What changed in Medicare Advantage for 2027?

Every North Carolina county, 2026 vs. 2027, from CMS data.

For 2027, Guilford County has 57 Medicare Advantage plans, down from 60, and the same number of $0-premium plans with drug coverage (34). The typical in-network out-of-pocket max goes up from $5,900 to $6,750.

Medicare Advantage plans
60 in 2026, 57 in 2027
With drug coverage and a $0 plan premium
34 in 2026, 34 in 2027
PPO plans
33 in 2026, 30 in 2027
HMO plans
27 in 2026, 27 in 2027
Rated 4 stars or higher
39 in 2026, 37 in 2027
Insurance companies offering plans
9 in 2026, 9 in 2027
Typical in-network out-of-pocket max
$5,900 in 2026, $6,750 in 2027

Counts leave out Special Needs Plans (40 in this county for 2027) and employer plans. “Typical” is the median. These counts can’t tell you whether your own plan continues; your Annual Notice of Change says that.

Free tool by Christian Brinkley, a licensed insurance agent in Greensboro. More detail.

Source: CMS CY2027 and CY2026 Medicare Advantage Landscape files (updated 2026-10-18). Not connected with or endorsed by the U.S. government or the federal Medicare program. For free, unbiased help, call NC SHIIP or 1-800-MEDICARE. We do not offer every plan available in your area. Currently we represent 8 organizations which offer 65 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.