Medicare Advantage

Bellevue's 2027 Medicare Advantage slate: which plans arrive, which ones exit

BELLEVUE, Neb. — With the Annual Enrollment Period opening October 15, 2026, Sarpy County's Medicare Advantage lineup for 2027 is coming into focus. Some plans are new for the coming year, some are not returning, and most existing plans are renewing with the tweaks spelled out in their Annual Notice of Change. Here is how to read what is on the table before the December 7, 2026 deadline.

How Bellevue's 2027 lineup is set

Bellevue is in Sarpy County, and Medicare Advantage availability is set at the county level. That means every Bellevue resident sees the same menu of Medicare Advantage and Part D plans as a neighbor a few blocks away in Papillion or La Vista, as long as they live in the same county. The Centers for Medicare & Medicaid Services (CMS) publishes the official plan roster each fall in its Medicare Advantage Landscape Source File; the Medicare Plan Finder at medicare.gov is the consumer-facing version of that same data.

For 2027, the roster in Sarpy County includes returning plans from the carriers who served the area in 2026, a handful of new plan offerings, and some plans that will not be renewed. We are not printing the plan-by-plan list here — costs, benefits and networks are best read directly from each plan's own documents — but the shape of the change is what matters most for planning your fall.

What "new for 2027" actually means

A "new" plan can mean a few different things. It might be a brand-new contract in the county, a new plan option added by a carrier that already sells here, or a plan that used to be offered in a neighboring county and now includes Sarpy. New plans usually show up in the Plan Finder starting October 1, 2026, with full enrollment opening October 15.

If you are drawn to a new plan, read three things before you switch: the Summary of Benefits, the drug formulary (to confirm your prescriptions are covered), and the provider directory (to confirm your doctors and preferred hospitals are in-network). Those three documents tell you far more than any advertising will.

What "not returning" means — and your protections

If your Medicare Advantage plan is not being offered in Sarpy County in 2027, the plan is required to send you a non-renewal notice, usually in early October. That notice is important because it triggers a Special Enrollment Period: you have from December 8, 2026 through the end of February 2027 to pick a new Medicare Advantage plan or return to Original Medicare and add a stand-alone Part D drug plan.

You are not stuck. And you do not have to decide in the same window as everyone else. But do not throw the letter away — it is your proof of eligibility for that Special Enrollment Period.

The 2027 numbers worth knowing

A few program-level figures are already confirmed for 2027 and apply no matter which plan you choose:

• The Part D out-of-pocket cap will be $2,400 in 2027, up from $2,100 in 2026. Once your covered drug spending reaches that cap, you pay $0 for covered drugs the rest of the year.
• The maximum Part D deductible will be $700 in 2027, up from $615 in 2026. Individual plans can set a lower deductible.
• The Medicare Prescription Payment Plan is still available. It lets you spread your out-of-pocket drug costs across the calendar year in monthly amounts instead of paying at the pharmacy counter.

CMS typically announces the 2027 Part B standard premium, Part B deductible and IRMAA income brackets later in the fall. When those numbers post, they will be on medicare.gov.

How to decide, step by step

1. Wait for your Annual Notice of Change. It arrives by late September and lists exactly what is changing in your current plan for 2027 — premium, drug tiers, copays, extras. 2. Check whether your plan is renewing. If it is not, watch for the non-renewal letter and mark your Special Enrollment Period dates. 3. Confirm your doctors and drugs. Even a returning plan can change its network or formulary from one year to the next. 4. Compare on medicare.gov. The Plan Finder lets you enter your prescriptions and pharmacy to see estimated yearly costs across every plan available in Sarpy County. 5. Call for help if you want a second set of eyes. Nebraska SHIP counselors give free, unbiased guidance.