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Anthem's 2027 Medicare Advantage plans in Lexington: two new, none leaving

LEXINGTON, Ky. — Fall 2026. Anthem is bringing eight Medicare Advantage plans to Fayette County for the 2027 plan year, including two that are new for next year and none that are leaving. If you already have an Anthem plan, it renews automatically — but the details inside it can shift, and the window to compare and switch runs October 15 through December 7, 2026.

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2027 PLAN ALERT

Medicare Advantage plans in your area are changing or leaving for 2027.

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Key takeaways

  • Anthem is offering 8 Medicare Advantage plans in Fayette County (Lexington) for 2027: 1 HMO, 3 HMO-POS and 4 PPO.
  • Two of those plans are new for 2027 and none of Anthem's current Lexington plans are leaving; 7 of the 8 include drug coverage.
  • The Annual Enrollment Period runs October 15 – December 7, 2026, and any change you make takes effect January 1, 2027.
  • Use the Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE to confirm your doctors, hospitals and prescriptions are covered before you enroll.
2027 plan lineupLexington, KY
Video: ChristianBodhi Video by ChristianBodhi on Pixabay
Key facts: Medicare in Lexington, Kentucky (data as of 2026-06-01)
FactFigureSource
Medicare Advantage plans offered in Fayette County (2026)65CMS
Medicare Advantage plans offered in Fayette County (2027)66CMS
Plans not returning for 2027 / new for 202711 / 12CMS
Organizations offering Medicare Advantage in Fayette County (2026)9CMS
Share of eligible beneficiaries in Medicare Advantage, Fayette County54%CMS
Residents age 65 and older, Fayette County47,626U.S. Census Bureau
Part B standard monthly premium (2026)$202.90Medicare.gov
Part D out-of-pocket cap (2026)$2,100CMS
Part D out-of-pocket cap (2027)$2,400CMS
Annual Enrollment Period (for 2027 coverage)October 15 – December 7, 2026Medicare.gov
Medicare Advantage Open Enrollment PeriodJanuary 1 – March 31Medicare.gov

Area counts are for the county as a whole and are not a recommendation of any plan. Program figures are set nationally.

This article walks through Anthem's Lexington-area lineup plan by plan, explains what C-SNP and HMO-POS mean in plain English, and shows how to check any plan against your own doctors and prescriptions before the deadline. MyMedicarePlans.org is an independent consumer site and is not affiliated with Anthem or with Medicare.

How many Anthem Medicare Advantage plans are offered in Lexington for 2027?

Anthem is offering 8 Medicare Advantage plans in Fayette County, the county that contains Lexington, for the 2027 plan year. By plan type, that breaks down into 1 HMO, 3 HMO-POS and 4 PPO plans. Seven of the eight include Part D prescription drug coverage; one is a PPO without drug coverage, which is often chosen by people who get drug coverage through the Department of Veterans Affairs or another source.

Anthem is one of 9 carriers offering Medicare Advantage in Fayette County next year, and across all carriers there are 66 plans available locally. The full list of Anthem's plans is in the table below.

What's new or not returning in Anthem's Lexington lineup for 2027?

Two Anthem plans are new in Fayette County for 2027, and none of its current plans are leaving. The two new entries, listed alphabetically, are Anthem Chronic Care Advantage (HMO C-SNP) and Anthem Medicare Advantage 2 (HMO-POS).

A C-SNP, or Chronic Condition Special Needs Plan, is a Medicare Advantage plan designed for people with a specific qualifying condition. Anthem is offering two C-SNPs in Lexington for 2027 — the new Chronic Care Advantage plan and the returning Anthem Kidney Care (HMO-POS C-SNP). To enroll in a C-SNP, you must have the qualifying condition verified; the plan's materials and Medicare.gov explain exactly who is eligible.

If you are already enrolled in an Anthem plan that is coming back next year, you do not need to do anything to keep it. Your Annual Notice of Change (ANOC), which Anthem mails each fall, spells out what is different about your specific plan for 2027.

What are HMO-POS and PPO plans, and why does it matter?

Plan type controls how you use the plan's network. An HMO generally asks you to use in-network doctors and hospitals and to pick a primary care doctor. An HMO-POS ("point of service") is an HMO that lets you go out of network for certain services, usually at a higher cost. A PPO gives you more flexibility to see out-of-network providers, typically with higher cost-sharing than in-network care.

Anthem's 2027 Lexington lineup includes all three structures. The right fit depends on which doctors and hospitals you want to keep seeing and whether you travel or spend part of the year outside Kentucky — not on which category sounds better on paper.

How do I check an Anthem plan against my doctors and prescriptions before December 7?

Use the Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE (TTY 1-877-486-2048), which is open 24 hours a day, 7 days a week. The Plan Finder lets you enter your prescriptions and ZIP code and shows how each plan would handle them.

A short checklist for every plan on your short list:

1. Doctors and hospitals. Search the plan's online provider directory for each doctor and specialist you want to keep. If you are unsure, call the office and ask whether they will accept that specific plan in 2027 — networks can change in January. 2. Prescriptions. Enter every drug and dose into Plan Finder. Look at the tier, any prior authorization or step therapy, and the preferred pharmacies near you. 3. Pharmacy. Confirm your pharmacy is in the plan's preferred network; the same drug can cost different amounts at different pharmacies. 4. Extras. If dental, vision, hearing or over-the-counter benefits matter to you, read the Summary of Benefits for each one — details vary from plan to plan. 5. Read your ANOC. If you have an Anthem plan now, compare your 2027 ANOC side by side with your 2026 Evidence of Coverage before you decide to stay or switch.

What 2027 numbers has Medicare already announced?

CMS has confirmed several Part D figures for 2027. The annual out-of-pocket cap on covered prescription drugs rises to $2,400 in 2027, up from $2,100 in 2026. The maximum Part D deductible a plan can charge rises to $700 in 2027, up from $615 in 2026. The Part D national base beneficiary premium for 2027 is $41.33; that is a formula input used across the program, not what any particular plan charges.

The 2027 Part B standard premium and deductible, and the 2027 IRMAA income brackets, have not yet been announced. CMS typically publishes those figures later in the fall.

When is the deadline, and what happens if I do nothing?

The Annual Enrollment Period for 2027 coverage runs October 15 through December 7, 2026. Changes made in that window take effect January 1, 2027. If you do nothing and your current plan is offered again next year, you stay in it automatically with the changes described in your ANOC.

If you are in a Medicare Advantage plan on January 1, you also have the Medicare Advantage Open Enrollment Period from January 1 through March 31, 2027, when you can switch to a different Medicare Advantage plan one time or return to Original Medicare.

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.

$0$50$100$150$200200820122016202020242026

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 Fayette County

54% are on Medicare Advantage
(MA penetration in Fayette County)
54%
46%
Medicare Advantage Medicare Supplement (Medigap) Original Medicare only
U.S. average

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 Fayette County for 2027

CMS lists 8 Anthem Medicare Advantage plans in Fayette County for 2027, alphabetically by carrier. 8 other carriers also offer plans there.

PlanTypeDrug coverageFor 2027
Elevance Health (Anthem) 8 plans
Anthem Chronic Care Advantage (HMO C-SNP)HMO C-SNPYesNew
Anthem Kidney Care (HMO-POS C-SNP)HMO-POS C-SNPYesReturning
Anthem Medicare Advantage (HMO-POS)HMO-POSYesReturning
Anthem Medicare Advantage (PPO)PPOYesReturning
Anthem Medicare Advantage (Regional PPO)PPOYesReturning
Anthem Medicare Advantage 2 (HMO-POS)HMO-POSYesNew
Anthem Medicare Advantage 3 (PPO)PPOYesReturning
Anthem Veteran (PPO)PPONoReturning

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 Fayette County break down for 2027

8
Medicare Advantage plans
1
HMO plans
3
HMO-POS plans
4
PPO plans
2
Chronic-condition (C-SNP)

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.

Compare with a licensed agent

See Medicare options serving Lexington & speak with a licensed agent

Medicare Advantage companies in Fayette County

By local enrollment size · informational, not a ranking
CompanyLocal enrollmentPlans offeredLocal agentsAction
HumanaNational—Yes
Elevance Health (Anthem)National—Yes
Aetna (CVS Health)National—Yes
UnitedHealthcareNational—Yes
Centene (WellCare)National—Yes
Devoted Health IncRegional—Yes
Enrollment data: CMS Medicare Advantage enrollment by company (county level). Listed by enrollment size, largest first — this is not a ranking, recommendation, or endorsement of any company or plan.

Provided by licensed insurance partners; MyMedicarePlans.org may be compensated. Not a ranking or endorsement of any plan.

Explore

When can you enroll? An interactive year

JFMAMJJASOND
October 15 – December 7 — anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan. Changes take effect January 1.

Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.

Explore

The parts of Medicare

Part A covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care. Most people pay no premium for Part A.

Good to know

Frequently asked questions

Is Anthem the same as Elevance Health or Anthem Blue Cross and Blue Shield?
Yes. Elevance Health is the parent company that CMS uses in its filings, and it operates the Anthem and Anthem Blue Cross and Blue Shield Medicare plans. In Fayette County for 2027, the plans are listed under the Anthem name.
Do I have to switch if a new plan is being offered?
No. New plans are added to the menu; they do not replace existing ones unless your specific plan is being discontinued. Anthem is not discontinuing any of its current Lexington plans for 2027, so if you have one of them now, it will renew on January 1 unless you choose to change.
What is a C-SNP, and can anyone enroll in one?
A Chronic Condition Special Needs Plan is a type of Medicare Advantage plan built for people with a specific qualifying chronic condition. You can enroll only if a doctor verifies you have that condition. Medicare.gov and the plan's materials describe who qualifies for each C-SNP.
Where can I get help comparing plans for free?
Call 1-800-MEDICARE (TTY 1-877-486-2048), available 24/7, or use the Plan Finder at medicare.gov. Both let you enter your prescriptions and compare every plan available in Fayette County side by side. --- For the full plan-by-plan list and to run your own doctors and prescriptions against each one, visit **medicare.gov** or call **1-800-MEDICARE**. Decisions made between October 15 and December 7, 2026 take effect January 1, 2027.
Sources & further reading
  • 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 Lexington

Sources and methodology

Figures cited in this article

  • CMS — Medicare Advantage Landscape Source Files, plan years 2026 and 2027: Anthem's Fayette County plan list, plan types, SNP designations, drug coverage status, and the year-over-year count of new and non-returning plans.
  • CMS — 2027 Part D parameters: the $2,400 out-of-pocket cap, the $700 maximum deductible, and the $41.33 national base beneficiary premium.
  • Medicare.gov — Annual Enrollment Period dates, Medicare Advantage Open Enrollment dates, and the Plan Finder tool.

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.

Content Integrity Standards

  • No invented figures. Program-level numbers come from CMS / Medicare.gov; we never use placeholder data.
  • No plan recommendations. This is educational content. We don't score or recommend specific plans; any Star Ratings shown are Medicare's own CMS ratings, stated as published.
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This page was last updated: October 2026.

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