Medicare Advantage
Anthem's Medicare Advantage lineup in Miami for 2027: 1 new plan, 9 not returning
MIAMI — As the Annual Enrollment Period runs from October 15 to December 7, 2026, Miami-Dade County residents looking at Anthem for 2027 coverage will see a reshaped lineup: seven Medicare Advantage plans, one of them new for next year and nine from the current roster not coming back. MyMedicarePlans.org is an independent news and education site, not Anthem, and Anthem is one of 16 carriers offering Medicare Advantage plans in Miami-Dade next year — 101 plans in all.
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Key takeaways
- Anthem (grouped by CMS as Elevance Health) is offering 7 Medicare Advantage plans in Miami-Dade County for 2027, all HMOs and all with drug coverage.
- One Anthem plan is new for 2027 (Simply Complete Platinum, an HMO D-SNP) and 9 of its 2026 plans are not returning; your Annual Notice of Change explains any changes to your current plan.
- The deadline to pick or switch a 2027 plan is December 7, 2026, and if you do nothing, your current plan renews as described in its ANOC — if it is offered next year.
- Before you decide, check each plan against your doctors and prescriptions on medicare.gov or by calling 1-800-MEDICARE.
What Anthem is offering in Miami-Dade for 2027
Miami is in Miami-Dade County, where Medicare Advantage plan availability is set. For 2027, Anthem (CMS lists the parent as Elevance Health) has 7 Medicare Advantage plans in the county. All 7 are HMOs, and all 7 include Part D drug coverage. Four are Special Needs Plans: 3 Dual-eligible SNPs (D-SNPs) and 1 Chronic Condition SNP (C-SNP).
The table below lists every Anthem plan available in Miami-Dade for 2027, by plan type and whether it includes drug coverage. In alphabetical order, those plans are: HealthSun HealthAdvantage Plan (HMO), HealthSun HealthAdvantage Plus (HMO), HealthSun MediMax (HMO), HealthSun MediSun Extra (HMO D-SNP), HealthSun MediSun Full Dual Extra (HMO D-SNP), HealthSun VitalCare (HMO C-SNP), and Simply Complete Platinum (HMO D-SNP).
What's new, and what's not returning
Comparing CMS's 2026 and 2027 landscape files for Miami-Dade:
- New for 2027: Simply Complete Platinum (HMO D-SNP).
- Not returning: 9 Anthem plans offered in 2026 will not be on the 2027 lineup here.
- Renamed: none.
If you are enrolled in a plan that is not coming back, Anthem will send a non-renewal notice explaining your options and the special enrollment rights that apply. If your plan is renewing, the Annual Notice of Change (ANOC) that arrived in September spells out what is different for 2027 — premium, drug list, provider network, and extras can all shift year to year.
How plan types differ (HMO, D-SNP, C-SNP)
Every Anthem plan in Miami-Dade for 2027 is an HMO, which generally means you use an in-network provider and may need a referral to see a specialist. Four are Special Needs Plans, which are limited to people who meet specific eligibility rules:
- D-SNPs are for people who have both Medicare and Medicaid.
- C-SNPs are for people with certain qualifying chronic conditions.
If you are not eligible for a SNP, those plans are not an option for you — the general HMOs in the lineup would be the ones to compare.
How to check a plan against your doctors and prescriptions
Before December 7, 2026, it is worth doing three checks for any plan you are considering:
1. Doctors and hospitals. Confirm each provider is in that plan's 2027 network. Networks can change at renewal, so a doctor who was in-network this year may not be next year. 2. Prescriptions. Enter every drug you take, with the dose and pharmacy, into the Medicare Plan Finder at medicare.gov. The tool shows the 2027 formulary, tier and estimated cost at your pharmacy. 3. Extras you actually use. Dental, vision, hearing, transportation and over-the-counter benefits vary by plan and can change year to year. The plan's Summary of Benefits and Evidence of Coverage are the sources of truth.
For a personalized walkthrough, 1-800-MEDICARE is available 24/7.
The 2027 numbers that are set — and the ones that aren't
A few program-level figures for 2027 have been published by CMS and apply across all Part D drug coverage, including the drug coverage built into Medicare Advantage plans:
- Part D out-of-pocket cap: $2,400 in 2027 (up from $2,100 in 2026).
- Part D maximum deductible: $700 in 2027 (up from $615 in 2026).
- Part D national base beneficiary premium for 2027: $41.33 (a formula input, not what any specific plan charges).
The 2027 Part B standard premium and deductible, and the 2027 IRMAA income brackets, have not been announced yet. CMS typically publishes them later in the fall. We will update our coverage when they do.
The optional Medicare Prescription Payment Plan, which lets you spread drug costs across the calendar year in monthly amounts, continues to be available.
Dates to keep in mind
- October 15 – December 7, 2026: Annual Enrollment Period. Any change you make takes effect January 1, 2027.
- January 1 – March 31, 2027: Medicare Advantage Open Enrollment, when people already in a Medicare Advantage plan can make one change.
- Do nothing? Your current plan renews for 2027 if it is offered next year, with the changes listed in its ANOC.
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.
2027 plan lineup
Anthem Medicare Advantage plans in Miami-Dade County for 2027
CMS lists 7 Anthem Medicare Advantage plans in Miami-Dade County for 2027, alphabetically by carrier. 15 other carriers also offer plans there.
| Plan | Type | Drug coverage | For 2027 |
|---|---|---|---|
| Elevance Health (Anthem) 7 plans | |||
| HealthSun HealthAdvantage Plan (HMO) | HMO | Yes | Returning |
| HealthSun HealthAdvantage Plus (HMO) | HMO | Yes | Returning |
| HealthSun MediMax (HMO) | HMO | Yes | Returning |
| HealthSun MediSun Extra (HMO D-SNP) | HMO D-SNP | Yes | Returning |
| HealthSun MediSun Full Dual Extra (HMO D-SNP) | HMO D-SNP | Yes | Returning |
| HealthSun VitalCare (HMO C-SNP) | HMO C-SNP | Yes | Returning |
| Simply Complete Platinum (HMO D-SNP) | HMO D-SNP | Yes | New |
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
How Anthem Medicare Advantage plans in Miami-Dade County break down for 2027
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 PeriodAnyone 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.
Explore
The parts of Medicare
Good to know
Frequently asked questions
How many Anthem Medicare Advantage plans are available in Miami for 2027?
What happens if my Anthem plan is not returning in 2027?
How do I check whether my doctor and my prescriptions are covered?
Do I need to do anything if I'm happy with my current plan?
- 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 Miami
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This page was last updated: October 2026.