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Best Medicare Advantage Plans 2027 – Compare & Enroll

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

The best Medicare Advantage plan for 2027 is the one in your county that covers your doctors and drugs at the lowest total yearly cost, with a strong star rating and a stable insurer. In Texas, that search looks different this year because of several insurer exits.

Nationally, the average premium falls to $12 a month for 2027, while UnitedHealthcare, Humana, Aetna and HCSC trim counties and PPOs. In Texas, Blue-branded Medicare Advantage ends and some local plans exit.

See best 2027 Medicare Advantage plans and find Medicare Advantage plans by ZIP code.

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

Key Highlights

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Best = doctors, drugs, total cost, stars.

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Average premium $12.

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Texas: Blue-branded MA ends.

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

Compare plans and enroll online

Texas Changes for 2027

Texas Change for 2027 Detail
HCSC (Blue Cross Blue Shield of Texas) Drops Blue-branded Medicare Advantage in Texas; 229 to 47 counties
Memorial Hermann Exits 6 Texas counties
Christus Health Plan Exits Medicare Advantage in Texas and New Mexico
Alignment Health Enters San Antonio
MedCare Partners Enters Harris County
KelseyCare Advantage No verified 2027 change

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.

How to Compare and Enroll in 5 Steps

Compare & Enroll

1

Gather your list. Doctors, hospital, drugs with doses and pharmacy.

2

Search your ZIP code. Medicare Plan Finder or a licensed agent shows plans for your county.

3

Rank by total yearly cost. Premium plus expected copays, up to the out-of-pocket maximum.

4

Check stars and stability. New plans may not have ratings; read about insurer exits.

5

Enroll by December 7, 2026. Online, by phone or with an agent; coverage starts January 1, 2027.

Overview of Medicare Advantage Plans in Texas - Medicare Advantage Plans Texas 2026

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National Insurer Changes for 2027

Insurer Key 2027 Changes
UnitedHealthcare 852 plans (846 last year); about 140 counties lose standard plans; exiting Wyoming; 34 PPOs eliminated
Humana 861 plans, compared with 887; exiting Minnesota and 57 counties; 37 PPOs eliminated; about 600,000 members losing their plans
Aetna (CVS Health) 654 plans (compared with 642); standard plans withdrawn from 123 counties; exiting Maryland and New Hampshire; 20 PPOs eliminated; 29 C-SNPs introduced
HCSC (including HealthSpring) Down from 948 counties to roughly 478; exiting CT, KS, MT, NY, OR, UT and D.C.; 48 PPOs dropped
Centene (Wellcare) Standard plans removed from 344 counties; exiting Hawaii, Oklahoma and Tennessee
Elevance (Anthem) Standard plans removed from 56 counties; exiting South Carolina
Devoted Health Entering CT, MI, NH, NJ and NY; adding 342 counties

Source: company announcements and CMS 2027 landscape data reported by Becker’s on October 1, 2026. For 2027, Wellmark, Blue Cross Blue Shield of North Dakota and Blue Cross Blue Shield of Mississippi are exiting Medicare Advantage as well.

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 Medicare Advantage 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

Benefits Plans May Include

Medicare Advantage Plans May Include

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Hospital and medical coverage matching Original Medicare Part A and B

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Part D prescription drug coverage on most plans

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Routine dental, vision and hearing benefits

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Fitness programs and over-the-counter allowances

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Telehealth visits and care coordination programs

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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.

Popular Providers Offering Medicare Advantage Plans

If Your Plan Is Ending

A non-renewal notice should have reached you in early October if your plan won’t be available in your county for 2027. Coverage doesn’t 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.

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

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

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

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

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

Enrollment Periods

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.

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

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Available any time: Medicare Plan Finder on Medicare.gov

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

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

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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

The best 2027 Medicare Advantage plan is the one that fits your doctors, drugs and budget in your county. Texans especially should check for exits, then compare and enroll by December 7, 2026.

Compare plans and enroll online

Frequently Asked Questions

➤ What are the best Medicare Advantage plans for 2027?

The best plan is the one in your county that covers your doctors and drugs at the lowest total yearly cost and has a strong star rating. No insurer is best everywhere, so compare plans by ZIP code during Annual Enrollment.

➤ How do I compare Medicare Advantage plans for 2027?

List your doctors, drugs and pharmacy, then enter your ZIP code in Medicare Plan Finder or work with a licensed agent. Compare premiums, copays, the out-of-pocket maximum, drug costs and star ratings side by side.

➤ How do I enroll in a 2027 Medicare Advantage plan?

You can enroll online through Medicare Plan Finder, by calling the plan or 1-800-MEDICARE, or with a licensed agent. Enroll between October 15 and December 7, 2026, for coverage starting January 1, 2027. Have your Medicare card ready.

➤ Is Blue Cross Blue Shield of Texas leaving Medicare Advantage?

HCSC, the parent of Blue Cross Blue Shield of Texas, is dropping Blue-branded Medicare Advantage in Texas for 2027 and shrinking from 229 to 47 Texas counties. Affected members will receive notices explaining their options.

➤ Which Texas health plans are exiting for 2027?

Memorial Hermann is exiting 6 Texas counties and Christus Health Plan is exiting Medicare Advantage in Texas and New Mexico. Members get a Special Enrollment Period and generally a guaranteed issue right to certain Medigap plans.

➤ Are any insurers entering Texas for 2027?

Yes. Alignment Health is entering San Antonio and MedCare Partners is entering Harris County. New plans may not have star ratings yet, so review networks and costs carefully. Check that your doctors and hospital are in network, and compare the new plans with established options in your county before enrolling.

➤ What is the average Medicare Advantage premium for 2027?

The national average is $12 a month for 2027, down from $14.37, according to CMS. About 8 in 10 members can keep their plan at the same or lower premium, but you still pay your Part B premium.

➤ Do star ratings matter when choosing a plan?

Yes. Star ratings from 1 to 5 reflect quality and member experience and are a useful tiebreaker. New plans may not have ratings yet, so weigh their networks and costs more heavily. Doctors, drugs and cost come first.

➤ What if my current plan is ending?

Your coverage continues through December 31, 2026. You get a Special Enrollment Period and generally a guaranteed issue right to buy certain Medigap plans, usually within 63 days after coverage ends. If you do nothing, you return to Original Medicare without drug coverage.

➤ Where can Texans get free Medicare help?

HICAP, the Texas Health Information, Counseling and Advocacy Program, offers free, unbiased Medicare counseling. You can also call 1-800-MEDICARE or compare plans with a licensed agent at no cost. A counselor can review your doctors, drugs and budget and explain your choices without selling you a plan.

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

Russell Noga, licensed insurance agent
( 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.