Medicare plans

Medicare plans by county

5,459 Medicare Advantage plans are offered for 2027 across 3,085 of 3,144 counties (5,493 in 2026). 3,868 have a $0 monthly premium, up from 3,217.

License. US government work, Public Domain Mark 1.0.

Shopping for your own coverage? Use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.

Across the US

Medicare plans in the US, 2026 and 2027
Plans20262027
Advantage5,4935,459
Advantage at a $0 premium3,2173,868
Counties with an Advantage or Cost plan3,085

Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page

Source: CMS CY2026 Medicare Advantage and Part D landscape file, as of September 25, 2025. Publisher page

States

Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page

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Rivvi's county landscape snapshot lists every 2027 plan in a client's county, counted by type and carrier, with premium and out-of-pocket ranges.

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About this data

Plans, premiums, out-of-pocket maximums, and drug deductibles come from the CMS CY2027 Medicare Advantage and Part D landscape file. Change from 2026 compares it with the CY2026 landscape. Stars are the 2027 Star Ratings CMS released October 8, 2026: the overall rating for Advantage plans and the Part D summary rating for drug-only plans, which have no overall rating.

Advantage counts include Special Needs Plans, which are open only to people who qualify. Drug-only plans are listed by CMS for a whole state, so every county page shows them. Employer group plans are not in the file. This page lists plans; it does not say which plan fits anyone, and Rivvi does not sell plans.

Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page

Source: CMS CY2026 Medicare Advantage and Part D landscape file, as of September 25, 2025. Publisher page

Source: CMS 2027 Medicare Part C and D Star Ratings, as of October 8, 2026. Publisher page

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