Medicare Advantage
Lexington's 2027 C-SNP lineup: 7 plans for people with a qualifying diagnosis
Fayette County has 66 Medicare Advantage plans for 2027. Compared with 2026, 11 plans are not coming back, 12 are new, and 23 continuing plans changed in some way you should check before December 7, 9 of them under a new name. This guide covers what those numbers mean for Lexington, not which plan to pick.
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Key takeaways
- Fayette County has 7 C-SNPs for 2027, offered by Aetna (CVS Health), Devoted Health, Elevance Health (Anthem), and UnitedHealthcare.
- A C-SNP is a type of Medicare Advantage plan limited to people with a specific chronic condition that a provider confirms in writing.
- The Annual Enrollment Period runs Oct. 15 – Dec. 7, 2026; a qualifying diagnosis also opens a Special Enrollment Period outside that window.
- Doing nothing means your current plan renews for 2027 with the changes in its Annual Notice of Change (ANOC).
| Fact | Figure | Source |
|---|---|---|
| Medicare Advantage plans offered in Fayette County (2026) | 65 | CMS |
| Medicare Advantage plans offered in Fayette County (2027) | 66 | CMS |
| Plans not returning for 2027 / new for 2027 | 11 / 12 | CMS |
| Organizations offering Medicare Advantage in Fayette County (2026) | 9 | CMS |
| Share of eligible beneficiaries in Medicare Advantage, Fayette County | 54% | CMS |
| Residents age 65 and older, Fayette County | 47,626 | 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.
Lexington, Ky. — For the 2027 plan year, seven Chronic Condition Special Needs Plans (C-SNPs) will be offered in Fayette County, the Medicare Advantage category built around people living with a qualifying chronic illness. The lineup, drawn from the CMS Medicare Advantage Landscape Source File, includes new entries, a rename, and plans returning from 2026 — and anyone considering one has from Oct. 15 through Dec. 7, 2026 to make a change for coverage that starts Jan. 1, 2027.
What is a C-SNP and how does it work in Lexington for 2027?
A Chronic Condition Special Needs Plan is a Medicare Advantage plan that only enrolls people living with a specific, CMS-approved chronic condition — for example, diabetes, chronic heart failure, or end-stage renal disease. The plan's benefits, drug formulary, and care-coordination services are designed around that condition.
Like any Medicare Advantage plan, a C-SNP covers Part A and Part B services, and most include Part D drug coverage. What's different is who may join and how care is organized. Lexington is in Fayette County, where C-SNPs are one piece of a larger Medicare Advantage market that totals dozens of plans across several carriers for 2027.
Which C-SNPs are offered in Fayette County for 2027?
Seven C-SNPs are offered in Fayette County for 2027, from four carriers. In alphabetical order by carrier, they are:
- Aetna Medicare Chronic Care (HMO C-SNP) — Aetna (CVS Health); new for 2027
- DEVOTED C-SNP CHOICE ENHANCED 006 KY (PPO C-SNP) — Devoted Health; renamed (was DEVOTED C-SNP CHOICE PREMIUM 006 KY)
- DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 008 KY (PPO C-SNP) — Devoted Health; new for 2027
- DEVOTED C-SNP CHOICE PLUS 004 KY (PPO C-SNP) — Devoted Health
- Anthem Chronic Care Advantage (HMO C-SNP) — Elevance Health (Anthem); new for 2027
- Anthem Kidney Care (HMO-POS C-SNP) — Elevance Health (Anthem)
- UHC Complete Care KY-6 (HMO-POS C-SNP) — UnitedHealthcare
Two of these name the condition they serve in the plan name itself: Anthem Kidney Care is built for people with chronic kidney disease, and the plan Humana offers under the related C-SNP category — see the full plan table below for related chronic-condition offerings. For the other C-SNPs, the qualifying condition is defined in the plan's own documents, not in the name. The table below lists every Medicare Advantage plan in the county.
How does someone qualify to enroll in a C-SNP?
Enrollment in a C-SNP requires a qualifying chronic diagnosis that a provider confirms. In practice, the plan sends your doctor a short verification form after you apply; the plan can only keep you enrolled if that form comes back confirming the diagnosis within the time CMS allows.
That provider confirmation is the key difference from a general Medicare Advantage plan. If the condition can't be verified, the plan is required to disenroll you — which is why it's worth checking with your doctor's office before you apply. You will also need to have Medicare Part A and Part B and live in the plan's service area.
When can a person with a qualifying condition sign up?
Anyone with Medicare can shop C-SNPs during the Annual Enrollment Period, Oct. 15 – Dec. 7, 2026, with coverage effective Jan. 1, 2027. People already in a Medicare Advantage plan also have the Medicare Advantage Open Enrollment Period, Jan. 1 – March 31, 2027, to make one change.
On top of those windows, qualifying for a C-SNP opens a Special Enrollment Period: once a provider confirms a qualifying chronic condition, you generally can enroll in a C-SNP that covers that condition at other times of the year, outside AEP. Medicare.gov and 1-800-MEDICARE can confirm which SEP applies in your situation.
What's changing in the Lexington C-SNP lineup for 2027?
Three of the seven C-SNPs available in Fayette County are new for 2027: Aetna Medicare Chronic Care (HMO C-SNP), DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 008 KY (PPO C-SNP), and Anthem Chronic Care Advantage (HMO C-SNP). One has been renamed: DEVOTED C-SNP CHOICE ENHANCED 006 KY (PPO C-SNP), previously DEVOTED C-SNP CHOICE PREMIUM 006 KY (PPO C-SNP).
Across the broader Medicare Advantage market in Fayette County, 11 plans are not returning for 2027, 12 are new, and 9 are renamed. If you're already in a plan, your Annual Notice of Change (ANOC), mailed in September 2026, spells out exactly what's changing for your plan in 2027 — including anything about the drug formulary and the pharmacy network.
What 2027 Medicare figures should Lexington readers know?
A few program-level figures are already set for 2027. The Part D out-of-pocket cap rises to $2,400 (from $2,100 in 2026), and the Part D maximum deductible rises to $700 (from $615 in 2026). The Part D national base beneficiary premium for 2027 is $41.33 — that's a formula input CMS uses, 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 releases them later in the fall. For personalized cost estimates on any specific plan, use the Medicare Plan Finder at medicare.gov or call 1-800-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.
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
(MA penetration in Fayette 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 Fayette County for 2027
CMS lists 7 C-SNPs in Fayette 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 | New |
| Devoted Health 3 plans | |||
| DEVOTED C-SNP CHOICE ENHANCED 006 KY (PPO C-SNP) | PPO C-SNP | Yes | Renamed |
| DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 008 KY (PPO C-SNP) | PPO C-SNP | Yes | New |
| DEVOTED C-SNP CHOICE PLUS 004 KY (PPO C-SNP) | PPO C-SNP | Yes | Returning |
| Elevance Health (Anthem) 2 plans | |||
| Anthem Chronic Care Advantage (HMO C-SNP) | HMO C-SNP | Yes | New |
| Anthem Kidney Care (HMO-POS C-SNP) | HMO-POS C-SNP | Yes | Returning |
| UnitedHealthcare 1 plan | |||
| UHC Complete Care KY-6 (HMO-POS C-SNP) | HMO-POS 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 Fayette County for 2027
- Abilis Health (HMO SNP) 2 plans: HMO
- Aetna (CVS Health) 7 plans: HMO, HMO-POS, PPO
- Centene (WellCare) 7 plans: HMO-POS, PPO
- Devoted Health 6 plans: PPO
- Elevance Health (Anthem) 8 plans: HMO, HMO-POS, PPO
- Essence Healthcare 2 plans: HMO, PPO
- Humana 20 plans: HMO, PPO
- Passport Advantage 1 plan: HMO
- UnitedHealthcare 13 plans: 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 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.
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The parts of Medicare
Good to know
Frequently asked questions
Do I need my doctor's sign-off before I apply to a C-SNP?
Can I switch into a C-SNP outside the fall enrollment window?
What happens if my C-SNP doesn't return in 2027?
Will a C-SNP cover my regular doctor visits too, not just my chronic condition?
- 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
- 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 C-SNP counts, carriers, and plan names for Fayette County, and the year-over-year changes.
- Medicare.gov: the Annual Enrollment Period dates, the Medicare Advantage Open Enrollment Period, and the Special Enrollment Period rules for chronic conditions.
- CMS Part D program updates for 2027: the $2,400 out-of-pocket cap, the $700 maximum deductible, and the $41.33 national base beneficiary premium.
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.