Medicare Advantage
Anthem's 2027 Medicare Advantage plans in Cincinnati: every option, by plan type
CINCINNATI — Fall 2026. If you have an Anthem Medicare Advantage plan in Cincinnati, or you are weighing one for next year, the 2027 lineup is now set. In Hamilton County, the county Cincinnati sits in, Anthem will offer 11 Medicare Advantage plans for 2027, including two new plans, one renamed plan, and no plans leaving the market. The Annual Enrollment Period runs October 15 through December 7, 2026, and any change you make takes effect January 1, 2027.
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Key takeaways
- Anthem will offer 11 Medicare Advantage plans in Hamilton County for 2027: 4 HMOs, 2 HMO-POS plans, and 5 PPOs.
- Two of those plans are new for 2027, one has been renamed, and no Anthem plans are leaving the county.
- Four of Anthem's 2027 plans are Dual Eligible Special Needs Plans (D-SNPs) for people who have both Medicare and Medicaid.
- Before December 7, 2026, check any plan you are considering against your own doctors and prescriptions using the Medicare Plan Finder at medicare.gov or by calling 1-800-MEDICARE.
| Fact | Figure | Source |
|---|---|---|
| Medicare Advantage plans offered in Hamilton County (2026) | 96 | CMS |
| Medicare Advantage plans offered in Hamilton County (2027) | 82 | CMS |
| Plans not returning for 2027 / new for 2027 | 30 / 16 | CMS |
| Organizations offering Medicare Advantage in Hamilton County (2026) | 14 | CMS |
| Share of eligible beneficiaries in Medicare Advantage, Hamilton County | 57% | CMS |
| Residents age 65 and older, Hamilton County | 137,755 | 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.
MyMedicarePlans.org is an independent consumer news and education site. We are not Anthem and we are not Medicare. Anthem is one of 14 carriers offering Medicare Advantage plans in Hamilton County for 2027 — 82 plans in all — so this article is a look at just one carrier's slate.
What Medicare Advantage plans does Anthem offer in Cincinnati for 2027?
Anthem will offer 11 Medicare Advantage plans in Hamilton County — which includes Cincinnati — for the 2027 plan year. By plan type, that breaks down to 4 HMO plans, 2 HMO-POS plans, and 5 PPO plans. Nine of the 11 include Part D prescription drug coverage; two are PPOs without drug coverage, designed for people (often veterans) who get their drug coverage elsewhere.
The table below lists every Anthem plan available in the county for 2027, with its plan type and whether it includes drug coverage. CMS groups Anthem under its parent company, Elevance Health.
Which Anthem plans are Special Needs Plans in Hamilton County?
Four of Anthem's 2027 plans in Hamilton County are Dual Eligible Special Needs Plans, or D-SNPs. These are built for people who qualify for both Medicare and Medicaid. Anthem offers no Chronic Condition SNPs (C-SNPs) and no Institutional SNPs (I-SNPs) in the county for 2027.
The four D-SNPs are Anthem Dual Advantage (HMO D-SNP), Anthem Dual Advantage Plus (HMO D-SNP), Anthem I MyCare Ohio Full Dual Advantage (HMO D-SNP), and Anthem I MyCare Ohio Full Dual Support (HMO D-SNP). All four include prescription drug coverage. If you do not have Medicaid, you are not eligible to join a D-SNP; the Medicare Plan Finder will show you only the plans you qualify for.
What is new or changed in Anthem's Cincinnati lineup for 2027?
Two Anthem plans are new to Hamilton County for 2027: Anthem Dual Advantage Plus (HMO D-SNP) and Anthem I MyCare Ohio Full Dual Advantage (HMO D-SNP). Both are D-SNPs with drug coverage. One plan has been renamed — Anthem I MyCare Ohio Full Dual Support (HMO D-SNP) was previously called Anthem I MyCare Ohio Full Dual Advantage (HMO D-SNP). None of Anthem's existing Hamilton County plans are leaving for 2027.
If you are currently in an Anthem plan, your Annual Notice of Change (ANOC) — the packet mailed each September — lists exactly what changes next year, from premiums and copays to the drug formulary and the provider network. If you did not open yours, you can request another copy from Anthem.
How do I check an Anthem plan against my doctors and prescriptions before December 7?
The quickest way is the Medicare Plan Finder at medicare.gov/plan-compare. You enter your ZIP code, add your prescriptions and preferred pharmacy, and the tool shows the plans available in Hamilton County along with each plan's drug costs for your specific list. You can also call 1-800-MEDICARE (1-800-633-4227), available 24 hours a day, seven days a week.
For doctors and hospitals, use the plan's own provider directory on Anthem's website, or call the plan directly and ask whether your providers are in network for the specific plan you are considering — not just "Anthem" in general, since networks can differ between plans. For the full details of what a plan covers, ask for the Evidence of Coverage (EOC).
What should I know about 2027 Medicare costs before I decide?
A few program-level numbers for 2027 are already set by CMS. The Part D out-of-pocket cap on what you pay for covered 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. These are ceilings that apply across Medicare — individual plans can set lower amounts.
The 2027 Part B standard premium and deductible, and the 2027 IRMAA income brackets, have not been announced yet. CMS typically publishes those in the fall, usually in November. The Part D coverage gap (the old "donut hole") was eliminated in 2025, so Part D now has three phases: deductible, initial coverage, and catastrophic.
What happens if I do not do anything by December 7?
Nothing happens automatically beyond your current plan renewing for 2027, with the changes described in your ANOC. You do not lose coverage for not acting. But if your plan is changing in ways that affect you — a drug moving to a higher tier, a provider leaving the network, a copay going up — the Annual Enrollment Period (October 15 to December 7, 2026) is your window to switch. There is also a Medicare Advantage Open Enrollment Period from January 1 to March 31, 2027, during which Medicare Advantage members can make one change.
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 Hamilton County
(MA penetration in Hamilton 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 Hamilton County for 2027
CMS lists 11 Anthem Medicare Advantage plans in Hamilton County for 2027, alphabetically by carrier. 13 other carriers also offer plans there.
| Plan | Type | Drug coverage | For 2027 |
|---|---|---|---|
| Elevance Health (Anthem) 11 plans | |||
| Anthem Dual Advantage (HMO D-SNP) | HMO D-SNP | Yes | Returning |
| Anthem Dual Advantage Plus (HMO D-SNP) | HMO D-SNP | Yes | New |
| Anthem Extra Help (HMO-POS) | HMO-POS | Yes | Returning |
| Anthem I MyCare Ohio Full Dual Advantage (HMO D-SNP) | HMO D-SNP | Yes | New |
| Anthem I MyCare Ohio Full Dual Support (HMO D-SNP) | HMO D-SNP | Yes | Renamed |
| Anthem Medicare Advantage (HMO-POS) | HMO-POS | Yes | Returning |
| Anthem Medicare Advantage (PPO) | PPO | Yes | Returning |
| Anthem Medicare Advantage (Regional PPO) | PPO | Yes | Returning |
| Anthem Medicare Advantage 3 (PPO) | PPO | Yes | Returning |
| Anthem Veteran (PPO) | PPO | No | Returning |
| Anthem Veteran (Regional PPO) | PPO | No | 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
How Anthem Medicare Advantage plans in Hamilton 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 Medicare Advantage plans does Anthem offer in Cincinnati for 2027?
Are any Anthem plans leaving Cincinnati for 2027?
How do I know if my doctor and prescriptions are covered by a specific Anthem plan?
When is the deadline to change my Medicare Advantage plan for 2027?
- 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 Cincinnati
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 (plan year 2027): Anthem's plan counts, plan names, plan types, SNP status, drug coverage, and new/renamed status in Hamilton County; the total carrier and plan counts for the county.
- CMS Medicare Advantage Landscape Source Files (plan years 2026 and 2027): the year-over-year comparison for Anthem.
- CMS: the 2027 Part D out-of-pocket cap ($2,400) and maximum Part D deductible ($700); the 2026 figures used for comparison.
- 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.
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This page was last updated: October 2026.