Medicare Advantage

Medicare in Gretna: 2027 Options, Jefferson Parish

GRETNA, La. — If you live in Gretna and you're looking at your Medicare choices for 2027, the menu is long. Gretna sits in Jefferson Parish, where 64 Medicare Advantage plans were available for 2026, according to the Centers for Medicare & Medicaid Services (CMS) plan landscape data. The 2027 lineup is spelled out in each plan's Annual Notice of Change (ANOC) and on Medicare.gov's Plan Finder.

Gretna Medicare shoppers have a lot to sort through for 2027

That's a lot of options to compare — and it's why understanding what those numbers mean matters more than picking a plan out of a mailer.

What "64 plans" actually means

The 64 figure is the number of Medicare Advantage plans that were offered across Jefferson Parish for 2026. It's a county-level count from CMS, not a Gretna-specific number, because Medicare uses county service areas to decide which plans are available where. The 2027 count will appear in each plan's ANOC and on Medicare.gov's Plan Finder.

A few things this number does not tell you:

• It doesn't mean every plan fits every person's doctors, hospitals, or prescriptions.
• It doesn't say anything about cost or quality of any individual plan.
• It doesn't include Original Medicare (Parts A and B), which is available to every eligible person nationwide.

Think of it as the size of the shelf, not a recommendation of what's on it.

How the 64 plans are spread across carriers

In Jefferson Parish, 8 different insurance carriers offered Medicare Advantage plans with prescription drug coverage (MA-PD) for 2026. That means most of those 64 plans came from a small group of companies, each usually offering several versions with different networks, drug coverage, or extra features. The 2027 carrier lineup is on Medicare.gov's Plan Finder and in each plan's ANOC.

When you compare plans on Medicare.gov, you'll often see the same carrier name appear multiple times. That's normal — and it's why filtering by your doctors and your prescriptions is more useful than scrolling the full list.

The stand-alone Part D picture

If you plan to stay on Original Medicare and want a separate prescription drug plan (a "stand-alone Part D" plan), the CMS 2026 Part D Landscape file shows that Louisiana has 10 stand-alone Part D plans for 2026, sold statewide, and anyone in Jefferson Parish with Original Medicare can join one of them. Check Medicare.gov's Plan Finder for the 2027 stand-alone options in your ZIP code.

That's unusual, and it may reflect how the file categorizes the local region. In practice, Louisiana residents typically have access to multiple stand-alone Part D options through Medicare.gov's Plan Finder. If you rely on Original Medicare plus a drug plan, it's worth checking the Plan Finder directly using your ZIP code before Annual Enrollment ends.

Star Ratings in the area

CMS also publishes Star Ratings, a 1-to-5 scale that measures quality and member experience at the contract level. Under CMS's 2026 Star Ratings, of the 16 Medicare Advantage contracts offering plans in Jefferson Parish, 14 have a 2026 Star Rating and 7 of those are rated 4 stars or higher.

Star Ratings can change year to year, and a rating covers a company's contract — not necessarily every single plan under it. Ratings are one input among many; your doctors, your medications, and your budget usually matter more day-to-day.

Program-wide rules for 2027

No matter which plan you land on, some program-wide changes apply in 2027:

• Part D out-of-pocket cap: $2,100 in 2026 and $2,400 in 2027. Once your out-of-pocket spending on covered drugs hits that amount, you pay $0 for covered drugs the rest of the year.
• Part D maximum deductible: up to $615 in 2026 and up to $700 in 2027 (plans can set a lower deductible).
• No more "donut hole": The coverage gap was eliminated in 2025. Part D now has three phases instead of four.
• Medicare Prescription Payment Plan: You can opt in to spread your drug costs across the year in monthly payments instead of paying at the pharmacy counter.
• IRMAA: Higher-income beneficiaries pay extra for Part B and Part D. For 2026, the surcharge starts above $109,000 in income for single filers.

Key dates to keep on your calendar

• Annual Enrollment Period (AEP): October 15 – December 7, 2026. This is when most people can join, switch, or drop a Medicare Advantage or Part D plan for 2027 coverage.
• Medicare Advantage Open Enrollment: January 1 – March 31. If you're already in a Medicare Advantage plan, you get one chance to switch to another MA plan or return to Original Medicare.