What Medicare Advantage Plans Taught Us in 2026

October 14, 2026

What to Watch for in 2027 Based on Two Years of Changes

For nearly two decades, Medicare Advantage plans grew steadily, becoming the choice for more than half of all Medicare beneficiaries. But starting in 2025, that season of growth reached its apex. The past two years have brought significant changes. Some plans have cut benefits like dental, vision, and hearing coverage. Some insurers have pulled out of entire counties. As a result, millions of beneficiaries have had to shop for new coverage.

 

If you're on a Medicare Advantage plan, these last two years reveal an important pattern, and it's helpful to understand this as you prepare to look at 2027 plans this month. Read below to learn more about what's been happening and why, plus what to watch for as enrollment season kicks off.

 

 

Two Years of Significant Shifts in Plans

 

The total number of Medicare Advantage plans available nationally declined 10 percent last year, dropping from over 3,700 in 2025 to under 3,400 plans in 2026. Nearly 3 million people with Medicare Advantage plans (about 10 percent of all enrollees) had to find alternative coverage as some health insurers exited markets and scaled back plan options.

 

The largest insurers led the pullbacks. UnitedHealthcare reduced its coverage in 109 counties, while Humana decreased presence in 194 counties. In some regions, the disruption was more severe. In 122 counties across 13 states, approximately 391,000 beneficiaries lost access to any Medicare Advantage plan at all. Vermont experienced the most dramatic shift: 92.2 percent of Medicare Advantage enrollees in the state had to find alternative coverage. Other rural states were hit hard too: Wyoming now has just three Medicare Advantage-Prescription Drug plans available, South Dakota has four, and Minnesota also saw dramatic reductions.

 

The changes described here were the second year of a broader trend. So what are the underlying drivers of these changes and what should you do about it?

 

 

Why This Is Happening

 

The root cause centers around profitability. Federal policy changes that aimed to reduce overpayments resulted in lower reimbursement rates from the government to insurers. Meanwhile, following the pandemic, beneficiaries began seeking healthcare they postponed, which drove up medical costs faster than insurers had projected. The combination squeezed profit margins across the industry.

 

In response, the industry shifted rapidly from prioritizing enrollment growth to prioritizing profitability. The financial pressure remains to this day. CMS projects a 2.48 percent average rate increase for 2027—higher than initially proposed, but still lower than what many insurers need to sustain robust benefit packages. That's why the pattern we've seen these last two years is likely to continue.

 

 

What We've Seen Plans Do

 

Over the past two years, beneficiaries have experienced several types of changes:

 

Benefit reductions. For example, Aetna, Elevance, and UnitedHealthcare have cut allowances for over-the-counter health and wellness items. UnitedHealthcare and Humana cut OTC benefits for special needs plans. Some deductibles have risen on prescription drugs and medical services.

 

Network changes. Plans are shifting away from Preferred Provider Organization (PPO) plans, which offer more provider choice. They're prioritizing HMO designs (health maintenance organizations), which have more limited networks.

 

Geographic targeting. While some carriers expand into select markets, they simultaneously exit others, choosing to focus on areas where they can maintain better margins. Some insurers have pulled out of certain counties or even entire states. This is especially common in rural areas, where profitability is harder to achieve.

 

 

Who Should Be Paying Closest Attention

 

Seniors living in rural areas should pay particular attention. Over the past two years, rural beneficiaries have been disproportionately affected by plan terminations. While rural residents comprise only 14 percent of typical Medicare Advantage enrollees, they represented nearly 23 percent of those whose plans were terminated in 2025.

 

Certain states have seen more disruption than others. Vermont, Idaho, Wyoming, North Dakota, South Dakota, Maryland, and New Hampshire all saw more than 40 percent of their Medicare Advantage enrollees forced to switch plans between 2025 and 2026.

 

If you live in a rural area or a state that's seen significant plan activity, pay close attention to 2027 announcements to see if plans have changed in your region, and reach out to us for help.

 

 

What to Watch for this Month

 

Even before CMS releases 2027 plan details in mid-October, there are some important things you can do to prepare:

 

Review your Annual Notice of Change (ANOC) statement. You should have received this in September. Don't just glance at the plan name and assume everything is the same.

 

  • Look for benefit changes. Check whether dental, vision, or hearing benefits have changed. Are OTC allowances being reduced? Has your prescription drug deductible increased? Are out-of-pocket maximums higher?
  • Examine network changes. Did your plan shift from a PPO to an HMO? Are the doctors and hospitals you use still in-network? This is a critical detail that's easy to miss.

 

Keep your eyes out for a termination notice. Humana, UnitedHealthcare, Aetna, and other carriers signaled they may make additional plan exits this year. When a plan exits a county, the carrier is required to send impacted members a notice at least 60 days prior. So be sure to open all mail from your current plan, especially if you live in a rural area, in case you receive a notice of plan termination.

 

Talk to us soon! Don't wait until the last minute. If you receive a termination notice, or you see any changes in your ANOC that concern you, reach out to us for guidance. We can help you interpret the details as you check for changes to your current plan. As soon as plans are released, we can help you select a new plan if needed.

 

 

Know Your Options

 

If your plan does change or exit your area, remember this: you have guaranteed rights. If a Medicare Advantage plan terminates, you can enroll in any Medigap (Medicare Supplement) plan without being denied coverage based on pre-existing conditions, usually for up to 63 days after your coverage ends.

 

It's also helpful to keep in mind that the changes don't impact everyone. The majority of Medicare beneficiaries still have the same access to multiple Medicare Advantage plans with a range of benefits.

 

 

Moving Forward

 

The Medicare Advantage market has shifted. The days of predictable plans with expanding benefits may be behind us. But understanding the patterns of change and watching for communications puts you in control of your plan.

 

As 2027 plans are released this month, get in touch with us and we'll have a real conversation about what's changing and what's best for your healthcare needs. We're here to empower you to make informed decisions and stay ahead of change.

Person assembling a white device at a desk in a home office
October 28, 2026
ACA Marketplace Open Enrollment begins November 1 in most states. Learn what’s changing for 2027, including subsidies and plan designs, and what’s staying the same.
Hospital patient in bed with monitor displaying vital signs in the foreground
October 21, 2026
Hospital stays can be expensive even with Medicare. Learn how hospital indemnity insurance can protect your savings from unexpected inpatient costs.
Assorted colorful pills and capsules scattered in a heap
October 7, 2026
A temporary Medicare Part D premium program ends after 2026. Learn what it could mean for your 2027 drug plan costs and coverage.
Two people reviewing papers together at a table, looking at a phone in a home office.
August 29, 2026
Enhanced premium tax credits expired in 2026, bringing back the subsidy cliff. Here's what changed, who it hits hardest, and how to weigh your options.
Gold, silver, bronze, and platinum bars and coins arranged in four vertical panels.
August 26, 2026
A clear guide to Health Insurance Marketplace metal tiers. Learn how Bronze, Silver, Gold, and Platinum plans split costs and how to pick the right one.
Person sorting a stack of colorful mail on a table, holding an envelope in a cozy living room.
August 22, 2026
Every fall, Medicare Advantage and Part D plans mail an Annual Notice of Change. Learn what it means for your costs, coverage, and doctors next year.
Three people in a bright office discussing work around a laptop.
August 19, 2026
Buying insurance online is fast, but a licensed agent can help you compare carriers, understand the fine print, and advocate for you at claim time.
A bunch of soda cans are stacked on top of each other
By Agency Bloc • July 1, 2025
As the summer sun beckons and thirst levels rise, it's tempting to reach for a cold, fizzy beverage. But before you pop open that soda can, consider this: your drink choice has long-term implications for your health. The Hidden Risks in Your Glass A comprehensive study by the International Agency for Research on Cancer (IARC) analyzed data from over 451,000 individuals across 10 European countries over a 16-year period. The findings revealed that consuming two or more 250 ml glasses of soft drinks daily—whether sugar-sweetened or artificially sweetened—was associated with a higher risk of all-cause mortality compared to those who drank less than one glass per month . Delving deeper: Artificially Sweetened Beverages : Individuals consuming two or more glasses daily had a 26% higher risk of death compared to those who consumed less than one glass per month. Specifically, there was a 52% increased risk of death from circulatory diseases . Sugar-Sweetened Beverages : Those consuming one or more glasses daily faced a 59% higher risk of death from digestive diseases . All Soft Drinks : A notable association was found between soft drink consumption and increased mortality from Parkinson's disease . Alternatives That Aren’t Any Healthier Think fruit juice or energy drinks are a safer bet? A study involving 13,440 U.S. adults aged 45 and older found that each additional 12-ounce serving of sugary beverages, including 100% fruit juice, was linked to an 11% higher risk of all-cause mortality. Specifically, each additional 12-ounce serving of fruit juice was associated with a 24% increased risk. Watch the sugar content of iced coffee beverages and alcoholic cocktails as well. Lifestyle Factors Matter, Too It's essential to note that high soft drink consumption often correlates with other unhealthy lifestyle choices. The IARC study observed that individuals who drank more soft drinks typically had higher body mass indexes and were more likely to smoke. Even after adjusting for factors like diet, physical activity, smoking, and education, the association between soft drink consumption and increased mortality risk remained significant . Refreshing Alternatives for the Season Looking to quench your thirst without compromising your health? Here are some delightful, healthier options: Infused Water : Add slices of citrus fruits, cucumbers, or berries to your water for a refreshing twist. Herbal Iced Teas : Brew teas like hibiscus or mint, chill them, and enjoy over ice. Sparkling Water with a Splash : Mix sparkling water with a splash of 100% fruit juice for a fizzy treat. Homemade Lemonade : Use fresh lemons, water, and a touch of natural sweetener like honey or stevia. Coconut Water : A natural source of electrolytes, perfect for rehydration. Final Thoughts Summer is a time for relaxation and enjoyment. By making informed beverage choices, you can savor the season while prioritizing your health. So, the next time you're reaching for a drink to beat the heat, consider these healthier alternatives. Your body will thank you!
A woman is holding a map in front of her face while leaning on a car.
By Agency Bloc • July 1, 2025
Whether you’re planning a weekend getaway or a long-awaited international adventure, setting off on a trip is always exciting—but can also be unpredictable. That’s why preparing for the unexpected, especially when it comes to your health, is essential. Knowing what your medical coverage includes (and doesn’t) while traveling can help you stay healthy, avoid costly surprises, and soak up the unforgettable moments on your journey. Let’s walk through some proactive steps you can take before packing your bags—from vaccinations and insurance to emergency planning and fraud protection. 1. Know What Your Health Plan Covers—And Where Medical surprises aren’t on anyone’s itinerary—but it’s best to be prepared. Start by knowing how your insurance policy covers (or doesn’t) the region you’re traveling to. Individual health policyholders, review your insurer’s network coverage. Some plans only cover in-network or state-specific services, while others offer broader emergency coverage or travel-specific riders. Consult your insurance agent to get help reviewing your policy. Medicare beneficiaries, Original Medicare (Parts A & B) typically doesn’t cover medical care outside the U.S., except in limited circumstances. If you have a Medicare Advantage Plan, it may include emergency and urgent coverage abroad, but this varies by provider. Check your plan’s Evidence of Coverage or speak to your plan representative before traveling. 2. Consider Supplemental Insurance If you're a frequent traveler or heading abroad, look into some options to help cover you. Some options include: Travel Medical Insurance : Plans offer emergency coverage during trips outside the U.S. and tend to be affordable. Evacuation Insurance : This covers transport to a qualified medical facility if the nearest care is inadequate. An evacuation clause is often, but not always, included in a travel insurance plan. Medicare Supplement Insurance (Medigap) : Some Medigap policies cover emergency care abroad, typically up to plan limits and with a deductible. Critical Illness Insurance : A lump-sum payout can provide financial flexibility in case you’re diagnosed with a covered condition like a heart attack or stroke during travel. Be sure to read the fine print—some policies require you to be under a certain age, and preexisting conditions may not be covered. Your licensed insurance agent can help talk you through your options. 3. Keep Your Medical Info Handy Consider using a secure health app or digital wallet to access all your health records quickly. But just in case your phone is inaccessible, bring physical copies of these important documents as well: Your insurance or Medicare cards Emergency contact numbers (include the country code +1 if you’re traveling abroad) A medication list with dosages Allergy and medical condition alerts Pack all essential paperwork together in a waterproof sleeve in your luggage, and leave a second copy with someone back home. 4. Schedule Preventive Care Before Departure Most insurance plans cover preventive care services like wellness visits, vaccinations, and screenings. Before your trip, check these tasks off your list: Get vaccinated : Make sure you’re up to date on your flu, COVID-19, and tetanus shots. If traveling internationally, check the CDC recommendations for the region you’re visiting, which may include Hepatitis A/B, typhoid, or yellow fever vaccinations.
The word scam is written on a piece of paper next to a pile of money.
By Agency Bloc • July 1, 2025
Imagine getting a call in the middle of the night from someone claiming to be your grandchild, panicked and in trouble. They say they’ve been in an accident or arrested—and they desperately need money. Your heart races. You’d do anything to help. That’s exactly what scammers are counting on. The Federal Communications Commission (FCC) has recently issued a warning about a rise in what's known as the “grandparent scam” —a sneaky and heartless scheme targeting older adults with urgent, emotional phone calls meant to trick them into sending money. What Is the Grandparent Scam? These scams usually start with a phone call from someone pretending to be your grandchild (or another close relative). They’ll say they’re in trouble—maybe stuck in jail or in a hospital—and they need money fast for bail, legal fees, or emergency expenses. To make things even more convincing, they may hand the phone off to someone pretending to be a lawyer or a police officer. And they’ll likely ask you not to tell anyone—saying it’s a “private” or “sensitive” situation. That sense of urgency is key to the scam. It’s meant to bypass your instinct to double-check and make you act fast—before you have time to think it through or talk to someone else. Why It Works—and Why It’s Dangerous These calls often come late at night or early in the morning, when you’re more likely to be caught off guard. The scammer might not even say who they are—just “Grandma, it’s me”—and hope you fill in the blank for them. From there, they use that information to sound more convincing. Some victims have been asked to send money via wire transfer, cryptocurrency, gift cards, or even in cash via courier—all methods that are difficult or impossible to trace or reverse. According to the FCC, scammers using this method have stolen tens of millions of dollars from seniors across the U.S. Watch for These Warning Signs If you or someone you love receives a call like this, here are some red flags that it could be a scam: High pressure and urgency – You’re told to act immediately Vague or strange details – They may not identify themselves clearly, or hope you’ll say the grandchild’s name for them Unverifiable location or story – They say they’re in jail overseas or in a place where you can’t easily check on them Unusual payment requests – Gift cards, Bitcoin, wire transfers, or cash deliveries Calls at odd hours – Scammers try to catch you when you’re less alert What To Do If You Get a Suspicious Call If something doesn’t feel right, trust your gut. Here’s what you can do to stay safe: ✅ Hang up and verify – Call your grandchild or their parent using a phone number you know is theirs ✅ Talk to someone you trust – A second opinion from a friend or family member can make all the difference ✅ Don’t rely on caller ID – Scammers often “spoof” numbers to make it look like someone you know is calling ✅ Block the number – Use your phone’s settings to block suspicious calls ✅ Report the scam – Contact the National Elder Fraud Hotline at 833-FRAUD-11 and file a complaint with the FCC What If You’ve Already Sent Money? First of all, don’t panic—and know that you’re not alone. Scammers are incredibly convincing, and even smart, cautious people have been tricked. Here’s what to do: Call your bank or payment service right away – They may be able to stop or reverse the transaction if it's recent Report it – Contact the FCC, your local police, and the FBI’s Internet Crime Complaint Center at ic3.gov Let your family know – They can help protect you and others from future attempts Help Protect Others, Too The more people know about this scam, the harder it becomes for criminals to succeed. Please share this information with friends, neighbors, and especially your older loved ones. A quick conversation now could prevent a heartache later. And remember—if you ever get a call like this and aren’t sure what to do, don’t rush. Take a breath, hang up, and check in with someone you trust. Real family emergencies don’t come with secret demands or payments via gift cards.