Compare Ohio Medicare Advantage Plans 2027

Reviewed by Russell Noga, a Licensed Medicare Insurance Broker in all 50 states — Updated October 8, 2026

For 2027, Ohio drops to 180 Medicare Advantage plans from 212, and Wellcare (Centene) will limit its Ohio lineup to Special Needs Plans, which means many Ohioans will need to compare plans this fall.

Ohioans still have many Medicare Advantage plans to pick from, offered by Ohio-based plans as well as national insurers such as Aetna, Anthem, Humana and UnitedHealthcare. Still, with 32 plans gone in a single year, more people than usual will get a non-renewal letter or find major changes in their Annual Notice of Change.

This guide covers what changed in Ohio, how to compare plans, and your other options. See compare 2027 Medicare Advantage plans in Ohio and Medicare Advantage plans 2027.

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Key Highlights

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For 2027, Ohio Medicare Advantage plans fall from 212 to 180.

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For 2027, Wellcare (Centene) will offer only Special Needs Plans in Ohio.

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Several insurers still offer plans in most Ohio counties.

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For 2027, the national average Medicare Advantage premium is $12 a month, lower than $14.37 (CMS).

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Annual Enrollment: October 15 through December 7, 2026.

Compare plans and enroll online

Medicare Advantage Options in Ohio

Key Takeaway

Which plans you can pick from depends on your county. The most options are usually found in metro areas like Cincinnati, Cleveland and Columbus.

Feature HMO PPO
Out-of-network care Not covered except emergencies and urgent care Covered at a higher cost
Referrals for specialists Usually required Usually not required
Premiums Usually lower Usually higher
Out-of-pocket maximum In-network limit In-network limit plus a higher combined limit
Best for Lower costs, local care Flexibility, travel, keeping specific doctors

Benefits Ohio Plans May Offer

Ohio Plans May Include

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Covers hospital and medical care just as Original Medicare Part A and B do

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Part D prescription drug coverage on most plans

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Routine dental, vision and hearing benefits

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Fitness programs and over-the-counter allowances

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Telehealth visits and care coordination programs

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A yearly out-of-pocket maximum on every plan

Benefits differ by plan and county, not every plan offers every benefit, and they may change for 2027. Review the Evidence of Coverage for any plan before enrolling.

Understanding Medicare Advantage in Ohio

Ohio Changes for 2027

212 to 180

Ohio Medicare Advantage plans for 2027.

SNP Only

Wellcare in Ohio for 2027.

Wellcare plans in Ohio that are not Special Needs Plans end on December 31, 2026. Other members losing their plans should have gotten a non-renewal letter in early October.

Insurer Key 2027 Changes
UnitedHealthcare Now 852 plans (846 before); about 140 counties lose standard plans; exiting Wyoming; 34 PPOs dropped
Humana Down to 861 plans from 887; exiting Minnesota and 57 counties; 37 PPOs eliminated; plans ending for about 600,000 members
Aetna (CVS Health) Plan count rises to 654 from 642; standard plans withdrawn from 123 counties; exits from Maryland and New Hampshire; 20 PPOs dropped; 29 C-SNPs added
HCSC (including HealthSpring) Cut from 948 counties to about 478; exiting CT, KS, MT, NY, OR, UT and D.C.; 48 PPOs eliminated
Centene (Wellcare) Exiting Hawaii, Oklahoma and Tennessee; standard plans removed from 344 counties
Elevance (Anthem) Exited South Carolina; standard plans withdrawn from 56 counties
Devoted Health Expanding into 342 counties; new in CT, MI, NH, NJ and NY

Source: CMS 2027 landscape data reported by Becker’s on October 1, 2026, plus company announcements. Blue Cross Blue Shield of Mississippi, Blue Cross Blue Shield of North Dakota and Wellmark are exiting Medicare Advantage for 2027 as well.

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Ohio Insurers to Know for 2027

Insurer What to Know for 2027
Humana Nationwide plans fall to 861 from 887; 37 PPOs cut
UnitedHealthcare Dropping 34 PPOs and removing standard plans from about 140 counties, with 852 plans nationwide
Aetna 654 plans nationally; cutting 20 PPOs
Anthem (Elevance) The Blue Cross Blue Shield company in Ohio; nationally, Elevance is removing standard plans from 56 counties
Wellcare (Centene) Special Needs Plans only in Ohio for 2027
Ohio-based plans In parts of the state, regional insurers offer plans too

Source for national figures: CMS 2027 landscape data, as reported by Becker’s on October 1, 2026. What is available differs by county.

How to Compare Ohio Plans Side by Side

Ohio Comparison Steps

1

Write down your doctors and hospital. With several large health systems in Ohio, confirm that yours is in network.

2

Write down your drugs and pharmacy. Plug them into Medicare Plan Finder to get accurate costs.

3

List all the plans available in your county. Narrow them by star rating and by PPO or HMO.

4

Look at the out-of-pocket maximum. This is the most you could pay in a year for covered care.

5

Match copays to the care you actually get. Look at primary care, specialists, hospital stays and imaging.

6

Review extras at the end. Dental, vision and hearing coverage differs; review limits.

Record the same figures for your two or three finalists. Whichever company offers it, the plan that covers your drugs and doctors at the lowest realistic yearly cost is usually the one to choose.

How to Compare Plans in Your County Effectively

Medicare Advantage in Ohio

Medicare Advantage, or Part C, lets you receive your Medicare benefits from a Medicare-approved private insurer. These plans cover all that Original Medicare Part A and Part B cover, apart from hospice care, which remains with Original Medicare. Part D drug coverage is included in most plans, and many may also offer extras like routine dental, vision and hearing benefits.

The trade-off is that Medicare Advantage plans generally rely on doctor and hospital networks and may call for referrals or prior authorization for certain services. Unlike Original Medicare, every Medicare Advantage plan caps your yearly out-of-pocket costs for covered medical care. Your Part B premium still applies, along with the plan’s own premium if there is one.

Advantages

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Often a low or $0 premium

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A yearly out-of-pocket maximum

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Drug coverage usually included

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Dental, vision and hearing benefits may be included in many plans

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One card and one plan

Tradeoffs

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Network-based; HMOs require in-network care other than emergencies

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Prior authorization and referrals are common

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Copays add up if you use a lot of care

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Plans and networks can change every year

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Moving to Medigap later on could involve health questions

Medicare Supplement Plans in Ohio

For people who want Original Medicare, a Medicare Supplement (Medigap) plan covers some or all of the costs Medicare doesn’t, and you can use any provider in the U.S. that takes Medicare. Since benefits are standardized by plan letter, compare what different insurers charge for the same letter.

Plan What You Pay Best For
Plan G The Part B deductible, after which Medicare-approved costs are paid Most complete coverage for new enrollees
Plan N The Part B deductible, Part B excess charges, and copays of up to $20 for certain office visits and up to $50 for certain ER visits Lower premium, accepts small copays
High-Deductible Plan G A yearly deductible, then coverage like Plan G Healthy people who want the lowest premium

Each Medigap plan letter has standardized benefits. Price depends on the insurer, your age, ZIP code and tobacco use.

Watch for: unless you are in your six-month Medigap Open Enrollment Period or have a guaranteed issue right, most states allow insurers to ask health questions and then turn you down or charge you more.

Part D Drug Plans in Ohio

$700

Maximum 2027 Part D deductible, up from $615.

$2,400

2027 Part D out-of-pocket cap, up from $2,100.

About $36

Average standalone Part D premium for 2027, rising by under $1 (CMS).

$7

Expected average drug portion of a 2027 Medicare Advantage premium, lower than $11.32.

Staying with Original Medicare in Ohio? Add a standalone Part D plan, and use the 2027 Part D plan finder to compare plans with your exact drugs and pharmacies.

What Original Medicare Leaves You to Pay

Medicare Supplement plans are designed to fill gaps left by Original Medicare. Here are the costs one can cover:

Original Medicare Gap What It Means for You Covered By
Part A deductible Charged per hospital benefit period rather than once a year. In 2026 it was $1,736. Fully covered by Plans B, C, D, F, G and N; partly by K, L and M
Part A hospital coinsurance Per-day charges starting after day 60 in the hospital, increasing after day 90 All 10 plans, plus 365 extra hospital days
Part B deductible An annual deductible paid before Part B pays. In 2026 it was $283. Only Plans C and F
Part B coinsurance Typically 20% of the approved amount, without an annual cap All plans (K and L in part, N with copays)
Part B excess charges Doctors who do not accept assignment can charge up to 15% over the approved amount Plans F and G
Skilled nursing coinsurance Charges per day from day 21 through day 100 of a covered stay Plans C, D, F, G, M and N (K and L in part)
Emergency care abroad Care received outside the U.S. is generally not covered by Original Medicare Plans C, D, F, G, M and N, up to plan limits

No limit unless you add a supplement: there is no out-of-pocket maximum in Original Medicare. If you lack a Medigap plan or other coverage, the 20% you may owe for Part B services has no ceiling.

Plan G, Plan N and High-Deductible Plan G

Most people new to Medicare choose one of these three. Plan G covers every gap except the Part B deductible. Plan N trades a lower premium for copays of up to $20 for some office visits and up to $50 for ER visits that do not lead to admission, and it does not cover Part B excess charges. High-Deductible Plan G has a $3,050 deductible for 2027, up from $2,950, then covers like Plan G. See Plan G vs Plan N.

Plan G

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After the Part B deductible, you pay little or nothing

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Covers Part B excess charges

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Highest premium of the three

Plan N

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You pay the Part B deductible plus small copays

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Does not cover Part B excess charges

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Usually a lower premium than Plan G

High-Deductible G

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In 2027, you pay up to $3,050 before coverage begins

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Then covers like Plan G

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Lowest premium

How Medigap Prices Are Set

Your Age

Many insurers charge more as you get older.

Your ZIP Code

Prices vary by state and area.

Tobacco Use

Tobacco users usually pay more.

Discounts

Discounts for households or other groups, which vary by insurer and state.

Pricing Method How the Premium Is Set Over Time
Community-rated The premium is the same for everyone in an area, whatever their age Will not go up as you age, but may go up for inflation and other reasons
Issue-age-rated Based on your age when you buy Won’t increase as you age, though other factors can raise it
Attained-age-rated Based on your current age Rises as you age, on top of other increases

Insurer and state determine the method. Before buying, find out how a policy is priced, not only what it costs now.

Star Ratings

Each fall, Medicare gives every Medicare Advantage and Part D plan a rating of 1 to 5 stars, looking at factors like preventive care, chronic condition management, member complaints, customer service and accuracy of drug pricing. You can see the ratings in Medicare Plan Finder.

Using Star Ratings

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Generally, a rating of 4 stars or more signals good quality and service

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Once during the year, you can use a special enrollment period to switch into a five-star plan

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A missing rating is common for new plans and is not a bad sign on its own

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The ratings reflect the whole plan, not how it handles your particular doctors and drugs

If a Drug Is Not Covered

A drug you take might be missing from a plan’s 2027 formulary, or come with a rule such as prior authorization. Options remain:

If Your Drug Is Not Covered

1

Request a transition fill. During the first 90 days of a new plan or new plan year, plans generally have to provide a temporary supply of a drug you already take, giving you time to change drugs or ask for an exception.

2

Talk with your doctor about other options. A covered drug from the same class could work just as well for less.

3

Ask for a formulary or tiering exception. A statement from your doctor explains why you need the drug or a lower copay. The plan has to decide within set time limits.

4

Challenge a denial. When the plan turns you down, an appeal is available, with multiple levels of review.

See steps to appeal a Medicare Part D denial.

All 10 Medigap Plans Compared

Because federal law defines exactly what each plan letter covers, a given letter carries identical benefits from every insurer in your state.

Benefit A B C* D F* G K L M N
Hospital costs and Part A coinsurance for up to 365 additional days Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Part B coinsurance or copayment Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes***
First 3 pints of blood Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes
Part A hospice coinsurance or copayment Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes
Skilled nursing facility coinsurance No No Yes Yes Yes Yes 50% 75% Yes Yes
Part A deductible No Yes Yes Yes Yes Yes 50% 75% 50% Yes
Part B deductible No No Yes No Yes No No No No No
Part B excess charges No No No No Yes Yes No No No No
Foreign travel emergency (up to plan limits) No No 80% 80% 80% 80% No No 80% 80%
Out-of-pocket limit None None None None None None Yes** Yes** None None

*Only people who became eligible for Medicare before January 1, 2020 can purchase Plans C and F. **Plans K and L carry an annual out-of-pocket limit set by Medicare each year; once you hit that limit, the plan covers 100% of covered services for the remainder of the year. ***Plan N covers all Part B coinsurance, except you may owe copays of up to $20 for certain office visits and up to $50 for ER visits that do not result in an inpatient admission. Plans in Massachusetts, Minnesota and Wisconsin are standardized in a different way.

When You Can Buy

Key Takeaway

Your six-month Medigap Open Enrollment Period begins in the first month you are both 65 or older and enrolled in Part B. During this window, insurers cannot turn you down or raise your price based on your health.

You also have guaranteed issue rights under federal law in some situations, generally for 63 days after your other coverage ends:

You May Have a Right to Buy If

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Your Medicare Advantage plan exits your area or no longer serves Medicare

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You enrolled in Medicare Advantage when you first became eligible at 65 and want to go back within your first year

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You left a Medigap policy to try Medicare Advantage for the first time and want to go back within one year

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Employer or union coverage that pays after Medicare comes to an end

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Your Medigap insurer misleads you or goes bankrupt

Your state may offer extra protection: in New York and Connecticut, you can enroll in Medigap at any time of year with no health questions, while states like California and Oregon offer annual windows to move to an equal or lesser plan.

Ohio Regions at a Glance

Ohio’s biggest metro areas, Columbus, Cleveland, Cincinnati, Dayton, Toledo and Akron, generally offer the widest Medicare Advantage selection, mixing HMOs and PPOs. Rural counties in northwestern and Appalachian Ohio have fewer plans, and members there are more likely to be left with only a handful of choices after the 2027 cuts.

Near a state line, for example around Cincinnati, confirm that the plans you are weighing cover the hospitals you visit across the border in Indiana or Kentucky.

Ohio Part D Plans

Ohio residents staying with Original Medicare should compare standalone Part D plans using their exact pharmacy and drugs. Every plan for 2027 has a maximum Part D deductible of $700 and an out-of-pocket cap of $2,400, yet drug costs and premiums differ widely from plan to plan.

Turning 65 in Ohio

Turning 65 in Ohio in 2027? Enroll in Part A and Part B during your Initial Enrollment Period, then decide between a Medicare Advantage plan and Original Medicare paired with Medigap and Part D plans. The six-month Medigap Open Enrollment Period is your one window when insurers cannot deny you or charge more based on your health.

If Your Plan Is Ending

A non-renewal notice should have reached you in early October if your plan will not be available in your county for 2027. You are not cut off immediately: coverage runs through December 31, 2026, giving you time to make a choice.

If Your Plan Is Ending

1

Review your non-renewal letter. The letter confirms that your plan is ending and lays out your choices.

2

Write down your doctors and drugs. Comparing replacement plans requires this list.

3

Review your 2027 plan options. Look beyond the premium to the network, drug coverage and out-of-pocket maximum.

4

Decide by December 31 to avoid a gap. If you enroll during Annual Enrollment by December 7, your coverage begins January 1, 2027.

5

Rely on a Special Enrollment Period when needed. If your plan is ending, you can generally still choose new coverage until the end of February 2027.

If you do nothing: on January 1, 2027, you go back to Original Medicare, and you will have no drug coverage unless you pick a Part D plan. Being without drug coverage may result in a late enrollment penalty.

Medigap rights: if your Medicare Advantage plan stops serving your area, you generally get a guaranteed issue right, lasting up to 63 days after your coverage ends, to purchase certain Medicare Supplement plans with no health questions.

How to Compare Ohio Plans for 2027

How to Compare

1

Go through your Annual Notice of Change. It shows each 2027 change to the plan you have now.

2

Review your doctors and hospitals. Make sure every provider is in the 2027 network, not only the 2026 one.

3

Review your prescriptions. Verify each drug, its tier and any step therapy or prior authorization rules.

4

Weigh the full cost for the year. Total the premium, usual copays and drug costs, then check the out-of-pocket maximum.

5

Look at star ratings. Medicare scores plans on quality and service using a 1 to 5 star scale.

6

Sign up by December 7. Coverage under your new plan begins January 1, 2027.

2027 Enrollment Dates

Enrollment Period Dates What You Can Do
Annual Enrollment Period October 15 to December 7, 2026 Enroll in, change or leave a Medicare Advantage or Part D plan effective January 1, 2027
Medicare Advantage Open Enrollment January 1 to March 31, 2027 Medicare Advantage members can make one switch to another plan or back to Original Medicare
Initial Enrollment Period 7 months around your 65th birthday month Sign up for Medicare and choose your first plan
Special Enrollment Periods Varies Switch plans when something happens, such as a move, a loss of other coverage or your plan exiting your area

Annual Enrollment is when most people make their changes. If your current plan suits you, no action is needed, since it renews on its own. Even so, review your Annual Notice of Change, as networks, drug lists, copays and premiums may all change on January 1.

Special Needs Plans

Special Needs Plans (SNPs) are Medicare Advantage plans designed for particular groups. Their benefits, networks and drug lists are shaped around their members, and many provide care coordinators. Even as large insurers cut PPOs for 2027, Special Needs Plans are among the few places they are adding plans.

Type Who Qualifies What Is Different
Dual Special Needs Plan (D-SNP) People with both Medicare and Medicaid Covers both programs together; costs are often very low, with extra benefits
Chronic Condition SNP (C-SNP) People who have qualifying conditions like chronic lung disease, heart failure or diabetes Doctors, drugs and programs designed for the condition
Institutional SNP (I-SNP) Nursing home residents, or people needing that level of care at home Care delivered where the member lives

Turning 65 in 2027

Turning 65 in 2027? Your Initial Enrollment Period runs for seven months: the three months leading up to your birthday month, the birthday month itself and the three months that follow. Enrolling in the first three months starts your coverage on the first day of your birthday month.

Turning 65 Checklist

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Enroll in Part A and Part B, unless you choose to delay Part B because you have qualifying employer coverage

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Choose between Original Medicare with Medigap and Medicare Advantage

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Avoid a Part D late penalty by enrolling in a drug plan or a Medicare Advantage plan with drug coverage

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Going with Medigap? Buy it during your six-month Medigap Open Enrollment Period

Help Paying Medicare Costs

Two programs can greatly lower Medicare costs for people with limited income and savings:

Medicare Savings Programs

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Run by your state Medicaid office

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May cover your Part B premium, and in some cases deductibles and coinsurance

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Income and asset limits vary by state

Extra Help (Part D)

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Run by Social Security

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Lowers Part D premiums, deductibles and copays

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Automatic eligibility for Medicare Savings Program members

If you qualify for both Medicare and full Medicaid, you may also be able to join a Dual Special Needs Plan. See help for low-income Part D beneficiaries.

Free Medicare Help in Ohio

For free, unbiased Medicare counseling in Ohio, contact OSHIIP (Ohio Senior Health Insurance Information Program), the state’s State Health Insurance Assistance Program. You can also reach 1-800-MEDICARE at any hour or compare plans with a licensed agent for free.

Free Help Comparing Plans

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Medicare Plan Finder at Medicare.gov, open any time

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Call 1-800-MEDICARE (1-800-633-4227) any time, 24 hours a day and seven days a week

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Your State Health Insurance Assistance Program (SHIP), offering free and unbiased counseling

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A licensed agent or broker who compares plans from multiple insurers and charges you nothing

Gather your Medicare card, your drug list with doses, your doctors and the pharmacies you prefer before you call. Having them on hand keeps the conversation short.

Bottom Line

The Bottom Line

For 2027, Ohio drops 32 Medicare Advantage plans, and Wellcare moves to SNP-only. Review your non-renewal letter or Annual Notice of Change, compare the plans in your county, and sign up during Annual Enrollment, October 15 to December 7, 2026.

Compare plans and enroll online

Frequently Asked Questions

➤ How many Medicare Advantage plans are in Ohio for 2027?

Ohio is expected to have about 180 Medicare Advantage plans for 2027, down from 212 in 2026. Most counties still have plans from several insurers, so enter your ZIP code in Medicare Plan Finder to see exactly which options are available where you live.

➤ Is Wellcare leaving Ohio?

Wellcare, owned by Centene, will offer only Special Needs Plans in Ohio for 2027. If you are in another type of Wellcare plan in Ohio, you will need to choose a new plan, and you can do so during Annual Enrollment or a Special Enrollment Period.

➤ Which insurers offer Medicare Advantage in Ohio?

Humana, UnitedHealthcare, Aetna, Anthem and Ohio-based plans are among the insurers offering Medicare Advantage in Ohio, and availability varies by county. Compare networks, premiums and drug coverage for your ZIP code, since not every insurer serves every area.

➤ Where can I get free Medicare help in Ohio?

OSHIIP, Ohio’s State Health Insurance Assistance Program, offers free, unbiased Medicare counseling. Its counselors can help you compare 2027 Medicare Advantage and Part D options and understand the notices you receive from your current plan.

➤ What if my Ohio Medicare Advantage plan is ending?

If your Ohio Medicare Advantage plan is not renewing, you will receive a non-renewal notice and keep your coverage through December 31, 2026. You can choose a new plan during Annual Enrollment or a Special Enrollment Period, and you generally have a guaranteed issue right to buy certain Medigap plans.

➤ When can I change my Ohio Medicare plan for 2027?

You can change your Ohio Medicare coverage during Annual Enrollment, October 15 to December 7, 2026, and the new plan takes effect January 1, 2027. If you are in Medicare Advantage, you can also make one change between January 1 and March 31, 2027, including a move back to Original Medicare.

➤ What is the average Medicare Advantage premium for 2027?

CMS expects the national average Medicare Advantage premium to be about $12 a month in 2027, down from $14.37 in 2026. Ohio premiums vary by plan and county, and you generally still pay your Part B premium in addition to any plan premium.

Have Questions?

Speak with a licensed insurance agent

1-877-436-2343

TTY users 711

Mon-Fri: 8am-9pm ET

Find & Compare Plans Online

Speak with a licensed insurance agent

1-877-436-2343TTY 711

Mon-Fri: 8am-9pm ET

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