Medicare Advantage

Before You Toss That Medicare Mail in Hialeah, Read This

People in Hialeah can choose from 81 Medicare Advantage plans for 2027, against 115 this year. 30 of this year's plans are gone, 16 are new to Miami-dade County, and 41 that continue have changed their premium, deductible, plan type or name, 20 of them under a new name.

Medicare AdvantageHialeah, FL

Hialeah, Fla. — If you have a Medicare Advantage plan in Hialeah, the mail coming to your home this fall is worth opening. The Centers for Medicare & Medicaid Services (CMS) has posted its 2027 plan landscape, and the picture for Miami-Dade County includes 30 plans leaving after 2026, 16 new plans for 2027, and 20 plans getting new names. One carrier, Blue Cross Blue Shield (HCSC), will not offer Medicare Advantage plans in the county next year.

That matters because the Annual Enrollment Period runs Oct. 15 through Dec. 7, and choices you make (or don't make) now shape your coverage starting Jan. 1.

What is actually changing in Miami-Dade County

Every year CMS refreshes what plans can be sold where. For plan year 2027 in Miami-Dade County — the county that includes Hialeah — the file shows:

• 30 plans leaving after 2026
• 16 new plans coming for 2027
• 20 plans that are being renamed (same plan, new label)
• 41 plans changing on at least one of: premium, deductible, plan type or name
• 65 plans continuing

One carrier is exiting the county entirely: Blue Cross Blue Shield (HCSC). The table on this page lists every plan available for 2026 by carrier.

Plans that will not be back after 2026

If you are enrolled in one of the plans below, you will need to choose another plan for 2027 or you'll be moved to Original Medicare. The full list of non-renewing plans in Miami-Dade County:

• Aetna (CVS Health): Aetna Medicare Dual Select (HMO D-SNP)
• Align Senior Care: Premier Care (HMO I-SNP); Senior Care (HMO I-SNP)
• Blue Cross Blue Shield (HCSC): HealthSpring Preferred (HMO); HealthSpring TotalCare (HMO D-SNP)
• Centene (WellCare): Wellcare Dual Access Sync (HMO D-SNP); Wellcare Patriot Giveback (HMO); Wellcare Simple (HMO); Wellcare Sunshine Health Dual Align (HMO D-SNP)
• Doctors HealthCare Plans, Inc.: DrElite-SFL (HMO); DrExtraCare (HMO C-SNP); DrMax (HMO); DrPlus (HMO D-SNP); DrSelect (HMO)
• Elevance Health (Anthem): Simply Complete (HMO D-SNP); Simply Complete Platinum (HMO D-SNP); Simply Extra Platinum (HMO); Simply Integrated (HMO D-SNP); Simply Integrated Platinum (HMO D-SNP); Simply Level (HMO C-SNP); Simply Level Platinum (HMO C-SNP); Simply More (HMO); Simply More Platinum (HMO)
• Gold Kidney Health Plan: Gold Health (HMO-POS C-SNP)
• Humana: CareNeeds Extra (HMO D-SNP); Humana USAA Honor Giveback (PPO); HumanaChoice Florida SNP-DE H7617-113 (PPO D-SNP)
• UnitedHealthcare: UHC MedicareMax Dual Complete FL-D4 (HMO D-SNP); UHC MedicareMax Dual Complete FL-V3 (HMO D-SNP); UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP)

Note that Align Senior Care and Centene both have plans that share a name with new 2027 plans — but CMS treats these as different contracts. Do not assume a same-named plan is "the same plan." Read the new plan's documents.

New plans arriving in 2027

Sixteen plans are joining the Miami-Dade County lineup:

• Aetna (CVS Health): Aetna Medicare Partial Dual Select (HMO D-SNP)
• Align Senior Care: Premier Care (HMO I-SNP); Senior Care (HMO I-SNP)
• Centene (WellCare): Wellcare Simple (HMO-POS); Wellcare Sunshine Health Dual Access (HMO-POS D-SNP); Wellcare Sunshine Health Dual Align (HMO D-SNP); Wellcare Sunshine Health Dual Align Unity (HMO D-SNP)
• Devoted Health: DEVOTED GIVEBACK EXTRAS 110 FL (HMO)
• Doctors HealthCare Plans, Inc.: DrExtraCare-SFL (HMO C-SNP); DrMax-Dade (HMO); DrPartialDual-SFL (HMO D-SNP); DrSelect-SFL (HMO)
• Elevance Health (Anthem): Simply Complete Platinum (HMO D-SNP)
• Gold Kidney Health Plan: Gold Heart & Diabetes (HMO-POS C-SNP)
• Humana: Humana Dual Integrated (PPO D-SNP); HumanaChoice Giveback H7617-145 (PPO)

Plans that are just being renamed

A renamed plan is the same contract under a new label — but the plan documents may still have real updates. Twenty plans in the county are being renamed for 2027, including several from Aetna, WellCare, Devoted Health, Doctors HealthCare Plans, Humana and UnitedHealthcare. A few notable relabels:

• Wellcare Giveback is moving from HMO to HMO-POS.
• Several Humana "Gold Plus SNP-DE" plans are being renamed to "Humana Dual Select."
• Multiple UnitedHealthcare Dual Complete plans are moving to new plan-number labels (for example, FL-D003 becomes FL-Q1).

If your ID card shows one of these older names, you should get a letter with the new name. Your Annual Notice of Change (ANOC) — mailed in September — lists what else has changed.

What to do if your plan is leaving

You have two enrollment windows to act on:

1. Annual Enrollment Period (AEP): Oct. 15 – Dec. 7. This is when most people compare and switch. Anything you pick starts Jan. 1, 2027. 2. Special Enrollment Period (SEP) for a non-renewed plan: If your plan is not being offered again, Medicare gives you an SEP that runs through the end of February. You can use it to join another Medicare Advantage plan or return to Original Medicare (and add a stand-alone Part D plan). 3. Medicare Advantage Open Enrollment Period: Jan. 1 – March 31. If you are already in an MA plan on Jan. 1, you get one chance to change to another MA plan or drop back to Original Medicare.

A few practical steps:

• Open your ANOC. It spells out any change to your current plan's premium, deductible, copays, drug list and network.
• Check that your doctors, hospitals and pharmacies are in the new plan's network before you enroll.
• Confirm your prescriptions are on the plan's 2027 formulary.
• If you have Medicaid or Extra Help, ask whether a Dual-Eligible Special Needs Plan (D-SNP) fits your situation. Miami-Dade County has a large number of D-SNP options.

Program-level updates that apply everywhere

A few 2026 Medicare rules will still be in effect at the start of 2027 and are worth knowing as you shop:

• Part D out-of-pocket cap: $2,100 in 2026 and $2,400 in 2027.
• Part D maximum deductible: $615.
• The coverage gap ("donut hole") no longer exists — Part D has three phases.
• The Medicare Prescription Payment Plan lets you spread drug costs evenly across the year.
• IRMAA (income-based premium surcharges) start above $109,