Medicare Advantage enrollment is expected to fall to fewer than half of all people with Medicare in 2027, reports Page Minemyer for FierceHealthcare. Many states are seeing significant drops in the number of Medicare Advantage plans offered to their residents in 2027, reports Jakob Emerson for Becker’s Payer Issues.
Except in Alaska, where people with Medicare have no Medicare Advantage option, Americans in every state can enroll in a Medicare Advantage plan. But, in 2027, people’s options are decreasing in 28 states and Washington DC.
The states with the biggest Medicare Advantage losses in 2027 are Florida, which is losing 51 Medicare Advantage plans, Ohio, which is losing 32 plans and Illinois, which is losing 21 plans. Wyoming is losing six plans, but these six represent 43 percent of the market.
Montana, Maryland and Minnesota are all seeing drops in MA plans of between 22 and 28 percent.
Some states are also seeing significant average premium increases for people in Medicare Advantage. In Wyoming, people in MA will pay an average of roughly $23 more a month. Idaho and Connecticut residents in MA will also see premium increases, albeit smaller ones.
People in Tennessee, Missouri, Arizona and Alabama will all have more Medicare Advantage options. Good luck to their residents trying to distinguish among them! It’s truly not possible. What’s worse, because you can’t distinguish the bad actors from the others, when you enroll in a Medicare Advantage plan, you are gambling as to whether you will get the care you need.
All told, Medicare Advantage insurers estimate that they will enroll slightly less than half the Medicare population in 2027, 47.4 percent of enrollees.
Here’s more from Just Care:
- 2026: Five things to think about when choosing between Traditional Medicare and a Medicare Advantage plan
- Hospitals find a lot wrong with Medicare Advantage
- Need costly care in Medicare Advantage? Expect a denial
- Medicare Advantage plans create hurdles for people with diabetes
- Many people flee Medicare Advantage when they need complex care



