Medicare Advantage
Got a plan leaving Orange County? Read this first
Orange County has 92 Medicare Advantage plans for 2027. Compared with 2026, 21 plans are not coming back, 28 are new, and 32 continuing plans changed in some way you should check before December 7, 19 of them under a new name. This guide covers what those numbers mean for Irvine, not which plan to pick.
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IRVINE, Calif. — Medicare's 2027 plan year brings a noticeable shake-up to Orange County, and Irvine residents will see it in their mailboxes this fall. According to CMS's 2026 and 2027 Medicare Advantage Landscape files, 21 Medicare Advantage plans offered in Orange County this year will not be back for 2027, 28 new plans are joining the market, and 19 plans are being renamed. Two carriers — Central Health Medicare Plan and Providence Medicare Advantage Plans — are exiting the county entirely, while a new carrier, VillageHealth, is coming in.
Key takeaways
- 21 Medicare Advantage plans are leaving Orange County after 2026, 28 are new for 2027, and 19 are being renamed; a full plan table appears on this page.
- Central Health Medicare Plan and Providence Medicare Advantage Plans will not offer Orange County plans in 2027; VillageHealth is new to the county.
- If your plan is not renewed, you qualify for a Special Enrollment Period that runs through February 28, 2027, on top of the Annual Enrollment Period (Oct. 15 – Dec. 7).
- Read the Annual Notice of Change (ANOC) your plan mails by late September — it spells out any 2027 changes to your specific plan.
If your current plan is on the "leaving" list, you don't lose Medicare — but you do need to act. Here's what's changing and what your options are.
What's changing in Orange County for 2027
Irvine is in Orange County, where Medicare Advantage availability is set at the county level. For the 2027 plan year, CMS's Landscape files show a busy round of changes:
- 21 plans leaving after 2026
- 28 new plans entering the market
- 19 plans renamed (the plan is still there, but with a different name and plan ID)
- 32 plans changing on premium, deductible, plan type or name — the Annual Notice of Change has the specifics
- 64 plans continuing into 2027
The table on this page lists every 2026 plan and how it is treated for 2027.
Plans that will not be offered in 2027
If you're enrolled in one of these Orange County plans, it will not renew for 2027, and you'll need to pick something else or return to Original Medicare:
- Aetna Medicare Eagle (PPO), Aetna Medicare Enhanced (PPO) and Aetna Medicare Signature (PPO) from Aetna (CVS Health)
- Alignment Health Advantage PPO, Alignment Health Honor+ Plan (HMO), Alignment Health My Choice Select (HMO) and Alignment Health the ONE (HMO) from Alignment Health Plan
- Astiva Health Premier Plan (HMO)
- Wellcare Giveback (HMO) from Centene
- All Central Health Medicare Plan offerings: Central Health Classic Care Plan I, Central Health Dual Access Plan (D-SNP), Central Health Embrace Care Plan (C-SNP), Central Health Embrace Choice Plan (C-SNP), Central Health Medicare Plan, Central Health Part B Savings Plan and Central Health Valor Care Plan
- Champion Select (HMO-POS C-SNP) from Champion Health Plan
- Kaiser Permanente Dual Complete South P1 (HMO D-SNP)
- Providence Medicare Sycamore + Rx (HMO)
- SCAN Affirm partnered with Included LGBTQ+ Health (HMO) and SCAN MyChoice (HMO)
Central Health Medicare Plan and Providence Medicare Advantage Plans are pulling out of Orange County altogether. Their members will get a non-renewal notice.
Plans that are new for 2027
Twenty-eight new plans are joining Orange County for 2027. They span familiar carriers (Aetna, Alignment Health Plan, Astiva, Blue Shield of California, Champion, Clever Care, Humana, Imperial, SCAN and UnitedHealthcare) and one new entrant, VillageHealth, which is bringing two dialysis-focused C-SNPs to the county (SCAN DaVita Dialysis Care and SCAN DaVita Dialysis Care Complete).
New names to look for include Aetna Medicare Chronic Care (C-SNP), Aetna Medicare Eagle (HMO), several Alignment Health Plan additions (including Honor Plus 060 and Platinum Preferred plans), Central Health Harmony 001 and Harmony Plus 002 (now offered by Alignment Health Plan), Astiva C-SNP Bloom and Fountain, Blue Shield Advantage, Champion Anwell, Champion Compass, Champion Home and Champion Secure, Clever Care Breathe Select+ and Total Choice+, Humana Gold Plus H3767-002, Imperial Flex, several new SCAN plans (Ansim Care, Baekse, Costco Medicare Advantage, Inclusive, Select and CareMore Health Plan by SCAN), and AARP Medicare Advantage from UHC CA-46.
Being "new" doesn't mean better or worse — it means it wasn't sold here in 2026. You'll want to compare it the same way you'd compare any other plan.
Renamed plans — same plan, new label
Nineteen plans are being renamed for 2027. Most are Alignment Health Plan plans getting numbered suffixes (for example, Alignment Health Balance is now Alignment Health Balance 033, and Alignment Health My Choice is now Alignment Health My Choice 001). Aetna Medicare Signature (HMO) is becoming Aetna Medicare Signature Legacy (HMO), Wellcare Dual Liberty is becoming Wellcare Health Net Dual Liberty, and three AARP Medicare Advantage plans from UnitedHealthcare are getting new ID codes.
If your plan is just renamed, you don't have to do anything to stay enrolled — but you should still read the ANOC, because the plan may also be on the "changing" list.
What Irvine members should do — and by when
1. Watch your mail in late September. Every Medicare Advantage plan is required to send an Annual Notice of Change (ANOC) explaining what's different for 2027. If your plan is not being renewed, you'll get a separate non-renewal letter.
2. Use the Annual Enrollment Period: October 15 – December 7, 2026. This is when anyone with Medicare can switch, drop or join a Medicare Advantage or Part D plan for the following year.
3. If your plan is leaving, you also have a Special Enrollment Period through the end of February 2027. CMS gives members of non-renewing plans extra time to pick a new Medicare Advantage plan or return to Original Medicare with a stand-alone Part D plan.
4. Remember Medicare Advantage Open Enrollment: January 1 – March 31, 2027. If you're already in a Medicare Advantage plan on January 1, you get one chance to switch to a different Medicare Advantage plan or move to Original Medicare.
5. Check your doctors, hospitals and drugs. Before you switch, confirm your providers are in the new plan's network and your prescriptions are on the formulary.
A few 2026–2027 program facts worth knowing
These apply no matter which plan you pick:
- The Part D out-of-pocket cap is $2,100 in 2026.
- The Part D maximum deductible is $615.
- The old "donut hole" is gone as of 2025 — Part D now has three phases.
- The Medicare Prescription Payment Plan lets you spread drug costs across the year in monthly installments, at no extra cost.
- IRMAA (higher Part B and Part D premiums for higher incomes) starts above $109,000 in income for a single filer in 2026.
Where to get personalized help
- Medicare.gov — the official Plan Finder lets you enter your ZIP code, drugs and pharmacies and compare 2027 plans side by side.
- 1-800-MEDICARE (1-800-633-4227), 24/7.
- California's SHIP: HICAP (Health Insurance Counseling & Advocacy Program) offers free, unbiased one-on-one counseling. Call 1-800-434-0222.
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.
By the numbers
How people get Medicare in Orange County
(MA penetration in Orange County)
MA penetration from CMS enrollment data; Medigap share is an estimate. U.S. average is about 54% Medicare Advantage. These are area-level figures, not plan-specific.
What changes next year
Medicare Advantage plans leaving or changing in Orange County for 2027
Irvine is in Orange County. Comparing CMS’s 2026 and 2027 Landscape files for the county:
Plans not offered in Orange County for 2027
| Plan | Carrier | Type |
|---|---|---|
| Aetna Medicare Eagle (PPO) | Aetna (CVS Health) | PPO |
| Aetna Medicare Enhanced (PPO) | Aetna (CVS Health) | PPO |
| Aetna Medicare Signature (PPO) | Aetna (CVS Health) | PPO |
| Alignment Health Advantage PPO (PPO) | Alignment Health Plan | PPO |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | HMO |
| Alignment Health My Choice Select (HMO) | Alignment Health Plan | HMO |
| Alignment Health the ONE (HMO) | Alignment Health Plan | HMO |
| Astiva Health Premier Plan (HMO) | Astiva Health | HMO |
| Wellcare Giveback (HMO) | Centene (WellCare) | HMO |
| Central Health Classic Care Plan I (HMO) | Central Health Medicare Plan | HMO |
| Central Health Dual Access Plan (HMO D-SNP) | Central Health Medicare Plan | HMO D-SNP |
| Central Health Embrace Care Plan (HMO C-SNP) | Central Health Medicare Plan | HMO C-SNP |
| Central Health Embrace Choice Plan (HMO C-SNP) | Central Health Medicare Plan | HMO C-SNP |
| Central Health Medicare Plan (HMO) | Central Health Medicare Plan | HMO |
| Central Health Part B Savings Plan (HMO) | Central Health Medicare Plan | HMO |
| Central Health Valor Care Plan (HMO) | Central Health Medicare Plan | HMO |
| Champion Select (HMO-POS C-SNP) | Champion Heath Plan | HMO-POS C-SNP |
| Kaiser Permanente Dual Complete South P1 (HMO D-SNP) | Kaiser Permanente | HMO D-SNP |
| Providence Medicare Sycamore + Rx (HMO) | Providence Medicare Advantage Plans | HMO |
| SCAN Affirm partnered with Included LGBTQ+ Health (HMO) | SCAN Health Plan | HMO |
| SCAN MyChoice (HMO) | SCAN Health Plan | HMO |
Plans new to Orange County for 2027
| Plan | Carrier | Type |
|---|---|---|
| Aetna Medicare Chronic Care (HMO C-SNP) | Aetna (CVS Health) | HMO C-SNP |
| Aetna Medicare Eagle (HMO) | Aetna (CVS Health) | HMO |
| Alignment Health Heart & Diabetes Plus 044 (HMO C-SNP) | Alignment Health Plan | HMO C-SNP |
| Alignment Health Honor Plus 060 (HMO) | Alignment Health Plan | HMO |
| Alignment Health Platinum Preferred 004 (HMO) | Alignment Health Plan | HMO |
| Alignment Health Platinum Preferred+ 005 (HMO) | Alignment Health Plan | HMO |
| Central Health Harmony 001 (HMO) | Alignment Health Plan | HMO |
| Central Health Harmony Plus 002 (HMO C-SNP) | Alignment Health Plan | HMO C-SNP |
| Astiva Health C-SNP Bloom (HMO C-SNP) | Astiva Health | HMO C-SNP |
| Astiva Health C-SNP Fountain (HMO C-SNP) | Astiva Health | HMO C-SNP |
| Blue Shield Advantage (HMO) | Blue Shield of California | HMO |
| Champion Anwell (HMO) | Champion Heath Plan | HMO |
| Champion Compass (HMO C-SNP) | Champion Heath Plan | HMO C-SNP |
| Champion Home (HMO C-SNP) | Champion Heath Plan | HMO C-SNP |
| Champion Secure (HMO C-SNP) | Champion Heath Plan | HMO C-SNP |
| Clever Care Breathe Select+ (HMO C-SNP) | Clever Care Health Plan | HMO C-SNP |
| Clever Care Total Choice+ (HMO C-SNP) | Clever Care Health Plan | HMO C-SNP |
| Humana Gold Plus H3767-002 (HMO) | Humana | HMO |
| Imperial Flex (HMO C-SNP) | Imperial Health Plan of California, Inc. | HMO C-SNP |
| CareMore Health Plan by SCAN (HMO) | SCAN Health Plan | HMO |
| SCAN Ansim Care (HMO C-SNP) | SCAN Health Plan | HMO C-SNP |
| SCAN Baekse (HMO) | SCAN Health Plan | HMO |
| SCAN Costco Medicare Advantage (HMO) | SCAN Health Plan | HMO |
| SCAN Inclusive (HMO) | SCAN Health Plan | HMO |
| SCAN Select (HMO) | SCAN Health Plan | HMO |
| AARP Medicare Advantage from UHC CA-46 (HMO-POS) | UnitedHealthcare | HMO-POS |
| SCAN DaVita Dialysis Care (HMO-POS C-SNP) | VillageHealth | HMO-POS C-SNP |
| SCAN DaVita Dialysis Care Complete (HMO-POS C-SNP) | VillageHealth | HMO-POS C-SNP |
Plans continuing under a new name
| Plan | Carrier | Type |
|---|---|---|
| Aetna Medicare Prime (HMO) (was Aetna Medicare Prime (HMO-POS)) | Aetna (CVS Health) | HMO-POS |
| Aetna Medicare Signature Legacy (HMO) (was Aetna Medicare Signature (HMO)) | Aetna (CVS Health) | HMO |
| Alignment Health Balance 033 (HMO C-SNP) (was Alignment Health Balance (HMO C-SNP)) | Alignment Health Plan | HMO C-SNP |
| Alignment Health BreathEasy Plus 041 (HMO C-SNP) (was Alignment Health BreathEasy (HMO C-SNP)) | Alignment Health Plan | HMO C-SNP |
| Alignment Health Clarity Plus 042 (HMO C-SNP) (was Alignment Health Clarity (HMO C-SNP)) | Alignment Health Plan | HMO C-SNP |
| Alignment Health Heart & Diabetes 010 (HMO C-SNP) (was Alignment Health Heart & Diabetes (HMO C-SNP)) | Alignment Health Plan | HMO C-SNP |
| Alignment Health Heart & Diabetes 051 (HMO C-SNP) (was Alignment Health Heart & Diabetes Choice (HMO C-SNP)) | Alignment Health Plan | HMO C-SNP |
| Alignment Health Heart & Diabetes 054 (HMO C-SNP) (was Alignment Health Heart & Diabetes Care (HMO C-SNP)) | Alignment Health Plan | HMO C-SNP |
| Alignment Health Heart & Diabetes Plus 039 (HMO C-SNP) (was Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)) | Alignment Health Plan | HMO C-SNP |
| Alignment Health My Choice 001 (HMO) (was Alignment Health My Choice (HMO)) | Alignment Health Plan | HMO |
| Alignment Health My Choice 050 (HMO) (was Alignment Health My Choice CalCare (HMO)) | Alignment Health Plan | HMO |
| Alignment Health Platinum + Instacart 008 (HMO) (was Alignment Health Platinum + Instacart (HMO)) | Alignment Health Plan | HMO |
| Alignment Health Smart 013 (HMO) (was Alignment Health smartHMO (HMO)) | Alignment Health Plan | HMO |
| Alignment Health Smart 047 (HMO) (was Alignment Health smartSavings (HMO)) | Alignment Health Plan | HMO |
| Alignment Health ValorCare 053 (HMO) (was Alignment Health ValorCare (HMO)) | Alignment Health Plan | HMO |
| Wellcare Health Net Dual Liberty (HMO D-SNP) (was Wellcare Dual Liberty (HMO D-SNP)) | Centene (WellCare) | HMO D-SNP |
| AARP Medicare Advantage from UHC CA-33P (HMO-POS) (was AARP Medicare Advantage from UHC CA-43 (HMO-POS)) | UnitedHealthcare | HMO-POS |
| AARP Medicare Advantage Giveback from UHC CA-31P (HMO-POS) (was AARP Medicare Advantage Giveback from UHC CA-20 (HMO-POS)) | UnitedHealthcare | HMO-POS |
| AARP Medicare Advantage Patriot No Rx CA-MA1P (HMO-POS) (was AARP Medicare Advantage Patriot No Rx CA-MA01 (HMO-POS)) | UnitedHealthcare | HMO-POS |
Carriers with no plans in Orange County for 2027: Central Health Medicare Plan, Providence Medicare Advantage Plans
Carriers new to Orange County for 2027: VillageHealth
“Changing” means the plan’s 2027 record differs from 2026 on premium, drug deductible, plan type or name; the details are in the Annual Notice of Change your plan mails by September 30. If your plan is not offered for 2027, you can choose another during the Annual Enrollment Period (October 15 to December 7) and you also get a Special Enrollment Period that runs through the end of February. Source: CMS MA Landscape Source Files. No plan is ranked or recommended.
The choices, by type
How the Medicare Advantage choices in Irvine break down for 2027
Carriers offering plans in Orange County, alphabetically, with the number of plans each offers:
- Aetna (CVS Health) 7 plans
- Align Senior Care 3 plans
- Alignment Health Plan 17 plans
- Astiva Health 4 plans
- Blue Shield of California 4 plans
- CalOptima Health OneCare 1 plan
- Centene (WellCare) 6 plans
- Central Health Medicare Plan 7 plans
- Champion Heath Plan 7 plans
- Clever Care Health Plan 4 plans
- Elevance Health (Anthem) 12 plans
- Humana 7 plans
- Imperial Health Plan of California, Inc. 3 plans
- Kaiser Permanente 4 plans
- Providence Medicare Advantage Plans 1 plan
- SCAN Health Plan 10 plans
- UnitedHealthcare 7 plans
HMO plans use a network and usually a primary-care doctor; HMO-POS plans add some out-of-network coverage; PPO plans cover out-of-network care at a higher share; PFFS plans pay any provider that accepts the plan’s terms; Special Needs Plans serve people who are dual-eligible (D-SNP), have certain conditions (C-SNP) or live in an institution (I-SNP). Source: CMS Landscape Source File. No plan is ranked or recommended here.
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 I do nothing and my plan is leaving?
- CMS — MA Landscape Source Files, current and coming plan year (year-over-year comparison)
- CMS — Medicare enrollment periods (medicare.gov)
For personalized answers, contact Medicare.gov, 1-800-MEDICARE, or your local SHIP.
Also for Irvine
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This page was last updated: October 1, 2026.