Medicare Advantage

Nashville's 2027 Medicare Advantage lineup: 9 new plans, 14 leaving, one carrier out

Davidson County has 69 Medicare Advantage plans for 2027. Compared with 2026, 14 plans are not coming back, 9 are new, and 30 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 Nashville, not which plan to pick.

NASHVILLE — As the Annual Enrollment Period opens for 2027 coverage, the Medicare Advantage menu in and around Nashville is shifting more than it has in a few years. Nashville sits in Davidson County, where CMS records show nine plans arriving for 2027, fourteen plans leaving after 2026, and one familiar carrier — Centene (WellCare) — pulling out of the local market altogether.

If you have a Medicare Advantage plan today, this is the window to check whether it is still being offered next year and, if so, what is changing. The Annual Enrollment Period runs October 15 through December 7, 2026, and any choice you make takes effect January 1, 2027.

What the 2027 lineup looks like in Davidson County

For the current (2026) plan year, Davidson County residents have 74 Medicare Advantage plans from 13 carriers to choose from — 30 HMOs, 18 HMO-POS plans, and 26 PPOs. Thirty of those are Special Needs Plans (SNPs) built for people with specific conditions, dual Medicare-Medicaid eligibility, or who live in an institution. Every plan on the local menu includes drug coverage.

The carriers serving the county this year are Abilis Health, Aetna (CVS Health), American Health Advantage of Tennessee, Blue Cross Blue Shield (HCSC), BlueCare Plus Tennessee, BlueCross BlueShield of Tennessee, Centene (WellCare), Devoted Health, Elevance Health (Anthem), Humana, NHC Advantage, UnitedHealthcare, and Zing Health. The table below lists every plan by carrier.

Heading into 2027, CMS's year-over-year file shows 51 plans continuing, 9 renamed, and 21 continuing plans with at least one change to premium, deductible, type or name. Those changes are spelled out in each plan's Annual Notice of Change (ANOC), which you should have received by late September.

The plans not returning after 2026

Fourteen plans sold in Davidson County this year will not be offered in 2027:

• Aetna Medicare Enhanced (HMO) — Aetna (CVS Health)
• Wellcare Assist (HMO-POS), Wellcare Assist (HMO-POS), Wellcare Dual Access (HMO-POS D-SNP), Wellcare Giveback (HMO-POS), Wellcare Patriot Giveback (HMO-POS), and Wellcare Simple (HMO-POS) — Centene (WellCare)
• Humana Together in Health Select (PPO I-SNP), Humana Value Plus H5216-180 (PPO), Humana Value Plus H7617-088 (PPO), HumanaChoice H5216-449 (PPO), and HumanaChoice H5216-450 (PPO) — Humana
• UHC Dual Complete TN-S001 (HMO-POS D-SNP) and UHC Dual Complete TN-Y2 (HMO-POS D-SNP) — UnitedHealthcare

Centene (WellCare) is leaving Davidson County entirely for 2027. If you are in one of these plans, your carrier is required to send you a non-renewal notice. You then qualify for a Special Enrollment Period to pick a new Medicare Advantage plan or return to Original Medicare with a stand-alone Part D plan. That SEP typically runs from December 8 through the end of February — but acting during the regular October 15 – December 7 window keeps your coverage uninterrupted on January 1.

The plans new for 2027

CMS lists nine plans joining the Davidson County market for 2027:

• Devoted Health: DEVOTED C-SNP CHOICE ENHANCED 029 TN (PPO C-SNP), DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 034 TN (PPO C-SNP), DEVOTED C-SNP CHOICE PLUS 031 TN (PPO C-SNP), DEVOTED CHOICE 026 TN (PPO), DEVOTED CHOICE GIVEBACK 020 TN (PPO), and DEVOTED CHOICE GIVEBACK EXTRAS 042 TN (PPO)
• Humana: Humana Together in Health (PPO I-SNP)
• UnitedHealthcare: UHC Dual Complete TN-Q1 (HMO-POS D-SNP) and UHC Dual Complete TN-Y2 (HMO-POS D-SNP)

Most of the new entries are PPOs or Special Needs Plans. If you qualify for an SNP — because you have a chronic condition, Medicaid, or live in a long-term care setting — the SNP side of the market is wider for 2027 than many people realize.

Renamed plans aren't new plans

Nine plans available in Davidson County kept their contract and benefits structure but changed names for 2027. A few examples: Aetna Medicare Eagle (PPO) was Aetna Medicare Eagle Giveback (PPO); Wellpoint Dual Advantage Plus (HMO D-SNP) was Wellpoint Full Dual Advantage (HMO D-SNP); and Humana Dual QMB Only (HMO D-SNP) was Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP). A rename is not the same as a non-renewal — your coverage continues, but the plan may still have other changes listed in its ANOC.

The program-level numbers worth knowing

A few 2027 figures that apply nationally are already set:

• The Part D out-of-pocket cap rises to $2,400 in 2027, up from $2,100 in 2026.
• The Part D maximum deductible rises to $700 in 2027, up from $615 in 2026.
• The Part D national base beneficiary premium is $41.33 for 2027 — this is a formula input used to calculate certain surcharges, not what any particular plan charges.

The 2027 Part B standard premium and deductible, along with the 2027 IRMAA income brackets, are typically announced by CMS in November. We will update this piece as soon as they publish.

The coverage gap (the old "donut hole") has been eliminated since 2025, and the Medicare Prescription Payment Plan — which lets you spread drug costs across the plan year in monthly payments — remains available if you want to use it.

How to use this stretch between now and December 7

Three things are worth doing before the deadline:

1. Read your plan's Annual Notice of Change. It will tell you whether your plan is renewing, being renamed, or leaving — and what is changing on premium, deductible, drug list, or network. 2. Use the Medicare Plan Finder at medicare.gov to compare 2027 plans in Davidson County. The finder lets you enter your prescriptions and preferred doctors to see how plans actually line up for you. 3. Call 1-800-MEDICARE if you need help confirming eligibility, enrollment status, or Special Enrollment Period rules.

If you do nothing and your current plan is being offered in 2027, it will renew automatically on January 1 with the changes in its ANOC.