Medicare Advantage

Anthem's 2027 Medicare Advantage plans in Madison: both offerings are D-SNPs

MADISON, Wis. — This fall, Anthem is reshaping its small Medicare Advantage footprint in Dane County. For plan year 2027, the carrier is offering two Medicare Advantage plans in the county that includes Madison — both of them Dual Eligible Special Needs Plans (D-SNPs) with drug coverage, and both listed as new for next year. The two Anthem plans sold in Dane County in 2026 are not returning.

If you are enrolled in an Anthem plan now, that is the kind of change your Annual Notice of Change (ANOC) is designed to spell out. You have until December 7, 2026, to pick coverage that starts January 1, 2027.

Which Anthem Medicare Advantage plans are offered in Madison for 2027?

Anthem is offering two Medicare Advantage plans in Dane County, the county Madison sits in, for 2027. Both are HMO Dual Eligible Special Needs Plans (D-SNPs) and both include Part D drug coverage. The table below lists every Anthem plan available in the county next year by name and type: Anthem Dual Advantage Plus (HMO D-SNP) and Anthem Full Dual Advantage (HMO D-SNP).

CMS groups Anthem under its parent company, Elevance Health. MyMedicarePlans.org is an independent consumer site; we are not Anthem and not Medicare.

What is new or not returning from Anthem in Dane County for 2027?

Both of Anthem's 2027 Medicare Advantage plans in Dane County are flagged as new for next year, and both of the Anthem plans sold in the county in 2026 are listed as not returning. That is a complete turnover of the carrier's local MA lineup on paper.

If you are in an Anthem plan now, the carrier is required to send you an Annual Notice of Change by late September. It explains exactly what is happening to your plan — whether it is ending, being replaced, or changing in cost or coverage — and what your options are. Read it before December 7.

Who can enroll in a D-SNP in Madison?

Both of Anthem's 2027 Medicare Advantage plans in Dane County are D-SNPs, which are only open to people who have both Medicare and full Medicaid. If you do not qualify for Medicaid, a D-SNP is not an option for you, and you would be choosing from the general Medicare Advantage plans offered by Anthem's competitors in the county or from Original Medicare with a Part D plan.

In Dane County, 9 other carriers offer Medicare Advantage plans for 2027, and all carriers together list 48 plans. Those general-population plans are not Anthem plans and are outside the scope of this article.

How do I check an Anthem plan against my doctors and prescriptions before December 7?

The most reliable way to check a specific plan against your own doctors and medications is the Medicare Plan Finder at medicare.gov. You enter your ZIP code and your drug list, and the tool shows each plan's formulary, pharmacy network and estimated yearly drug costs. You can also call 1-800-MEDICARE, 24 hours a day, seven days a week.

A few things worth checking by name:

• Each doctor, clinic and hospital you use — in the plan's provider directory.
• Each prescription you take — in the plan's formulary, including the tier and any prior-authorization rules.
• Any specialty pharmacy or mail-order arrangement you rely on.

For the final word on what a plan covers, ask the carrier for the Evidence of Coverage (EOC); that is the binding document.

What Part D figures should I keep in mind for 2027?

CMS has confirmed a few program-level Part D numbers for 2027. The out-of-pocket cap on covered Part D drugs rises to $2,400 in 2027 (it is $2,100 in 2026). The maximum Part D deductible a plan can charge rises to $700 in 2027 (it is $615 in 2026). The national base beneficiary premium for 2027 is $41.33 — that is a formula input Medicare uses, not what any particular plan charges.

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. The coverage gap ("donut hole") remains eliminated, and the Medicare Prescription Payment Plan — which lets you spread drug costs over the calendar year in monthly installments — is still available.

What should I do during the Annual Enrollment Period?

The Annual Enrollment Period runs October 15 through December 7, 2026, and any change you make takes effect January 1, 2027. If you do nothing and your current plan is being offered next year, it renews automatically with the changes described in your ANOC. If your plan is not returning, you can pick a new Medicare Advantage plan, switch to Original Medicare with a stand-alone Part D plan, or look at a Medigap policy (Medigap enrollment has its own rules).

There is also a Medicare Advantage Open Enrollment Period from January 1 to March 31, 2027, which lets someone already in a Medicare Advantage plan make one change.