MVP Medicare Advantage Plans 2027

New York allows people with Medicare to buy a Medigap plan year-round with guaranteed issue, so MVP members who want to switch to Original Medicare can generally do so without health questions. Add a Part D plan if you leave Medicare Advantage. HIICAP offers free counseling in New York.

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.

In return, MVP plans typically rely on doctor and hospital networks and may call for referrals or prior authorization before certain services. Unlike Original Medicare, every Medicare Advantage plan caps what you spend out of pocket each year on covered medical care. Your Part B premium still applies, along with the plan’s own premium if there is one.

Part D drug coverage comes with most MVP Medicare Advantage plans. Every plan maintains its own formulary, drug tiers and pharmacy network, and lower costs are common at preferred pharmacies and with mail order. In 2027, a plan’s Part D deductible may be as high as $700, and spending on covered drugs is capped at $2,400 out of pocket.

Each plan sets its own tiers. Review every plan’s formulary.

A drug you take may not be on a plan’s 2027 formulary, or it may come with a rule such as prior authorization. Even then, you have options:

See steps to appeal a Medicare Part D denial.

A non-renewal notice should have reached you in early October if your MVP plan is not available in your county for 2027. You will not lose coverage immediately; it stays in effect until December 31, 2026, giving you time to decide.

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.

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.

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.

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

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.

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

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.