Healthcare Quality, Patient Safety & Policy

Aetna Hits 81% Medicare Advantage 4-Star Member Goal for 2026

Aetna®, a CVS Health® company (NYSE: CVS), announced today that over 81 percent of its Medicare Advantage (MA) members are in 2026 Medicare Advantage Prescription Drug (MAPD) plans that are rated 4 stars or higher (out of 5 stars) by the Centers for Medicare & Medicaid Services (CMS). Additionally, over 63 percent of Aetna Medicare Advantage members are in a 4.5-star plan for 2026.

“This year’s Star Ratings reflect Aetna’s strong fundamentals and unwavering commitment to delivering exceptional care experiences and better health outcomes for our Medicare Advantage members,” said Aetna president Steve Nelson. “I am proud of the way our teams show up every day to support our members, enabling Aetna to serve as their trusted, reliable health care partner.”

Aetna continues to be an industry leader in providing high-quality Medicare solutions, consistently ranking among the top tier of large publicly traded companies in CMS Star Ratings.

Our Star Ratings success includes high-quality performance for many of our largest MA contracts:

  • Our Aetna Life Insurance Company’s H5522 contract, the primary contract serving over 1.3 million Employer Group Medicare Advantage members across the country, as well as serving 110 thousand Individual Medicare Advantage members in Pennsylvania, achieved 4.5 stars, extending its streak to 14 years with 4+ star performance.
  • Our Aetna Life Insurance Company’s H5521 contract, serving 1.1 million Individual Medicare Advantage members in 33 states, once again achieved 4.5 stars repeating its performance from the prior year.
  • Our Aetna Health Inc. (PA)’s H3959 contract, with 210 thousand Individual Medicare Advantage members primarily in the states of Pennsylvania and Delaware, earned 4 stars.
  • Our SilverScript Insurance Company’s H2293 contract, with 134 thousand Individual Medicare Advantage members in the states of Georgia and Texas, repeated a 4-star performance from its inaugural year.
  • Our Aetna Health Inc. (FL)’s H1609 contract, with 132 thousand Individual Medicare Advantage members in the states of Florida and Iowa, earned 4.5 stars, improving half a star year over year.
  • Our Coventry Health Care of Missouri, Inc.’s H2663 contract, with 128 thousand Individual Medicare Advantage members in the states of Missouri, Kansas, Illinois, Arkansas, and Oklahoma earned 4 stars, extending its streak to 14 years with 4+ star performance.

Every year, Medicare evaluates plans based on a 5-star rating system. The Star Ratings are posted at Medicare.gov. Visit AetnaMedicare.com to learn more about the 2026 Aetna Medicare plans. Or call 1-844-588-0041 (TTY: 711), 7 days a week, 8 AM to 8 PM. The Medicare Annual Enrollment Period runs from October 15 through December 7, 2025. A licensed agent may answer your call.

NOTE: Information in this release is based on 2026 Star Ratings data published by CMS on October 9, 2025, and MA and MAPD enrollment as of September 2025.

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