Medicare Advantage

Portland Medicare Advantage shakeup for 2027: 18 plans leaving, 5 new, and what to do

People in Portland can choose from 38 Medicare Advantage plans for 2027, against 58 this year. 18 of this year's plans are gone, 5 are new to Multnomah County, and 22 that continue have changed their premium, deductible, plan type or name, 7 of them under a new name.

PORTLAND, Ore. — If you have a Medicare Advantage plan in the Portland area, this fall's mail deserves a closer look than usual. According to CMS's 2027 Medicare Advantage Landscape Source File, 18 plans offered in Multnomah County this year will not be back in 2027, five new plans are being added, and seven others are being renamed. Three carriers — Blue Cross Blue Shield (HCSC), PacificSource Medicare, and Providence Medicare Advantage Plans — will not offer Medicare Advantage plans in the county next year.

That means thousands of Portland-area members will need to pick a new plan or move back to Original Medicare before coverage changes on January 1, 2027.

What's changing in Portland for 2027

Portland is in Multnomah County, where Medicare Advantage availability is set. Compared with 2026, the county's lineup is shifting in four ways:

• Leaving: 18 plans will not be offered in 2027.
• New: 5 plans are being added.
• Renamed: 7 plans will appear under a new name in 2027, even though the plan is continuing.
• Changing: 22 plans are continuing but differ from 2026 on premium, deductible, plan type or name. Your ANOC has the specifics.
• Continuing unchanged: 33 plans.

The table below lists every plan on the current county roster so you can find your plan by name.

The plans that are not returning

If you are enrolled in any of the plans below, your coverage under that plan ends December 31, 2026. In alphabetical order by carrier, the plans leaving Multnomah County after 2026 are:

• Aetna (CVS Health): Aetna Medicare Eagle (PPO); Aetna Medicare Signature (PPO)
• Blue Cross Blue Shield (HCSC): HealthSpring Preferred (HMO); HealthSpring True Choice (PPO)
• Centene (WellCare): Wellcare Dual Access (HMO-POS D-SNP); Wellcare Dual Reserve (HMO-POS D-SNP); Wellcare Simple (HMO-POS); Wellcare Simple Open (PPO)
• Devoted Health: DEVOTED GIVEBACK 004 OR (HMO)
• PacificSource Medicare: PacificSource Medicare MyCare Choice 30 (HMO-POS); PacificSource Medicare MyCare Rx 40 (HMO)
• Providence Medicare Advantage Plans: Providence Medicare Dual Plus (HMO D-SNP); Providence Medicare Extra + Rx (HMO); Providence Medicare Focus Medical (HMO); Providence Medicare Prime + Rx (HMO); Providence Medicare Reverence (HMO-POS)
• UnitedHealthcare: AARP Medicare Advantage Essentials from UHC OR-4 (HMO-POS); AARP Medicare Advantage from UHC OR-0003 (HMO-POS)

Blue Cross Blue Shield (HCSC), PacificSource Medicare, and Providence Medicare Advantage Plans will not offer any Medicare Advantage plans in the county in 2027.

New plans and renamed plans

Five plans are new to Multnomah County for 2027:

• Aetna (CVS Health): Aetna Medicare Eagle (HMO)
• Devoted Health: DEVOTED C-SNP GIVEBACK EXTRAS 019 OR (HMO C-SNP); DEVOTED GIVEBACK 028 OR (HMO); DEVOTED GIVEBACK EXTRAS 025 OR (HMO)
• UnitedHealthcare: AARP Medicare Advantage Essentials from UHC OR-7 (HMO-POS)

Seven plans are continuing under a new name — same plan, different label. If you see one of these on your paperwork, it is a rename, not a termination:

• Aetna Medicare Elite (HMO) — was Aetna Medicare Elite (HMO-POS)
• Wellcare Low Premium Open (PPO) — was Wellcare Giveback Open (PPO)
• Wellcare Premium Enhanced Open (PPO) — was Wellcare Low Premium Open (PPO)
• Wellcare Trillium Health Plan Dual Select Sync (HMO D-SNP) — was Wellcare Dual Select Sync (HMO-POS D-SNP)
• Humana Essentials Plus Giveback (HMO) — was Humana Gold Plus Giveback H1036-323 (HMO)
• Humana Total Complete (HMO) — was Humana Gold Plus H1036-153 (HMO)
• Humana Value Choice (PPO) — was HumanaChoice H5216-428 (PPO)

If your plan is leaving, here is what to do

1. Wait for the letter, then read it. Plans that are not renewing must send a non-renewal notice, usually in early October. Keep it — it triggers your Special Enrollment Period.

2. Know your two windows. You have two ways to make a change:

• Annual Enrollment Period (AEP): October 15 – December 7, 2026. Anyone can switch Medicare Advantage or Part D plans; the new coverage starts January 1.
• Special Enrollment Period (SEP) for a non-renewed plan: If your plan is one of the 18 leaving, you get an SEP that runs through the end of February 2027. You can pick a new Medicare Advantage plan or return to Original Medicare and add a stand-alone Part D drug plan.

3. Check your doctors and your drugs. Each Medicare Advantage plan has its own network and its own drug list. Before you pick, confirm your providers are in-network and your prescriptions are covered.

4. Consider Medigap if you go back to Original Medicare. In some cases, losing your Medicare Advantage plan can open a guaranteed-issue window for a Medicare Supplement (Medigap) policy. A SHIBA counselor can walk you through whether that applies to you.

If your plan is renamed or "changing"

A rename by itself is not a coverage change. But 22 plans in Multnomah County are flagged in CMS's file as changing on premium, deductible, type or name. The Annual Notice of Change (ANOC), which arrives by late September, spells out exactly what is different for your plan in 2027. Compare it side-by-side with your current Evidence of Coverage before deciding to stay put.

A few 2026 program facts worth knowing while you shop

These apply to Part D drug coverage — whether it comes built into a Medicare Advantage plan or as a stand-alone plan:

• The Part D out-of-pocket cap is $2,100 for 2026.
• The Part D maximum deductible is $615 in 2026 ($700 in 2027).
• The coverage gap (the old "donut hole") is gone as of 2025; there are three phases now.
• The Medicare Prescription Payment Plan lets you spread drug costs across the year in monthly installments if you choose.
• IRMAA surcharges begin above $109,000 in income for a single filer in 2026.