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HomeMedicare AdvantagePuerto RicoPlan changes 2027

Medicare Advantage plans changing or leaving Puerto Rico counties for 2027

10 Medicare Advantage plans are leaving Puerto Rico for 2027 and 1 is changing, each plan counted once. Across the state's 78 counties that is 517 county-level plan listings ending and 78 changing. Pick your county for its numbers.

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Medicare Advantage options in your area

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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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517Leavingoffered last year, not this year
78Changingoffered both years, listing differs
595Totalplans leaving or changing
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ED
AI
By MyMedicarePlans Data Desk · Plan Landscape & Data✓ Verified Team
✓ Reviewed for the 2027 plan year·● Puerto Rico
Medicare AdvantagePuerto Rico
Video: Kmeel.com Videos on Pexels

Puerto Rico counties, most changes first

CountyLeavingChangingTotal
Florida Municipio11112
Catano Municipio9110
Corozal Municipio9110
Fajardo Municipio9110
San Juan Municipio9110
Toa Alta Municipio9110
Trujillo Alto Municipio9110
Vega Alta Municipio9110
Vieques Municipio9110
Arroyo Municipio819
Barceloneta Municipio819
Barranquitas Municipio819
Bayamon Municipio819
Canovanas Municipio819
Cayey Municipio819
Ceiba Municipio819
Cidra Municipio819
Comerio Municipio819
Culebra Municipio819
Guayama Municipio819
Las Marias Municipio819
Las Piedras Municipio819
Loiza Municipio819
Luquillo Municipio819
Manati Municipio819
Mayaguez Municipio819
Naranjito Municipio819
Toa Baja Municipio819
Vega Baja Municipio819
Yabucoa Municipio819
Aguada Municipio718
Aguas Buenas Municipio718
Anasco Municipio718
Carolina Municipio718
Dorado Municipio718
Guaynabo Municipio718
Gurabo Municipio718
Humacao Municipio718
Juncos Municipio718
Lajas Municipio718
Maunabo Municipio718
Naguabo Municipio718
Patillas Municipio718
Rincon Municipio718
Rio Grande Municipio718
San Lorenzo Municipio718
Yauco Municipio718
Cabo Rojo Municipio617
Caguas Municipio617
Ciales Municipio617
Guanica Municipio617
Hormigueros Municipio617
Maricao Municipio617
Morovis Municipio617
Orocovis Municipio617
Penuelas Municipio617
Sabana Grande Municipio617
San German Municipio617
Coamo Municipio516
Guayanilla Municipio516
Juana Diaz Municipio516
Lares Municipio516
Santa Isabel Municipio516
Aguadilla Municipio415
Aibonito Municipio415
Arecibo Municipio415
Camuy Municipio415
Hatillo Municipio415
Isabela Municipio415
Moca Municipio415
Ponce Municipio415
Salinas Municipio415
Utuado Municipio415
Villalba Municipio415
Adjuntas Municipio314
Jayuya Municipio314
Quebradillas Municipio314
San Sebastian Municipio314

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

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.

Recorded live session

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

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