Allina Health Aetna Medicare Grand Extra (PPO) in Sibley County, Minnesota — 2026 plan details

Last updated Jul 18, 2026

Reviewed by Jason Burns, Editorial Steward

Published by Senior Direct Answers · Licensed under Citation License 1.0

Allina Health Aetna Medicare Grand Extra (PPO) (H3219-004) is a $154-premium Medicare Advantage PPO from Allina Health and Aetna Insurance Holding Company available in Sibley County, Minnesota in 2026, with a 4.0-star overall rating, a $3,300 in-network out-of-pocket maximum, and a $0 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationAllina Health and Aetna Insurance Holding Company
Plan nameAllina Health Aetna Medicare Grand Extra (PPO)
Contract IDH3219
Plan ID004
Segment ID0
Contract year2026
Contract categoryMA-PD
Plan typePPO
SNPNo
Monthly consolidated premium$154.00
Part C premium$69.10
Part D basic premium$84.90
Part D total premium$84.90
Annual Part D deductible$0.00
Maximum out-of-pocket (in-network)$3300.00
Overall star rating4.0

How this plan is structured

How it compares in Sibley County

The CMS CY2026 Landscape file lists 24 Medicare Advantage plans in Sibley County, Minnesota, of which 0 carry a 5.0-star overall rating and 11 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $362.60 per month, and in-network out-of-pocket maximums range from $3000.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Sibley County, Minnesota.

How to verify your doctors take this plan

Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H3219-004.
  2. Call the plan (Allina Health and Aetna Insurance Holding Company) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H3219-004 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H3219-004, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 3219 are the contract number issued to the organization, and the three-digit 004 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is Allina Health Aetna Medicare Grand Extra (PPO) an HMO or PPO?

Allina Health Aetna Medicare Grand Extra (PPO) is a PPO Medicare Advantage plan.

Does Allina Health Aetna Medicare Grand Extra (PPO) include prescription drug coverage?

Yes — Allina Health Aetna Medicare Grand Extra (PPO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $0.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for Allina Health Aetna Medicare Grand Extra (PPO)?

The 2026 in-network maximum out-of-pocket limit for Allina Health Aetna Medicare Grand Extra (PPO) is $3300.00, per the CMS CY2026 Landscape file.

What counties offer Allina Health Aetna Medicare Grand Extra (PPO) (H3219-004)?

Allina Health Aetna Medicare Grand Extra (PPO) (H3219-004) is offered in 18 Minnesota counties: Anoka County, Blue Earth County, Carver County, Chisago County, Dakota County, Hennepin County, Isanti County, Kanabec County, Le Sueur County, Mille Lacs County, Ramsey County, Renville County, Scott County, Sibley County, Steele County, Waseca County, Washington County, and Wright County.

Sources