Speak with a licensed insurance agent

1-833-641-4938

TTY user 711 Mon-Fri : 8am-9pm EST

HealthSpring Medicare Advantage Plans 2027

Reviewed by Russell Noga, Licensed Medicare Insurance Broker (all 50 states) | Last updated October 8, 2026

HealthSpring, which used to be Cigna’s Medicare Advantage business, now belongs to HCSC, and HCSC is shrinking its Medicare Advantage footprint from 948 counties to about 478 for 2027. A lot of HealthSpring members will have to pick a new plan.

Cigna’s Medicare business, HealthSpring Medicare Advantage plans included, was purchased by HCSC (Health Care Service Corporation). HCSC also operates the Blue Cross Blue Shield plans in Illinois, Montana, New Mexico, Oklahoma and Texas.

For 2027, HCSC is leaving Connecticut, Kansas, Montana, New York, Oregon, Utah and Washington, D.C., cutting 48 PPOs, and shrinking sharply in its home states: Texas from 229 counties to 47, Illinois from 100 to 7, and Oklahoma from 58 to 6. See compare HealthSpring plans.

✔ Licensed across all 50 states
✔ Built on CMS 2027 data
✔ No-cost plan comparison

Key Highlights

✔

HealthSpring is owned by HCSC.

✔

For 2027, HCSC is cutting 48 PPOs and shrinking from 948 counties to about 478.

✔

HCSC is leaving CT, KS, MT, NY, OR, UT and D.C.

✔

Nationally, the average 2027 Medicare Advantage premium is $12 a month, down from $14.37 (CMS).

✔

The Annual Enrollment Period is October 15 to December 7, 2026.

Compare plans and enroll online

Where HCSC Is Cutting for 2027

Area 2026 2027
Total counties 948 About 478
Texas counties 229 47
Illinois counties 100 7
Oklahoma counties 58 6
State exits CT, KS, MT, NY, OR, UT and D.C.
PPO plans cut 48

Source: CMS 2027 landscape data, as reported by Becker’s on October 1, 2026.

Your HealthSpring plan is ending if you live in one of the exit states. In Texas, Illinois or Oklahoma, your county may well be one of those losing HCSC plans. Review your non-renewal letter or Annual Notice of Change.

Benefits HealthSpring Plans May Offer

HealthSpring Plans May Include

✔

Hospital and medical coverage matching Original Medicare Part A and B

✔

Part D prescription drug coverage on most plans

✔

Routine dental, vision and hearing benefits

✔

Fitness programs and over-the-counter allowances

✔

Telehealth visits and care coordination programs

✔

A yearly out-of-pocket maximum on every plan

Benefits are not offered by every plan. They differ by plan and county and may change for 2027. Review the Evidence of Coverage for each plan before enrolling.

What is a Medicare Advantage Plan

What Changed for 2027

948 to About 478

HCSC Medicare Advantage counties.

7 Exits

CT, KS, MT, NY, OR, UT and D.C.

48 PPOs

Being cut.

Keep an eye out: a non-renewal letter will arrive if your plan is ending. You stay covered through December 31, 2026. Taking no action sends you back to Original Medicare with no drug coverage.

Find & Compare Plans Online

Speak with a licensed insurance agent

1-833-641-4938TTY 711

Mon-Fri: 8am-9pm ET

HealthSpring Plan Types

HMO Plans

✔

Usually lower premiums and copays

✔

Use in-network doctors except emergencies

✔

May need referrals for specialists

PPO Plans

✔

See out-of-network doctors at a higher cost

✔

Usually no referrals needed

✔

More flexibility if you travel

In areas where HealthSpring remains for 2027, it sells HMO and PPO plans, plus Special Needs Plans in some places. With 48 PPOs dropped, PPO members especially should check whether their plan is continuing.

Your Options If HealthSpring Leaves

Another Medicare Advantage Plan

✔

Compare plans from other insurers in your county

✔

Review doctors, drugs and the out-of-pocket maximum

✔

Enroll by December 7 for January 1 coverage

Original Medicare + Medigap + Part D

✔

Generally a guaranteed issue right to purchase certain Medigap plans

✔

Any provider who accepts Medicare

✔

Add a Part D plan for drugs

Other insurers are making changes as well. For 2027, Devoted Health is entering New York and Connecticut, while UnitedHealthcare, Humana and Aetna stay in many HCSC counties. See Medicare Advantage plans 2027.

How to Begin Comparing Medicare Advantage Plans

How Medicare Advantage Works

Medicare Advantage, sometimes called Part C, lets you receive your Medicare benefits through a Medicare-approved private insurer. These plans cover everything Original Medicare Part A and Part B cover, with the exception of hospice care, which Original Medicare continues to pay for. Most also bundle Part D drug coverage, and many may tack on extras like routine dental, vision and hearing benefits.

The trade-off is that HealthSpring plans generally rely on doctor and hospital networks and may call for referrals or prior authorization for certain services. Each Medicare Advantage plan sets a yearly out-of-pocket maximum for covered medical care, something Original Medicare lacks. You still pay your Part B premium, along with the plan’s premium if there is one.

Feature HMO PPO
Out-of-network care Not covered except emergencies and urgent care Covered at a higher cost
Referrals for specialists Usually required Usually not required
Premiums Usually lower Usually higher
Out-of-pocket maximum In-network limit In-network limit plus a higher combined limit
Best for Lower costs, local care Flexibility, travel, keeping specific doctors

If Your Plan Is Ending

A non-renewal notice should have arrived in early October if your HealthSpring plan will not be available in your county for 2027. Coverage does not end immediately; it runs through December 31, 2026, which gives you time to decide.

If Your Plan Is Ending

1

Review your non-renewal letter. It verifies that your plan is ending and lays out your choices.

2

Write down your doctors and drugs. Comparing replacement plans requires them.

3

Compare your 2027 plan choices. Look at networks, drug coverage and the out-of-pocket maximum, not only the premium.

4

Pick a plan by December 31 to avoid a gap. If you enroll during Annual Enrollment by December 7, your coverage starts January 1, 2027.

5

Rely on your Special Enrollment Period if necessary. If your plan is ending, you generally have until the end of February 2027 to make a choice.

If you take no action: on January 1, 2027, you go back to Original Medicare, and you will have no drug coverage unless you pick a Part D plan. Being without drug coverage may result in a late enrollment penalty.

Medigap rights: if your Medicare Advantage plan exits your area, you generally get a guaranteed issue right, lasting up to 63 days after your coverage ends, to purchase certain Medicare Supplement plans with no health questions.

How to Compare HealthSpring Plans for 2027

How to Compare

1

Review your Annual Notice of Change. It spells out every 2027 change to the plan you have now.

2

Verify your doctors and hospitals. Make sure every provider is in the 2027 network, not only the 2026 network.

3

Review your prescriptions. Verify every drug, the tier it falls on and any step therapy or prior authorization rules.

4

Look at the full annual cost. Total up the premium, usual copays and drug costs, and review the out-of-pocket maximum.

5

Look at star ratings. Medicare scores plans on quality and service using a 1 to 5 star scale.

6

Sign up by December 7. Coverage under your new plan begins January 1, 2027.

2027 Enrollment Dates

Enrollment Period Dates What You Can Do
Annual Enrollment Period October 15 to December 7, 2026 Join, change or drop a Medicare Advantage or Part D plan effective January 1, 2027
Medicare Advantage Open Enrollment January 1 to March 31, 2027 In Medicare Advantage, you can change to another plan or go back to Original Medicare one time
Initial Enrollment Period 7 months around your 65th birthday month Sign up for Medicare and choose your first plan
Special Enrollment Periods Varies Switch plans after events such as a move, a loss of other coverage or your plan exiting your area

Annual Enrollment is when most people make changes. If you like your current plan, no action is needed; it renews on its own. Even so, review your Annual Notice of Change, since networks, premiums, copays and drug lists can all change on January 1.

Star Ratings

Each fall, Medicare gives every Medicare Advantage and Part D plan a rating of 1 to 5 stars, based on factors such as preventive care, how well chronic conditions are managed, member complaints, customer service and accuracy of drug pricing. You can see the ratings in Medicare Plan Finder.

Using Star Ratings

✔

Ratings of 4 stars or more are generally a good indicator of quality and service

✔

A special enrollment period lets you move into a five-star plan once during the year

✔

A new plan may not have a rating yet, and that alone isn’t a bad sign

✔

Ratings reflect the plan as a whole, not how well it covers your particular doctors and drugs

Medicare Advantage or Medigap?

Medicare Advantage Original Medicare + Medigap
Monthly premium Often low or $0 (2027 average $12, CMS) Higher; varies by plan letter, age and ZIP
Doctors Usually a network Any provider in the U.S. that accepts Medicare
Costs when you get care Copays and coinsurance up to a yearly maximum Low and predictable; on Plan G, little or nothing once the Part B deductible is met
Drug coverage Usually included Add a separate Part D plan
Dental, vision, hearing Many plans may include some coverage Not included
Changing later Every year during Annual Enrollment Health questions in most states once your Medigap Open Enrollment Period ends

Guaranteed issue: when your Medicare Advantage plan exits your area, you can generally purchase certain Medicare Supplement plans with no health questions asked, up until 63 days after that coverage ends.

Help Paying Medicare Costs

When your income and savings are limited, two programs can greatly lower your Medicare costs:

Medicare Savings Programs

✔

Run by your state Medicaid office

✔

May cover your Part B premium, and in some cases deductibles and coinsurance

✔

Income and asset limits vary by state

Extra Help (Part D)

✔

Run by Social Security

✔

Lowers Part D premiums, deductibles and copays

✔

Those enrolled in a Medicare Savings Program qualify automatically

If you qualify for both Medicare and full Medicaid, you may also be able to join a Dual Special Needs Plan. See help for low-income Part D beneficiaries.

Reading Your Annual Notice of Change

Check Every Line

✔

Your 2027 premium and deductible

✔

Doctor, specialist and hospital stay copays

✔

The out-of-pocket maximum

✔

Changes to your drug list, tiers and coverage rules

✔

Whether your doctors, hospitals and pharmacy stay in network

✔

Updates to dental, vision, hearing and other extras

The Annual Notice of Change must reach members by September 30. It is the most useful single document you receive each fall, since it spells out exactly how your plan will change on January 1.

Special Enrollment Periods

Outside of the fall and early-year windows, changing plans generally requires a Special Enrollment Period. Typical reasons include:

You May Qualify If

✔

Your plan is leaving your area or ending

✔

You move outside your plan’s service area

✔

You lose employer or union coverage

✔

Your Medicaid status changes, or you qualify for a Medicare Savings Program or Extra Help

✔

You want to join a 5-star plan, once a year

Every Special Enrollment Period has a separate time limit, so move as soon as the event occurs.

Prior Authorization and Referrals

Prior authorization is required by most Medicare Advantage plans for certain services, including some surgeries, advanced imaging, skilled nursing stays and some drugs. While your doctor usually submits the request, ask whether a scheduled service needs approval so you are not caught off guard by a denial.

You or your doctor can appeal a denied request. Medicare rules give plans deadlines for decisions, and those deadlines are shorter when a wait could seriously harm your health.

Emergency, Urgent and Out-of-Area Care

Emergency and urgent care are covered by every Medicare Advantage plan anywhere in the U.S., whether in or out of network, and an emergency does not require prior approval. Routine care while traveling is different: HMOs generally do not cover it, and PPOs cover out-of-network care at a higher cost.

If you’re away from home for months each year, ask every plan how it covers care where you stay. This is among the most frequent reasons people change plans partway through the year.

Appeals and Complaints

You have the right to appeal if your plan denies a service, a drug or payment for care. The denial notice from the plan explains the process. Appeals have several levels, beginning with the plan and moving on to independent reviewers.

If your issue isn’t about coverage, such as wait times or customer service, you can file a grievance with your plan. For help, you can also reach out to 1-800-MEDICARE or your State Health Insurance Assistance Program.

The 2027 Part B Premium

Of the major figures, only the Part B premium is not published alongside the plans. CMS typically announces it in November. Projections in the 2026 Medicare Trustees Report put the 2027 standard premium at about $209.50 a month and the deductible at about $292, up from $202.90 and $283 in 2026. You continue paying it even with Medicare Advantage.

If You Miss December 7

Miss the Annual Enrollment deadline and your current plan automatically renews for 2027, including the changes listed in your Annual Notice of Change. Medicare Advantage members get one more opportunity, from January 1 to March 31, 2027, to change Medicare Advantage plans or go back to Original Medicare and join a Part D plan.

Telehealth

Many Medicare Advantage plans may cover telehealth for some services, at times with a lower copay than an in-person office visit. It is handy for follow-ups and minor problems, but you still need to confirm that your regular doctors are in network.

Pros and Cons of Medicare Advantage

Advantages

✔

Often a low or $0 premium

✔

A yearly out-of-pocket maximum

✔

Drug coverage usually included

✔

Dental, vision and hearing benefits may be included in many plans

✔

One card and one plan

Tradeoffs

✔

Networks; except for emergencies, HMOs require in-network care

✔

Prior authorization and referrals are common

✔

Copays add up if you use a lot of care

✔

Plans and networks can change every year

✔

Moving to Medigap later may involve health questions

Special Needs Plans

Special Needs Plans (SNPs) are Medicare Advantage plans designed for particular groups. Their benefits, networks and drug lists are shaped around the members they serve, and many come with care coordinators. In 2027, SNPs are one of the few places large insurers are adding plans, even while cutting PPOs.

Type Who Qualifies What Is Different
Dual Special Needs Plan (D-SNP) People with both Medicare and Medicaid Coordinates both programs; costs are often very low, with extra benefits
Chronic Condition SNP (C-SNP) People who have qualifying conditions like diabetes, heart failure or chronic lung disease Doctors, drugs and programs designed around the condition
Institutional SNP (I-SNP) People who live in a nursing home or need that level of care at home Care delivered where the member lives

Getting Help

You do not need to compare plans by yourself, and help should not cost you anything. Here are the free options:

Free Help Comparing Plans

✔

Available any time: Medicare Plan Finder on Medicare.gov

✔

1-800-MEDICARE (1-800-633-4227), reachable 24 hours a day on all seven days of the week

✔

Your State Health Insurance Assistance Program (SHIP), which provides free, unbiased counseling

✔

A licensed agent or insurance broker, who can compare plans across several insurers for free

Gather your Medicare card, a list of your drugs and doses, your doctors and your preferred pharmacies before you call. That way a long conversation becomes a quick one.

Bottom Line

The Bottom Line

For 2027, HealthSpring, which HCSC now owns, is shrinking its Medicare Advantage footprint by roughly half. If your plan is ending, compare replacement plans or look at Medigap, and decide before December 31, 2026, so you avoid a gap.

Compare plans and enroll online

Frequently Asked Questions

➤ Who owns HealthSpring?

HealthSpring is now owned by HCSC (Health Care Service Corporation), which bought Cigna’s Medicare business, including the HealthSpring brand. HCSC also runs the Blue Cross and Blue Shield plans in Illinois, Texas, Oklahoma, New Mexico and Montana. If you hold a Medicare Supplement policy, confirm which company issues it.

➤ Is HealthSpring leaving states for 2027?

Yes. HCSC is leaving Connecticut, Kansas, Montana, New York, Oregon, Utah and Washington, D.C. for 2027, and shrinking its Medicare Advantage footprint from 948 counties to about 478. About 127,000 members are affected, so check your non-renewal letter or Annual Notice of Change.

➤ Is HealthSpring leaving Texas?

Not completely, but the footprint is shrinking sharply. HCSC is cutting its Texas Medicare Advantage service area from 229 counties to 47 for 2027 and dropping its Blue-branded Medicare Advantage plans in Texas. Your non-renewal letter or Annual Notice of Change will tell you whether your plan continues.

➤ What should I do if my HealthSpring plan is ending?

Compare other 2027 Medicare Advantage plans in your county, or consider Original Medicare paired with a Medigap plan and a Part D plan. Your HealthSpring coverage continues through December 31, 2026, and you get a Special Enrollment Period plus, generally, a guaranteed issue right to certain Medigap plans.

➤ Is HealthSpring the same as Cigna?

Not anymore. HealthSpring was Cigna’s Medicare Advantage brand, but Cigna sold its Medicare business to HCSC, which now operates HealthSpring. Plans sold under the HealthSpring name are run by HCSC, so review your 2027 Annual Notice of Change for any changes to your coverage.

➤ When can I enroll in a HealthSpring Medicare Advantage plan for 2027?

HealthSpring’s 2027 Medicare Advantage plans can be chosen during Annual Enrollment, which runs October 15 to December 7, 2026, with coverage starting January 1, 2027. Because HCSC is cutting many counties, confirm a plan is offered at your ZIP code first; current Medicare Advantage members also get one change from January 1 to March 31, 2027.

➤ What happens if my Medicare Advantage plan is ending?

Expect a non-renewal letter, and know that your current plan stays in effect through December 31, 2026. You can select a replacement during Annual Enrollment or a Special Enrollment Period, and if you move to Original Medicare you generally have a guaranteed issue right to buy certain Medigap plans.

Have Questions?

Speak with a licensed insurance agent

1-833-641-4938

TTY users 711

Mon-Fri: 8am-9pm ET

Find & Compare Plans Online

Speak with a licensed insurance agent

1-833-641-4938TTY 711

Mon-Fri: 8am-9pm ET

ZRN Health & Financial Services, LLC, a Texas limited liability company

( Medicare Expert )

Russell Noga is the CEO of ZRN Health & Financial Services, and head content editor of several Medicare insurance online publications. He has over 15 years of experience as a licensed Medicare insurance broker helping Medicare beneficiaries learn about Medicare, Medicare Advantage Plans, Medigap insurance, and Medicare Part D prescription drug plans.