Speak with a licensed insurance agent

1-833-641-4938

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

Medicare Plans 2027 - Medicare Advantage Plans 2027

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

There are four main routes to Medicare coverage in 2027: Original Medicare on its own, Original Medicare plus a Part D drug plan, Original Medicare plus a Medicare Supplement and a Part D plan, or a single all-in-one Medicare Advantage plan. Which fits best depends on your health, budget, doctors and prescriptions.

Pay close attention in 2027. The average Medicare Advantage premium is expected by CMS to drop to $12 a month, yet a number of the largest insurers are trimming PPO plans and exiting counties, Part D deductibles and out-of-pocket caps are rising, and the deductible on High-Deductible Plan G climbs to $3,050. Annual Enrollment is open from October 15 through December 7, 2026.

This guide walks through each path, its costs, the 2027 changes and how to decide. For more detail, see Medicare Advantage plans 2027, Medicare Supplement plans 2027 and Medicare Part D plans 2027.

✔ Licensed across all 50 states

✔ Built on CMS 2027 data

✔ No-cost plan comparison

Key Highlights

✔

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

✔

Nationwide, about 5,532 Medicare Advantage plans are offered, and over 99% of people with Medicare have access to one or more.

✔

Part D updates for 2027: deductibles capped at $700 and out-of-pocket costs capped at $2,400.

✔

For 2027, the High-Deductible Plan G deductible rises to $3,050 from $2,950.

✔

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

Compare plans and enroll online

The Four Ways to Get Medicare Coverage in 2027

Coverage Path What You Get Who It Fits
Original Medicare only Part A (hospital) and Part B (medical); no drug coverage and no annual cap on your 20% share A small group; typically only people with other coverage, such as retiree benefits
Original Medicare + Part D Adds a standalone drug plan People with low medical costs who want any doctor and are comfortable with cost sharing
Original Medicare + Medigap + Part D Medigap covers most of what Medicare leaves unpaid; Part D pays for drugs Those who want predictable costs and any doctor across the country
Medicare Advantage (Part C) A single private plan for hospital, medical and usually drugs, often with extras Those who want a low premium and do not mind a network

Special plans may also be open to you. When you have both Medicare and Medicaid, a Dual Special Needs Plan may coordinate the two. When you have certain chronic conditions, such as heart failure or diabetes, a Chronic Condition Special Needs Plan may be offered where you live.

Original Medicare in 2027

The federal government runs Original Medicare. Part A pays for inpatient hospital care, skilled nursing following a hospital stay, hospice and some home health care, and most people owe no Part A premium. Part B pays for doctor visits, outpatient care, preventive services, durable medical equipment and more.

With Original Medicare, you can use any doctor or hospital nationwide that accepts Medicare, without a network or referrals. The catch is cost: once you meet the Part B deductible, you generally owe 20% of the Medicare-approved amount, with no annual limit.

2027 Part B costs: The Part B premium and deductible for 2027 are typically released by CMS in November. Projections in the 2026 Medicare Trustees Report put the 2027 standard Part B premium at about $209.50 per month and the deductible at about $292, compared with $202.90 and $283 in 2026. These figures are projections, not final amounts.

Costs and Coverage of Medicare Advantage

Medicare Advantage Plans in 2027

Private insurers offer Medicare Advantage plans, which take the place of Original Medicare as the way you receive benefits. About 34 million people are projected by CMS to be in Medicare Advantage in 2027. See Medicare Advantage plans 2027.

$12 a Month

Average Medicare Advantage premium for 2027, lower than $14.37 in 2026 (CMS).

About 34 Million

CMS projection of people in Medicare Advantage in 2027, about 47% of Medicare.

About 5,532

Medicare Advantage plans across the nation for 2027, almost unchanged from 5,553.

8 in 10

Members able to stay in their current plan at an equal or lower premium (CMS).

On the surface the national figures seem steady, but plenty is shifting beneath them. A number of the biggest insurers are reducing PPO plans and removing standard plans from counties where they lost money, while some smaller companies are expanding. So your plan may change significantly even in a year when the national average premium falls.

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.

Medicare Supplement Plans in 2027

Working together with Original Medicare, a Medicare Supplement (Medigap) plan covers some or all of your deductibles, coinsurance and copays. Plans come in 10 standardized letters, and in your state each letter carries the same benefits no matter which insurer sells it.

Plan What You Pay Best For
Plan G The Part B deductible; once it’s met, Medicare-approved costs are covered Most complete coverage for new enrollees
Plan N Part B deductible, Part B excess charges, and copays of up to $20 for some office visits and up to $50 for some ER visits Lower premium, accepts small copays
High-Deductible Plan G A yearly deductible, then coverage like Plan G Healthy people who want the lowest premium

Plan letter determines Medigap benefits, which are standardized. Prices differ by insurer, age, ZIP code and tobacco use.

Your six-month Medigap Open Enrollment Period, which begins once you are 65 or older and enrolled in Part B, is the ideal time to buy. Outside that period, insurers in most states can ask health questions. Read more on Medicare Supplement plans 2027.

Find & Compare Plans Online

Speak with a licensed insurance agent

1-833-641-4938TTY 711

Mon-Fri: 8am-9pm ET

Part D Drug Coverage in 2027

$700

Maximum 2027 Part D deductible, up from $615.

$2,400

2027 Part D out-of-pocket cap, up from $2,100.

About $36

CMS average standalone Part D premium for 2027, an increase of under $1.

$7

Projected 2027 average for the drug portion of a Medicare Advantage premium, a decrease from $11.32.

You get Medicare drug coverage either through a standalone Part D plan or inside a Medicare Advantage plan. For 2027, CMS is ending the Part D Premium Stabilization Demonstration, returning standalone drug plans to normal market pricing. Compare plans with your exact drugs using the 2027 Part D plan finder.

Navigating Star Ratings in Medicare Advantage

Which Path Fits You?

Medicare Advantage May Fit If

✔

You want a low or $0 premium

✔

Your doctors are in the plan’s network

✔

You value extras like dental or vision coverage

✔

You are fine paying copays up to an annual maximum

Medigap + Part D May Fit If

✔

You want to see any doctor who accepts Medicare

✔

You travel or live in two states

✔

You prefer predictable costs over a low premium

✔

You are in your Medigap Open Enrollment Period

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

If Your 2027 Plan Is Ending

A non-renewal notice should have reached you in early October if your Medicare Advantage plan is not being offered in your county for 2027. You do not lose coverage immediately; it lasts 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.

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.

How to Compare 2027 Medicare Plans

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.

Compare plans side by side with the Medicare Advantage plan finder.

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

Turning 65 in 2027

When you turn 65 in 2027, you get a seven-month Initial Enrollment Period: the three months before your birthday month, the birthday month itself and the three months that follow. If you sign up in the first three months, coverage begins on the first day of your birthday month.

Turning 65 Checklist

✔

Enroll in Part A and Part B, unless you have qualifying employer coverage and decide to postpone Part B

✔

Choose between Medicare Advantage and Original Medicare plus Medigap

✔

Enroll in a drug plan, or a Medicare Advantage plan that includes drugs, to avoid a late Part D penalty

✔

If you go with Medigap, purchase during your six-month Medigap Open Enrollment Period

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.

What Original Medicare Covers

Part What It Covers What You Pay
Part A (hospital) Hospice, inpatient hospital stays, skilled nursing following a qualifying stay, some home health Typically no premium; a deductible per benefit period ($1,736 in 2026) plus daily coinsurance for longer stays
Part B (medical) Doctor visits, outpatient services, preventive care, lab work, durable medical equipment A monthly premium plus a yearly deductible, then usually 20% of approved amounts, uncapped
Part C (Medicare Advantage) All of Parts A and B through a private plan, generally with drug coverage Plan premium, plus copays and coinsurance up to an annual maximum
Part D (drugs) Outpatient prescription drugs Plan premium; in 2027, a deductible of up to $700 and an out-of-pocket cap of $2,400

Common Mistakes When Choosing a 2027 Plan

Avoid These

1

Overlooking the Annual Notice of Change. For 2027, your plan may change its premiums, copays, networks and drug lists.

2

Picking a plan on premium only. Over a year, a $0 premium plan can cost more than a plan with a premium.

3

Skipping the doctor check. Networks shift; verify every provider for 2027.

4

Not noticing a non-renewal letter. When your plan is ending, you have to pick a new one.

5

Going without drug coverage. Skipping it may lead to a late penalty that lasts for life.

6

Moving from Medigap to Medicare Advantage with no plan for returning. Rejoining Medigap down the road could require answering health questions.

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

Start by picking your path: Medicare Advantage for a low premium and extras, or Original Medicare plus Medigap and Part D for freedom and predictable costs. Next, compare real 2027 plans in your ZIP code and sign up between October 15 and December 7, 2026.

Compare plans and enroll online

Frequently Asked Questions

➤ What are the Medicare plan options for 2027?

For 2027 you can stay with Original Medicare alone, add a standalone Part D drug plan, pair Original Medicare with a Medicare Supplement plan and Part D, or join a Medicare Advantage plan that bundles hospital, medical and usually drug coverage. People with certain chronic conditions or Medicaid may also qualify for a Special Needs Plan.

➤ Are Medicare Advantage premiums going down in 2027?

On average, yes. CMS projects the average Medicare Advantage premium will drop to $12 a month in 2027, down from $14.37 in 2026, and about 8 in 10 members can keep their plan at the same or a lower premium. Your own plan could still go up, so check your Annual Notice of Change.

➤ What is the 2027 Part B premium?

CMS usually announces the official 2027 Part B premium in November. The 2026 Medicare Trustees Report projects about $209.50 a month for 2027, up from $202.90 in 2026, with a projected deductible of $292, but treat both figures as estimates until the final amounts are released.

➤ What changed with Part D for 2027?

For 2027 the maximum Part D deductible rises to $700, from $615, and the yearly out-of-pocket cap on covered drugs climbs to $2,400, from $2,100. The average standalone Part D premium is about $36 a month, and the Part D Premium Stabilization Demonstration ends in 2027, so compare drug plans carefully this fall.

➤ Which insurers are cutting Medicare Advantage plans for 2027?

Humana, Aetna, UnitedHealthcare, HCSC, Centene’s Wellcare and Elevance are all pulling plans from some counties or states for 2027. Wellmark, Blue Cross Blue Shield of North Dakota and Blue Cross Blue Shield of Mississippi are leaving Medicare Advantage altogether, so anyone with one of those plans should watch for a non-renewal letter.

➤ When is Medicare open enrollment for 2027?

Annual Enrollment for 2027 runs October 15 to December 7, 2026, and any change you make takes effect January 1, 2027. If you are in a Medicare Advantage plan, you also get one chance to switch plans or return to Original Medicare during the Medicare Advantage Open Enrollment Period, January 1 to March 31, 2027.

➤ Is Medicare Advantage or Medigap better?

Neither one is best for everyone. Medicare Advantage often has lower monthly premiums but uses provider networks and copays, while Medigap usually costs more each month and lets you see any doctor who accepts Medicare with more predictable bills. Your health, budget, travel habits and preferred doctors should drive the decision.

➤ Do I have to change my Medicare plan every year?

No, most Medicare plans renew automatically if they are still offered next year. Premiums, provider networks, copays and drug lists can change on January 1, though, so read your Annual Notice of Change every fall and compare it against other 2027 options before Annual Enrollment closes on December 7.

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.