Medicare Advantage
C-SNPs in Hialeah for 2027: the 20 chronic-condition plans and how to join
People in Hialeah can choose from 101 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 61 that continue have changed their premium, deductible, plan type or name, 20 of them under a new name.
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Key takeaways
- Miami-Dade County, where Hialeah is located, will have 20 Chronic Condition Special Needs Plans (C-SNPs) from 8 carriers for 2027.
- To join a C-SNP, you must have a qualifying chronic condition that a provider confirms in writing to the plan.
- People with a qualifying condition get a Special Enrollment Period and do not have to wait for the Oct. 15–Dec. 7, 2026 Annual Enrollment window.
- Costs, drug lists, networks and extra benefits vary by plan — check each one on Medicare.gov or by calling 1-800-MEDICARE before you enroll.
| Fact | Figure | Source |
|---|---|---|
| Medicare Advantage plans offered in Miami-dade County (2026) | 115 | CMS |
| Medicare Advantage plans offered in Miami-dade County (2027) | 101 | CMS |
| Plans not returning for 2027 / new for 2027 | 30 / 16 | CMS |
| Organizations offering Medicare Advantage in Miami-dade County (2026) | 17 | CMS |
| Share of eligible beneficiaries in Medicare Advantage, Miami-dade County | 75% | CMS |
| Residents age 65 and older, Miami-dade County | 463,896 | U.S. Census Bureau |
| 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.
HIALEAH, Fla. — Fall 2026. As Medicare's Annual Enrollment for 2027 coverage opens Oct. 15 and runs through Dec. 7, 2026, residents of Hialeah who live with a serious ongoing illness have a specific slice of the Medicare Advantage market to consider: Chronic Condition Special Needs Plans, or C-SNPs. These plans are built around a qualifying diagnosis, and in Miami-Dade County — the county Hialeah sits in — eight carriers will offer a total of 20 C-SNPs for the 2027 plan year, according to the CMS Medicare Advantage Landscape Source File.
What is a C-SNP and how does it work in Hialeah for 2027?
A C-SNP is a type of Medicare Advantage plan designed for people with a specific severe or disabling chronic condition. It covers everything Original Medicare (Part A and Part B) covers, almost always includes Part D drug coverage, and tailors its provider network, drug list and care coordination around the condition it serves.
In Miami-Dade County, 20 of the 101 Medicare Advantage plans available for 2027 are C-SNPs. The county also has 34 Dual Eligible SNPs (for people with both Medicare and Medicaid) and 6 Institutional SNPs (for people living in nursing homes or similar settings), but those serve different groups.
Who qualifies for a C-SNP, and what paperwork is required?
Enrollment is not open to everyone. You must have the chronic condition the plan is built for, and a doctor or other provider has to confirm the diagnosis to the plan — usually by signing a short verification form after you apply. If the plan cannot verify your condition within the time CMS allows, your enrollment can be cancelled.
CMS lists 15 chronic conditions that can qualify a plan as a C-SNP, including diabetes, chronic heart failure, cardiovascular disorders, chronic lung disorders, and end-stage renal disease. A plan may serve one condition or a group of related ones. Only the plans whose names state a condition (for example, a plan that includes "Diabetes and Heart" or "Lung" in its name) tell you up front which diagnosis they target; for the rest, check the plan's materials or Medicare.gov.
Which carriers offer C-SNPs in Miami-Dade County for 2027?
Eight carriers will offer C-SNPs in the county for 2027. In alphabetical order, with the number of C-SNPs each offers:
- Aetna (CVS Health) — 1
- Devoted Health — 2
- Doctors HealthCare Plans, Inc. — 1
- Elevance Health (Anthem) — 1
- Gold Kidney Health Plan — 4
- Humana — 6
- Solis Health Plans — 3
- UnitedHealthcare — 2
The table on this page lists every C-SNP in the county by name and plan type. A couple of notes from the 2026-to-2027 comparison in the CMS Landscape files: Devoted Health's DEVOTED C-SNP ENHANCED 067 FL is a renamed version of its 2026 plan, and two plans — DrExtraCare-SFL from Doctors HealthCare Plans and Gold Heart & Diabetes from Gold Kidney Health Plan — are new C-SNPs for 2027.
When can someone with a chronic condition enroll in a C-SNP?
You do not have to wait for the Oct. 15–Dec. 7, 2026 Annual Enrollment Period. People with a qualifying chronic condition have a Special Enrollment Period (SEP) that lets you join a C-SNP that serves your condition at other times of the year, as long as the plan is accepting members and your diagnosis is verified.
This SEP is one-time per condition for enrolling into a C-SNP; once you are in a C-SNP, your options to switch work under the normal Medicare Advantage rules, including the Medicare Advantage Open Enrollment Period from Jan. 1 through March 31. If you lose eligibility for the C-SNP — for example, if your condition is no longer verified — you get a grace period to move to a different plan.
What else should Hialeah readers know about 2027?
Any Medicare Advantage change you make during Annual Enrollment takes effect Jan. 1, 2027. If you do nothing, your current plan renews for 2027 if it is still offered, with any changes spelled out in the Annual Notice of Change (ANOC) your plan mailed in September. Across all Medicare Advantage plans in Miami-Dade County, 30 plans are not returning for 2027, 16 are new, and 20 have been renamed.
A few program-level figures to keep in mind: for Part D in 2027, the out-of-pocket cap rises to $2,400 (up from $2,100 in 2026) and the maximum deductible rises to $700 (up from $615 in 2026). CMS typically announces the 2027 Part B standard premium, deductible and IRMAA income brackets later in the fall.
For a plan's premium, deductible, copays, drug list, provider network or star rating — none of which we list here — use the Medicare Plan Finder at medicare.gov, call 1-800-MEDICARE (TTY 1-877-486-2048), or read the plan's Evidence of Coverage.
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 Miami-dade County
(MA penetration in Miami-dade 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.
Chronic-condition plans
Chronic Condition Special Needs Plans (C-SNP) in Miami-dade County for 2027
CMS lists 20 C-SNPs in Miami-dade County for 2027, alphabetically by carrier. A C-SNP is open to people with a qualifying chronic condition, verified by a provider.
| Plan | Type | Drug coverage | For 2027 |
|---|---|---|---|
| Aetna (CVS Health) 1 plan | |||
| Aetna Medicare Chronic Care (HMO C-SNP) | HMO C-SNP | Yes | Returning |
| Devoted Health 2 plans | |||
| DEVOTED C-SNP ENHANCED 067 FL (HMO C-SNP) | HMO C-SNP | Yes | Renamed |
| DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) | HMO C-SNP | Yes | Returning |
| Doctors HealthCare Plans, Inc. 1 plan | |||
| DrExtraCare-SFL (HMO C-SNP) | HMO C-SNP | Yes | New |
| Elevance Health (Anthem) 1 plan | |||
| HealthSun VitalCare (HMO C-SNP) | HMO C-SNP | Yes | Returning |
| Gold Kidney Health Plan 4 plans | |||
| Gold Dialysis & Kidney (HMO-POS C-SNP) | HMO-POS C-SNP | Yes | Returning |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | HMO-POS C-SNP | Yes | Returning |
| Gold Heart & Diabetes (HMO-POS C-SNP) | HMO-POS C-SNP | Yes | New |
| Gold Heart & Diabetes Complete (HMO-POS C-SNP) | HMO-POS C-SNP | Yes | Returning |
| Humana 6 plans | |||
| CareBreeze (HMO C-SNP) | HMO C-SNP | Yes | Returning |
| CareBreeze Platinum (HMO C-SNP) | HMO C-SNP | Yes | Returning |
| CareComplete (HMO C-SNP) | HMO C-SNP | Yes | Returning |
| CareComplete Platinum (HMO C-SNP) | HMO C-SNP | Yes | Returning |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) | HMO C-SNP | Yes | Returning |
| Humana Gold Plus Lung (HMO C-SNP) | HMO C-SNP | Yes | Returning |
| Solis Health Plans 3 plans | |||
| Solis Balanced Plan (HMO C-SNP) | HMO C-SNP | Yes | Returning |
| Solis Wellness Giveback Plan (HMO C-SNP) | HMO C-SNP | Yes | Returning |
| Solis Wellness Plan (HMO C-SNP) | HMO C-SNP | Yes | Returning |
| UnitedHealthcare 2 plans | |||
| UHC MedicareMax Complete Care FL-30 (HMO C-SNP) | HMO C-SNP | Yes | Returning |
| UHC Preferred Complete Care FL-0003 (HMO C-SNP) | HMO C-SNP | Yes | Returning |
Source: CMS Medicare Advantage Landscape Source Files, plan years 2026 and 2027. Plan availability is set at the county level. No plan is ranked or recommended; premiums, benefits, networks and star ratings are not shown. Plan details come from the Medicare Plan Finder at medicare.gov or the plan itself.
The 2027 choices, by type
HMO, PPO and Special Needs Plans in Miami-dade County for 2027
- Aetna (CVS Health) 5 plans: HMO
- Align Senior Care 2 plans: HMO
- AmeriHealth Caritas VIP Care (HMO-D-SNP) 1 plan: HMO
- Centene (WellCare) 6 plans: HMO, HMO-POS
- Devoted Health 10 plans: HMO
- Doctors HealthCare Plans, Inc. 5 plans: HMO
- Elevance Health (Anthem) 7 plans: HMO
- Florida Blue 2 plans: PPO
- Florida Blue HMO 1 plan: HMO
- Florida Complete Care 3 plans: HMO, HMO-POS
- Gold Kidney Health Plan 4 plans: HMO-POS
- Humana 31 plans: HMO, PPO
- Leon Health, Inc. 4 plans: HMO
- Longevity Health Plan 1 plan: HMO
- Solis Health Plans 5 plans: HMO
- UnitedHealthcare 14 plans: HMO, HMO-POS, PPO
HMO plans use a network and usually a primary-care doctor and referrals; HMO-POS plans add some out-of-network coverage; PPO plans also 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 with Medicare and Medicaid (D-SNP), certain chronic conditions (C-SNP) or living in an institution (I-SNP).
Source: CMS Medicare Advantage Landscape Source Files, plan years 2026 and 2027. Plan availability is set at the county level. No plan is ranked or recommended; premiums, benefits, networks and star ratings are not shown. Plan details come from the Medicare Plan Finder at medicare.gov or the plan itself.
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.
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
Do I need Medicare Parts A and B before I can join a C-SNP in Hialeah?
What happens if my doctor cannot verify my condition?
Can I keep my current doctor if I join a C-SNP?
If I do nothing during Annual Enrollment, what happens to my coverage on Jan. 1, 2027?
Watch
The Medicare Advantage changes for 2027 in Florida, in 34 seconds
- CMS — MA Landscape Source File (plan-level availability by county)
- 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 or 1-800-MEDICARE.
Also for Hialeah
Sources and methodology
- CMS, Medicare Advantage and Part D Landscape Source Files
- CMS, Medicare Advantage state/county penetration and enrollment files
- U.S. Census Bureau, American Community Survey (table B01001, age 65 and older)
- 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
Figures cited in this article
- CMS Medicare Advantage Landscape Source File (CY2026 and CY2027): the Miami-Dade County plan counts, carrier counts, C-SNP list and year-over-year changes.
- Medicare.gov: Annual Enrollment Period dates, how Special Needs Plans work, the Special Enrollment Period for people with qualifying chronic conditions, and the Plan Finder.
- CMS 2027 Part D parameters announcement: the $2,400 out-of-pocket cap and $700 maximum deductible for 2027.
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.