- Coming soon
- Prescription Coverage
- Enhanced, $700.00 deductible
- Additional Benefits
- None
- Service Area
- Saint Clair County, IL
- Local Enrollment
- 284 beneficiaries in Saint Clair County
Introduction
CMS Plan ID H2663-100 identifies Aetna Medicare Chronic Care, a Medicare Advantage Chronic Condition Special Needs Plan (C-SNP) offered by Aetna Medicare. Its provider network is a Health Maintenance Organization (HMO), and Medicare Part D prescription drug coverage is included. For 2027, the plan has a $0.00 monthly premium, Coming soon medical deductible, and $7150.00 in-network maximum out-of-pocket. The 2027 Part D prescription drug deductible is $700.00.
Enrollment in this plan requires you to live in Saint Clair County, Illinois. CMS reports 284 beneficiaries enrolled in this plan in Saint Clair County. New members can call the plan directly at (833)771-2456 (TTY 711) for assistance.
Eligibility
Aetna Medicare Chronic Care is a Chronic Condition Special Needs Plan (C-SNP) designed for people with qualifying health conditions.
- Special Needs Plan Type
- Chronic Condition Special Needs Plan (C-SNP)
- Medicare Requirement
- Must have Medicare Part A and Part B
- Special Needs Requirement
- This plan is for individuals with cardiovascular disorders, chronic heart failure, and/or diabetes mellitus.
- Service Area Requirement
- Must live in the plan's service area
- Prescription Drug Coverage
- Medicare Part D prescription drug coverage is included.
Compare Similar Plans in Saint Clair County
Although no other HMO C-SNP plans meet the comparison criteria in Saint Clair County, you may have other Medicare Advantage options. Browse all Medicare Advantage SNP plans available in Saint Clair County, or explore our Illinois Medicare Special Needs directory for statewide information on plan availability, premiums, out-of-pocket costs, CMS ratings, and enrollment.
Plan Benefits
Aetna Medicare Chronic Care has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The tables below detail the most common in-network out-of-pocket expenses for plan H2663-100.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H2663-100-0 Cost Compare.
Office Visits
- Primary care
- Coming soon
- Specialist
- Coming soon
Preventive and Wellness Services
- Annual wellness exam
- Coming soon
- Telehealth benefit
- Coming soon
- Routine chiropractic
- Coming soon
- Fitness benefits
- Coming soon
- Health education
- Coming soon
- Counseling services
- Coming soon
- Over-the-counter drug benefits
- Coming soon
- Health transportation (non-emergency)
- Coming soon
Diagnostic, Lab, and Imaging Services
- Diagnostic radiology services
- Coming soon
- Lab services
- Coming soon
- Outpatient x-rays
- Coming soon
- Diagnostic tests and procedures
- Coming soon
Emergency and Urgent Care Services
- Emergency room care
- Coming soon
- Worldwide emergency care
- Coming soon
- Urgent care
- Coming soon
- Inpatient hospital care
- Coming soon
- Skilled Nursing Facility
- Coming soon
- Ground ambulance
- Coming soon
Mental Health Services
- Outpatient individual therapy
- Coming soon
- Outpatient group therapy
- Coming soon
- Inpatient psychiatric hospital care
- Coming soon
Rehabilitation Services
- Physical therapy and speech and language therapy
- Coming soon
- Occupational therapy
- Coming soon
Medical Equipment and Supplies
- Diabetes supplies
- Coming soon
- Durable medical equipment
- Coming soon
- Prosthetics
- Coming soon
Medicare Part B Drugs
- Chemotherapy
- Coming soon
- Other Part B drugs (Medicare-covered)
- Coming soon
Dental Services
- Oral exam
- Coming soon
- Dental x-rays
- Coming soon
- Cleaning
- Coming soon
- Periodontics
- Coming soon
- Endodontics
- Coming soon
- Restorative services
- Coming soon
- Implant services
- Coming soon
- Orthodontics
- Coming soon
- Oral/Maxillofacial surgery
- Coming soon
Vision Services
- Routine eye exam
- Coming soon
- Contact lenses
- Coming soon
- Eyeglass frames only
- Coming soon
- Eyeglass lenses only
- Coming soon
- Eyeglasses (frames & lenses)
- Coming soon
- Upgrades
- Coming soon
Hearing Services
- Hearing exam
- Coming soon
- Fitting/evaluation
- Coming soon
- Prescription hearing aids
- Coming soon
- OTC hearing aids
- Coming soon
Additional and Special Needs Services
- Adult day health services
- Coming soon
- Home-based palliative care
- Coming soon
- Personal emergency response system
- Coming soon
- Weight management programs
- Coming soon
- Wigs for chemotherapy-related hair loss
- Coming soon
- Alternative therapies
- Coming soon
- Massage therapy
- Coming soon
- Home/bathroom safety devices
- Coming soon
Certain preventive services are covered 100% by Aetna Medicare Chronic Care as a Part B benefit.
Prescription Drug Coverage
Aetna Medicare Chronic 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.
Prescription Drug Plan Premium
The Part D prescription drug plan premium is included in the overall Medicare Advantage 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.
| Part D Premium Component | Amount |
|---|---|
| Basic Part D Premium: | ($16.80) |
| Supplemental Part D Premium: | $16.80 |
| Total Part D Premium: | $0.00 |
| Low-Income Premium Subsidy: | $7.61 |
| 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 $700.00 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 Chronic 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 | Not available | $0.00 copay |
| Generic | Not available | $5.00 copay |
| Preferred Brand | Not available | 22% coinsurance |
| Non-Preferred Drug | Not available | 25% coinsurance |
| Specialty Tier | Not available | 25% coinsurance |
| *Deductible does not apply. | ||
CMS 5-Star Performance Ratings (Contract ID: H2663)
Medicare assigns star ratings to plans based on quality and performance across multiple measures, including customer service, member experience, and health outcomes. Ratings are updated annually by the Centers for Medicare & Medicaid Services (CMS) and are shown on a 1 to 5 star scale, with 5 stars representing the highest quality.
| CMS Measure | Star Rating |
|---|---|
| 2027 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 |
Contact Information for Aetna Medicare
- Website
- Aetna Medicare Plan Page
- Providers
- Aetna Medicare Providers Page
- Formulary
- Aetna Medicare Formulary Page
- Pharmacy
- Aetna Medicare Pharmacy Page
- New Member Health Plan Help
- (833)771-2456
- New Member Health Plan TTY
- 711
- New Member Part D Help
- (833)771-2456
- New Member Part D TTY Users
- 711
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | October 5, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Aetna Medicare (official source) | http://www.aetnamedicare.com | October 4, 2026 |
| CMS.gov | Chronic Condition Special Needs Plans (C-SNPs) | April 28, 2026 |
| Medicare.gov | Understanding Medicare Advantage Plans | April 28, 2026 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | April 28, 2026 |
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