Medicare Advantage

Hialeah 2027: 81 Medicare Advantage Plans, 16 Carriers

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.

For Medicare shoppers in Hialeah, the 2027 Medicare Advantage lineup is set. Hialeah sits inside Miami-Dade County, and the Centers for Medicare & Medicaid Services (CMS) lists 81 Medicare Advantage plans offered county-wide for 2027, from 16 carriers. Of the 2026 lineup, 65 plans continue, 16 are new, 30 are not returning, and 20 have been renamed; 41 continuing plans change something in their terms, spelled out in each plan's Annual Notice of Change. The table below lists every plan by carrier, its plan type, and its drug-coverage status; this article walks you through how to read it.

How to read the roster

Plan availability in Medicare is set at the county level, not the city level. Hialeah is in Miami-Dade County, so any Advantage plan CMS lists as available in Miami-Dade is available to eligible Hialeah residents. That is why you will see the same plan roster whether you live near Palm Avenue, in West Hialeah, or over by Hialeah Gardens.

The table below shows each plan the way CMS lists it — the plan name, the carrier, the plan type (HMO, HMO-POS, or PPO), and whether it includes drug coverage. For 2027, every Medicare Advantage plan on the Miami-Dade list is an "MA-PD" plan, meaning drug coverage is built in.

The carriers offering plans in 2027

Seventeen carriers show up on the Miami-Dade roster. In alphabetical order, they are Aetna (CVS Health), Align Senior Care, AmeriHealth Caritas VIP Care, Blue Cross Blue Shield (HCSC), Centene (WellCare), Devoted Health, Doctors HealthCare Plans, Elevance Health (Anthem), Florida Blue, Florida Blue HMO, Florida Complete Care, Gold Kidney Health Plan, Humana, Leon Health, Longevity Health Plan, Solis Health Plans, and UnitedHealthcare.

The size of each carrier's lineup varies quite a bit. Humana has the largest slate in the county at 32 plans, followed by UnitedHealthcare at 17 and Elevance Health (Anthem) at 15. On the smaller side, AmeriHealth Caritas VIP Care, Florida Blue HMO, and Longevity Health Plan each list one plan. The full count for every carrier is in the table.

Plan types: HMO, HMO-POS, and PPO

Miami-Dade's 2027 mix continues to lean toward HMO plans. HMOs typically ask you to use an in-network group of doctors and hospitals and to pick a primary care doctor who coordinates referrals. PPOs usually let you go out of network at a higher cost, and HMO-POS plans are a hybrid that allows some out-of-network use under certain rules. One notable change: Blue Cross Blue Shield (HCSC) is not offering plans in the county for 2027.

If plan type matters to you — for example, if you split time between Florida and another state, or you want to keep a specialist who is not in a given network — filter the table by type first, then look at specific plans.

Special Needs Plans are a big share of the list

Of the 115 plans in the county, 69 are Special Needs Plans (SNPs). SNPs are Medicare Advantage plans designed for people who meet specific eligibility rules. There are three flavors on the Miami-Dade list:

• D-SNPs, for people who have both Medicare and Medicaid ("dual eligibles").
• C-SNPs, for people with certain chronic conditions such as diabetes, heart conditions, or end-stage renal disease.
• I-SNPs, for people who live in a nursing home or need a similar level of care.

You can join a SNP only if you meet its eligibility rules. Names on the roster that include "D-SNP," "C-SNP," or "I-SNP" — for example, Aetna Medicare Dual Select (HMO D-SNP), Humana Gold Plus - Diabetes and Heart (HMO C-SNP), or Longevity Health Plan (HMO I-SNP) — are Special Needs Plans and are not open to the general Medicare population.

What about stand-alone Part D?

CMS's 2027 landscape file shows 0 stand-alone Part D prescription drug plans specifically tied to this Medicare Advantage lineup for the county. In practice, that means most Hialeah residents who want drug coverage will get it built into their Medicare Advantage plan. (Stand-alone Part D plans are typically paired with Original Medicare; you can look those up separately on the Medicare Plan Finder.)

A few Part D rules to keep in mind for 2027, no matter which plan you choose:

• The Part D out-of-pocket cap is $2,100 in 2026 and $2,400 in 2027.
• The maximum Part D deductible is $615 in 2026 ($700 in 2027).
• The old coverage gap ("donut hole") was eliminated in 2025; Part D now has three phases.
• The Medicare Prescription Payment Plan lets you spread your drug costs across the year in monthly installments if that helps your budget.
• IRMAA surcharges on Part B and Part D start above $109,000 in income for a single filer in 2026.

Dates that matter

The Annual Enrollment Period runs from Oct. 15 through Dec. 7, 2026. That is the window to join, switch, or drop a Medicare Advantage plan for coverage that starts Jan. 1, 2027. If you enroll in a Medicare Advantage plan and change your mind, the Medicare Advantage Open Enrollment Period from Jan. 1 through March 31, 2027 lets you switch once or return to Original Medicare.

Star ratings are one more piece of context CMS publishes each year. For the current cycle, CMS lists 0 contracts rated 4 stars or higher in this area's plan set. Ratings are a general quality measure; they are not a recommendation, and they can change year to year.

How to compare the roster

Because you cannot judge a plan by name alone, here is a practical order of operations:

1. Look at the table and note plans that match your situation — for example, an HMO if you are fine with a network, or a D-SNP if you have Medicaid too. 2. Check whether your doctors and hospitals are in the plan's network. Plan documents and the Medicare Plan Finder show this. 3. Check that your prescriptions are on the plan's formulary and see what tier they are on. 4. Compare premiums, deductibles, and copays on Medicare.gov's Plan Finder or in each plan's Summary of Benefits. 5. Call the plan directly, or a licensed agent, if you have specific questions.

For unbiased help, Florida's SHINE program — Florida's State Health Insurance Assistance Program (SHIP) — offers free one-on-one Medicare counseling.