Aetna achieves over 81% of Medicare Advantage members in 4-Star plans and over 63% in 4.5-Star plans for 2026
HARTFORD, Conn., Oct. 9, 2025 /PRNewswire/ -- 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.
About CVS Health
CVS Health is a leading health solutions company building a world of health around every consumer, wherever they are. As of June 30, 2025, the Company had approximately 9,000 retail pharmacy locations, more than 1,000 walk-in and primary care medical clinics and a leading pharmacy benefits manager with approximately 87 million plan members. The Company also serves an estimated more than 37 million people through traditional, voluntary and consumer-directed health insurance products and related services, including highly rated Medicare Advantage offerings and a leading standalone Medicare Part D prescription drug plan. The Company's integrated model uses personalized, technology driven services to connect people to simply better health, increasing access to quality care, delivering better outcomes, and lowering overall costs.
About Aetna
Aetna, a CVS Health business, serves more than 37 million people with information and resources to help them make better informed decisions about their health care. Aetna offers a broad range of traditional, voluntary and consumer-directed health insurance products and related services, including medical, pharmacy, dental and behavioral health plans, and medical management capabilities, Medicaid health care management services, workers' compensation administrative services and health information technology products and services. Aetna's customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups and expatriates. For more information, visit Aetna.com.
Aetna Medicare is a HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.
To send a complaint to Aetna, call the Plan or the number on your member ID card. To send a complaint to Medicare, call 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week. If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance.
©2025 Aetna Inc.
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SOURCE CVS Health