Aetna Achieves High Medicare Advantage Star Ratings for 2026

Aetna, a CVS Health company, announced strong performance in its Medicare Advantage (MA) plans, with over 81% of members in plans rated 4 stars or higher by CMS for 2026; over 63% are in 4.5-star plans. Several Aetna contracts have consistently maintained or improved their high star ratings, reflecting Aetna’s commitment to quality care and member satisfaction. These ratings are crucial for member choice and impact plan reimbursement rates. Aetna leverages technology and integrated care to enhance offerings.

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HARTFORD, Conn. – Aetna, a CVS Health company (CVS), announced today that its Medicare Advantage (MA) plans continue to demonstrate strong performance, with over 81% of its MA members enrolled in plans rated 4 stars or higher by the Centers for Medicare & Medicaid Services (CMS) for 2026. Notably, more than 63% of Aetna’s Medicare Advantage members are in plans boasting a 4.5-star rating for the upcoming year.

“These Star Ratings are a testament to Aetna’s dedication to providing exceptional healthcare experiences and achieving superior health outcomes for our Medicare Advantage members,” stated Steve Nelson, President of Aetna, in a press release. “Our teams are committed to supporting our members, fostering Aetna’s position as a trusted and reliable healthcare partner.”

Aetna has consistently positioned itself as a frontrunner in the Medicare solutions market, demonstrating high-quality performance and often ranking among the leading publicly traded companies in CMS Star Ratings. This consistent performance is critical as CMS Star Ratings influence not only member choice but also impacts plan reimbursement rates and future growth potential. Higher ratings can lead to increased enrollment and greater financial incentives from CMS.

Key highlights of Aetna’s 2026 Star Ratings success include:

  • Aetna Life Insurance Company’s contract H5522, covering over 1.3 million Employer Group Medicare Advantage members nationwide and 110,000 Individual Medicare Advantage members in Pennsylvania, secured 4.5 stars, marking its 14th consecutive year with a 4+ star rating. This long-standing performance suggests a robust and well-managed program.
  • Contract H5521, also under Aetna Life Insurance Company, serving 1.1 million Individual Medicare Advantage members across 33 states, maintained its 4.5-star rating for the second consecutive year. Consistency in these ratings signifies Aetna’s ability to deliver quality care across a wide geographical area.
  • Aetna Health Inc. (PA)’s contract H3959, with 210,000 Individual Medicare Advantage members primarily in Pennsylvania and Delaware, achieved 4 stars.
  • SilverScript Insurance Company’s contract H2293, covering 134,000 Individual Medicare Advantage members in Georgia and Texas, retained its 4-star rating from its inaugural year.
  • Aetna Health Inc. (FL)’s contract H1609, with 132,000 Individual Medicare Advantage members in Florida and Iowa, improved to 4.5 stars, up half a star from the previous year, demonstrating Aetna’s capacity for continuous improvement in quality of care.
  • Coventry Health Care of Missouri, Inc.’s contract H2663, with 128,000 Individual Medicare Advantage members in Missouri, Kansas, Illinois, Arkansas, and Oklahoma, earned 4 stars, extending its streak to 14 years with 4+ star performance.

The CMS Star Ratings system is a crucial component of the Medicare Advantage program, assigning ratings from 1 to 5 stars based on various performance metrics, including quality of care, member satisfaction, and access to services. Plans are evaluated annually, with the results published on Medicare.gov.

CVS Health continues to leverage technological advancements and integrated care models to enhance its Medicare Advantage offerings through Aetna aiming for improved health outcomes and cost efficiencies. The insurer has been investing significantly in telehealth solutions, data analytics, and personalized care pathways to better cater for varied healthcare demands of older adults.

Learn more about Aetna Medicare plans for 2026 or by calling 1-844-588-0041 (TTY: 711). The Medicare Annual Enrollment Period runs from October 15 through December 7, 2025.

About CVS Health

CVS Health stands as a leading healthcare solutions company focused on building a world of health around every consumer. As of June 30, 2025, the company operates approximately 9,000 retail pharmacy locations, over 1,000 walk-in and primary care medical clinics, and a pharmacy benefits manager with around 87 million plan members. CVS Health also serves an estimated 37 million individuals through traditional, voluntary, and consumer-directed health insurance products and related services, including highly rated Medicare Advantage offerings and a standalone Medicare Part D prescription drug plan. The company is committed to using technology-driven services to connect people to better health, improve access to quality and lower overall costs.

About Aetna

Aetna, a CVS Health business, provides information and resources to over 37 million people to help them make better informed decisions about their health. Aetna offers a range of insurance products and services, including medical, pharmacy, dental, and behavioral health plans, as well as medical management capabilities, Medicaid healthcare management services, workers’ compensation administrative services, and health information technology products and services. Aetna serves employer groups, individuals, college students, part-time and hourly workers, health plans, healthcare 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.

©2025 Aetna Inc.

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