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Medicare Advantage plans changing or leaving Alabama counties for 2027

10 Medicare Advantage plans are leaving Alabama for 2027 and 27 are changing, each plan counted once. Across the state's 67 counties that is 327 county-level plan listings ending and 1,052 changing. Pick your county for its numbers.

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2027 PLAN ALERT

Medicare Advantage plans in your area are changing or leaving for 2027.

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Annual Enrollment: Oct 15 – Dec 7

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BEFORE YOU ENROLL

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  • Your doctors — confirmed in-network for 2027
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327Leavingoffered last year, not this year
1,052Changingoffered both years, listing differs
1,379Totalplans leaving or changing
MM
ED
AI
By MyMedicarePlans Data Desk · Plan Landscape & Data✓ Verified Team
✓ Reviewed for the 2027 plan year·● Alabama
Medicare AdvantageAlabama
Video: cottonbro studio on Pexels

Alabama counties, most changes first

CountyLeavingChangingTotal
Marshall County101727
Bibb County81826
Elmore County101626
Lauderdale County101626
Chilton County71825
Coosa County81725
Cullman County81725
Autauga County81624
Baldwin County42024
Jefferson County42024
Mobile County42024
Talladega County61824
Walker County51924
Blount County41923
Jackson County71623
Lawrence County71623
Lowndes County71623
Madison County51823
Shelby County41923
St. Clair County41923
Colbert County61622
Dallas County61622
DeKalb County71522
Etowah County51722
Limestone County61622
Morgan County61622
Perry County71522
Tuscaloosa County14822
Cleburne County61521
Montgomery County41721
Winston County51621
Barbour County51520
Bullock County51520
Butler County51520
Cherokee County51520
Clay County51520
Crenshaw County51520
Franklin County61420
Russell County21820
Wilcox County61420
Choctaw County51419
Coffee County51419
Covington County51419
Dale County51419
Fayette County51419
Greene County51419
Hale County51419
Marengo County51419
Marion County31619
Washington County51419
Calhoun County21618
Chambers County21618
Pike County21618
Clarke County21517
Escambia County21517
Lee County21517
Macon County11617
Pickens County21517
Randolph County31417
Tallapoosa County21517
Conecuh County21416
Geneva County21416
Henry County21416
Houston County11516
Lamar County21416
Monroe County21416
Sumter County21416

Also for Alabama: plans rated 4 stars or higher in the 2027 CMS Star Ratings, by Alabama county · every state’s 2027 changes · Alabama Medicare Advantage by city.

What to do before December 7

If you are in a Medicare Advantage plan today, your plan must send you an Annual Notice of Change by September 30 that spells out exactly what is different for 2027. Read it before the Annual Enrollment Period (Open Enrollment), which runs October 15 through December 7.

If your plan is leaving your county, you will get a separate notice and a Special Enrollment Period to choose new coverage. If you do nothing, you may be returned to Original Medicare without drug coverage, so it is worth acting during the window.

A licensed agent can check your doctors and prescriptions against the plans that will actually operate in your county next year. For unbiased help, contact Medicare.gov or 1-800-MEDICARE.

Watch

The Medicare Advantage changes for 2027 in Alabama, in 28 seconds

Transcript. Good evening. Across the country Medicare Advantage Plans are changing or all together leaving some states in 2027. That's right, in Alabama, 10 plans are leaving and 27 are changing. But there is some good news as 25 new plans are entering the market with a fresh set of benefits to choose from. The bottom line: take a few minutes to compare Medicare Advantage plans in your area and see if your plan is affected.

Recorded live session

Medicare Annual/Open Enrollment, live: questions on the 2027 changes in Alabama

Medicare Annual/Open Enrollment 2027 live, day 7, evening: Medicare Advantage changes by state. Recorded live Oct. 21, 2026, 6:59 p.m. ET; the recording plays here. Program-level information only; no plan is recommended.

Good to know

Frequently asked questions

Why do the numbers differ so much from county to county?
Medicare Advantage plans are approved county by county, so a plan can leave one county and stay in the next. Each county's count reflects only the plans approved for that county.
What does “changing” mean for 2027?
A plan offered in both 2026 and 2027 whose 2027 listing differs on premium, drug deductible, plan type, or plan name. The count is neutral: it does not say whether a change helps or hurts any particular member.
Do you list which plans are leaving?
No. We publish area-level counts only, never plan names, premiums or benefits. Your Annual Notice of Change, Medicare.gov, 1-800-MEDICARE, or a licensed agent can tell you about a specific plan.
These counts come from comparing the two official CMS Medicare Advantage Landscape files for 2026 and 2027. A plan counts as leaving when it was offered in the county for 2026 and is not offered there for 2027. A plan counts as changing when it is offered in both years but its 2027 listing differs on something a member would notice: the premium, the drug deductible, the plan type, or the plan name. Only the counts are shown here. This page does not name plans, list premiums or benefits, or recommend anything.
Sources & further reading

For personalized answers, contact Medicare.gov or 1-800-MEDICARE.

Medicare plans in your area changing for 2027 — check yoursCall