Medicare 2026
Medicare in Michigan for 2027: 39 Advantage Plans Leaving, 28 New, and What Else Changes
LANSING — Michiganders on Medicare will see a smaller Medicare Advantage menu for 2027, a lower Part D out-of-pocket cap, and a Social Security raise that starts with January checks. The federal plan year begins January 1, 2027, and the window to compare and switch — Medicare Open Enrollment 2027 — runs October 15 through December 7, 2026.
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Key takeaways
- Michigan goes from 192 Medicare Advantage plans in 2026 to 181 in 2027, with 39 plans not returning anywhere in the state, 28 new, and 88 changing.
- If your Medicare Advantage plan is leaving, you have a Special Enrollment Period that runs through February 2027 to pick a new plan or return to Original Medicare.
- The Part D out-of-pocket cap drops to $2,400 in 2027 (down from $2,100 in 2026), and no Part D plan may charge a deductible higher than $700.
- Social Security benefits payable beginning January 2027 include a 3.6 percent cost-of-living adjustment announced October 14, 2026.

| Fact | Figure | Source |
|---|---|---|
| Part B standard monthly premium (2026) | $202.90 | Medicare.gov |
| Part D out-of-pocket cap (2026) | $2,100 | CMS |
| Part D out-of-pocket cap (2027) | $2,400 | CMS |
| Annual Enrollment Period (for 2027 coverage) | October 15 – December 7, 2026 | Medicare.gov |
| Medicare Advantage Open Enrollment Period | January 1 – March 31 | Medicare.gov |
Area counts are for the county as a whole and are not a recommendation of any plan. Program figures are set nationally.
How many Medicare Advantage plans are offered in Michigan for 2027?
Michigan has 181 Medicare Advantage plans for 2027, down from 192 in 2026. Within that total, 39 plans are not returning anywhere in the state, 28 are new, and 88 are changing in at least one of four ways: a different premium, a different drug deductible, a different plan type, or a different plan name. Those counts span 83 counties, so the mix available in any one ZIP code can look different from the statewide picture.
Paramount Elite Medicare Plans has no Medicare Advantage plan in Michigan for 2027. Devoted Health is new to the Michigan Medicare Advantage market for 2027.
If your current plan is continuing, read the Annual Notice of Change (ANOC) your insurer mailed in September. It spells out what is different for 2027 — premium, deductible, copays, drug list, provider network and extras. If your plan is leaving, you should have received a non-renewal letter. That letter triggers a Special Enrollment Period that runs through February 2027, giving you time to choose another Medicare Advantage plan or return to Original Medicare (and consider a stand-alone Part D plan). You can also use Annual Enrollment, October 15 – December 7, 2026, for a January 1 effective date.
Which Michigan counties have the most Medicare Advantage change for 2027?
Five Michigan counties stand out for the volume of 2027 Medicare Advantage changes. In Oakland County, 23 plans are leaving and 39 are changing. In Washtenaw County, 18 are leaving and 38 are changing. Genesee County has 15 leaving and 38 changing. Livingston County has 14 leaving and 38 changing. Hillsdale County has 15 leaving and 33 changing.
If you live in one of those counties, there is a higher chance something about your 2027 plan — or whether it exists at all — looks different from 2026. The Medicare Plan Finder at medicare.gov is the authoritative place to see which plans are actually offered in your ZIP code.
How many stand-alone Part D drug plans are offered in Michigan for 2027?
Michigan has 11 stand-alone Medicare Part D prescription drug plans for 2027, from 6 insurers, down from 12 plans in 2026. Stand-alone Part D is what you pair with Original Medicare (or with a Medicare Advantage plan that does not include drug coverage).
Two national Part D rules matter in 2027 regardless of which plan you pick. The out-of-pocket cap on covered Part D drugs drops to $2,400, from $2,100 in 2026. And no Part D plan may charge a deductible higher than $700. The $41.33 Part D base beneficiary premium is a national figure used to calculate the late-enrollment penalty; actual plan premiums are set plan by plan and appear in the Plan Finder.
How many Medigap insurers are listed for Michigan in 2027?
Medicare.gov lists 28 Medigap (Medicare Supplement) insurers for a Michigan ZIP code. Medigap works only with Original Medicare, not with Medicare Advantage, and the lettered plans (Plan G, Plan N and others) are standardized — the benefits are the same from company to company for the same letter, though prices and customer service differ.
Your strongest protections to buy a Medigap policy without medical underwriting generally apply when you first enroll in Part B at 65 or older, and in certain guaranteed-issue situations. Rules outside those windows vary; medicare.gov explains them.
What are the national Medicare numbers for 2027, and what did Social Security announce?
Three national 2027 figures are confirmed. The Part D out-of-pocket cap is $2,400. The maximum Part D deductible any plan may charge is $700. The Part D base beneficiary premium used in the late-enrollment penalty formula is $41.33.
The Social Security Administration announced on October 14, 2026 a 3.6 percent cost-of-living adjustment for benefits payable beginning January 2027.
The 2027 Part B standard premium and deductible have not yet been announced; CMS typically releases those figures in the fall, usually November. The 2027 IRMAA income brackets and surcharges, which affect higher-income beneficiaries, are published alongside the Part B numbers and also have not been announced. Watch medicare.gov for the official release.
What should Michigan Medicare beneficiaries do before December 7, 2026?
A short checklist for Annual Enrollment 2027:
- Find and read the Annual Notice of Change from your current Medicare Advantage or Part D plan.
- If you got a non-renewal letter, note that your Special Enrollment Period runs through February 2027.
- Make a current list of your prescriptions, dosages, pharmacies and doctors.
- Run your ZIP code and drug list through the Medicare Plan Finder at medicare.gov to see what is actually offered where you live.
- If you have Original Medicare and are considering Medigap, compare the 28 insurers listed for your Michigan ZIP code.
- Confirm any choice by December 7, 2026 for coverage that starts January 1, 2027.
Where can Michigan residents get free Medicare help for 2027?
Two no-cost, non-sales options cover almost every question. Medicare.gov hosts the official Plan Finder, enrollment tools, and the Medigap policy search. 1-800-MEDICARE (1-800-633-4227) is staffed 24 hours a day, 7 days a week, and can help you compare, enroll, or sort out a letter you received.
By the numbers
Medicare Part B premium, 2006–2026
The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.
Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.
Key dates
Medicare enrollment periods at a glance
- Around your 65thInitial Enrollment PeriodA 7-month window around the month you turn 65 — your first chance to sign up.
- October 15 – December 7Annual Enrollment Period (Open Enrollment)Anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan.
- January 1 – March 31Medicare Advantage Open EnrollmentIf you're already in a Medicare Advantage plan, you can make one change.
- January 1 – March 31General Enrollment PeriodFor people who missed their first chance to sign up for Part B.
- VariesSpecial Enrollment PeriodTriggered by life events like moving or losing other coverage.
Dates are set by Medicare and apply nationwide. Confirm your personal windows at Medicare.gov or 1-800-MEDICARE.
Prescription coverage
How Medicare Part D works in 2026
The old coverage gap (“donut hole”) is eliminated as of 2025 (three phases now). There’s now a hard yearly cap of $2,100 on what you pay out of pocket for covered drugs, and you can spread those costs across the year with the Medicare Prescription Payment Plan.
Explore
When can you enroll? An interactive year
Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.
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The parts of Medicare
Good to know
Frequently asked questions
What happens if my Medicare Advantage plan is not returning to Michigan in 2027?
When does a plan I pick during Annual Enrollment 2027 take effect?
What is the Part D out-of-pocket cap in 2027?
Why can't you tell me the 2027 Part B premium?
- CMS — MA Landscape Source Files, current and coming plan year (year-over-year comparison)
- CMS — Medicare Part D program rules (medicare.gov)
- CMS — Medicare Supplement Insurance (Medigap) rules (medicare.gov)
- CMS — Medicare enrollment periods (medicare.gov)
For personalized answers, contact Medicare.gov or 1-800-MEDICARE.
Sources and methodology
- Medicare.gov, Medicare costs (Part B premium)
- CMS, Medicare prescription drug coverage (Part D) program rules
- CMS, Medicare Advantage and Part D plan-year announcements
- Medicare.gov, enrollment periods and plan rules
- CMS, Medicare Advantage and Part D Landscape Source Files
- Medicare.gov Medigap policy search
Figures cited in this article
- CMS — Medicare Advantage Landscape Source Files (2026 and 2027): Michigan plan counts, non-renewals, new entrants, changing plans, carrier changes, and county-level change figures.
- CMS — Medicare Part D program rules (medicare.gov): 2027 out-of-pocket cap, maximum deductible, base beneficiary premium, and Michigan stand-alone Part D plan counts.
- CMS — Medicare Supplement Insurance (Medigap) rules (medicare.gov): count of Medigap insurers listed for a Michigan ZIP code.
- CMS — Medicare enrollment periods (medicare.gov): Annual Enrollment dates and the Special Enrollment Period for plan non-renewals.
- Social Security Administration: October 14, 2026 announcement of the 3.6 percent 2027 cost-of-living adjustment.
How we put this together: area counts come from the CMS files listed above for the county that contains this city, program figures come from CMS, Medicare.gov and the Social Security Administration, and no plan is ranked or recommended.
By The Medicare Desk · Published . For personalized answers, contact Medicare.gov or 1-800-MEDICARE.
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This page was last updated: October 2026.