Medicare Advantage plans in Alabama, 2027
104 Medicare Advantage plans are sold in Alabama for 2027 (90 in 2026); 58 are open to everyone and 41 of those have a $0 premium everywhere they are sold. 15,272 Alabama members in September 2026 were in plans that end or leave their county for 2027.
What changes in Alabama for 2027?
| In the state | 2026 | 2027 | Change |
|---|---|---|---|
| Plans sold in the state | 90 | 104 | ▲up 14 |
| Plans open to everyone | 55 | 58 | ▲up 3 |
| Plans with a $0 premium everywhere they are sold | 39 | 41 | ▲up 2 |
| Plans that lower the Part B premium | 22 | 19 | ▼down 3 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026.
Which companies sell the most plans in Alabama?
Plans open to everyone, by parent company and the brands it sells under, 2027
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Which Alabama counties lose the most?
Plans end in or leave Alabama counties 245 times for 2027. Counties with the most members in those plans come first; each links to its 2027 plan list.
| County | Plans open to all | $0 premium | Plans that end or leave | Their members here |
|---|---|---|---|---|
| Tuscaloosa | 21 | 12 | 11 | 2,471 |
| Jefferson | 43 | 29 | 1 | 1,269 |
| Madison | 43 | 29 | 2 | 691 |
| Marshall | 35 | 24 | 7 | 658 |
| Mobile | 46 | 32 | 1 | 612 |
| Lauderdale | 37 | 26 | 7 | 611 |
| Shelby | 43 | 29 | 1 | 589 |
| Baldwin | 43 | 29 | 1 | 501 |
| Elmore | 35 | 25 | 9 | 494 |
| Cullman | 39 | 28 | 5 | 422 |
| Cleburne | 29 | 21 | 6 | 389 |
| Covington | 24 | 15 | 5 | 360 |
| Coffee | 24 | 15 | 5 | 354 |
| Montgomery | 40 | 27 | 1 | 291 |
| St. Clair | 41 | 27 | 1 | 254 |
| Autauga | 39 | 27 | 5 | 252 |
| Morgan | 39 | 26 | 3 | 249 |
| Barbour | 30 | 21 | 5 | 244 |
| Dale | 27 | 17 | 5 | 235 |
| Lee | 29 | 17 | 2 | 205 |
| Chilton | 40 | 28 | 4 | 190 |
| Talladega | 37 | 26 | 3 | 187 |
| Limestone | 39 | 26 | 3 | 185 |
| Franklin | 30 | 20 | 6 | 176 |
| Fayette | 27 | 17 | 5 | 175 |
| Lawrence | 35 | 24 | 5 | 167 |
| Randolph | 28 | 20 | 3 | 166 |
| Clay | 30 | 21 | 5 | 160 |
| DeKalb | 34 | 23 | 4 | 148 |
| Houston | 31 | 19 | 1 | 148 |
| Blount | 42 | 28 | 1 | 143 |
| Washington | 27 | 18 | 5 | 142 |
| Calhoun | 31 | 20 | 2 | 136 |
| Walker | 44 | 30 | 2 | 134 |
| Colbert | 37 | 26 | 4 | 131 |
| Dallas | 38 | 27 | 3 | 127 |
| Etowah | 37 | 25 | 2 | 122 |
| Winston | 31 | 22 | 5 | 112 |
| Hale | 24 | 15 | 5 | 102 |
| Jackson | 39 | 26 | 4 | 97 |
| Coosa | 34 | 24 | 6 | 88 |
| Wilcox | 23 | 15 | 6 | 88 |
| Butler | 32 | 23 | 5 | 82 |
| Crenshaw | 35 | 25 | 5 | 81 |
| Bibb | 39 | 28 | 5 | 80 |
| Tallapoosa | 35 | 25 | 2 | 76 |
| Lowndes | 38 | 27 | 5 | 75 |
| Cherokee | 37 | 26 | 3 | 73 |
| Marengo | 24 | 15 | 5 | 72 |
| Bullock | 35 | 25 | 5 | 52 |
| Geneva | 27 | 17 | 2 | 47 |
| Greene | 24 | 15 | 5 | 47 |
| Escambia | 32 | 23 | 2 | 38 |
| Henry | 27 | 17 | 2 | 38 |
| Pike | 37 | 26 | 2 | 38 |
| Clarke | 26 | 16 | 2 | 36 |
| Choctaw | 24 | 15 | 5 | 35 |
| Marion | 34 | 23 | 3 | 24 |
| Conecuh | 23 | 14 | 2 | 23 |
| Monroe | 23 | 14 | 2 | 21 |
| Chambers | 36 | 25 | 2 | 19 |
| Perry | 28 | 17 | 5 | 14 |
| Russell | 35 | 24 | 2 | 14 |
| Macon | 37 | 26 | 1 | 12 |
| Lamar | 28 | 18 | 2 | 0 |
| Pickens | 28 | 17 | 2 | 0 |
| Sumter | 23 | 14 | 2 | 0 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
Which large plans sold in Alabama end?
| 2026 plan | Brand | Members in all states, Sept. 2026 |
|---|---|---|
| Blue Advantage PremierH0104-015 | Blue Cross and Blue Shield of Alabama | 7,518 |
| UHC Dual Complete AL-V001H0432-013 | UnitedHealthcare | 508 |
| Aetna Medicare Signature PlusH5521-224 | Aetna Medicare | 337 |
| Aetna Medicare Signature PlusH5521-644 | Aetna Medicare | 242 |
| HumanaChoiceH5216-448 | Humana | 91 |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
Which plans in Alabama lower the Part B premium?
19 plans open to everyone and sold in at least one Alabama county pay part of the Part B premium in 2027; the largest reduction comes first.
Source: CMS plan benefit package files, 2027 and 2026; CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
706,387 of Alabama's 1,148,442 people with Medicare were in a Medicare Advantage plan in September 2026 (62%).
What else should you check?
- Every plan not offered in 2027By company and state
- Part B giveback plansWhere they are sold
- Every statePlan counts for 2027