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Compare 2027 Medicare Advantage Plans in Ohio

Reviewed by Russell Noga, Licensed Medicare Insurance Broker (all 50 states) — Last updated October 8, 2026

Ohio has 180 Medicare Advantage plans for 2027, down from 212, and Wellcare (Centene) will offer only Special Needs Plans in Ohio, so many Ohioans need to compare plans this fall.

Ohio still has a wide choice of Medicare Advantage plans, from national insurers such as Humana, UnitedHealthcare, Aetna and Anthem to Ohio-based plans. But losing 32 plans in one year means more people than usual will open a non-renewal letter or see big changes in their Annual Notice of Change.

This guide covers what changed in Ohio, how to compare plans, and your other options. See compare 2027 Medicare Advantage plans in Ohio and Medicare Advantage plans 2027.

✔ Licensed in all 50 states
✔ Based on CMS 2027 data
✔ Free plan comparison

Key Highlights

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Ohio Medicare Advantage plans drop from 212 to 180 for 2027.

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Wellcare (Centene) will offer only Special Needs Plans in Ohio for 2027.

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Most Ohio counties still have plans from several insurers.

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The national average 2027 Medicare Advantage premium is $12 a month, down from $14.37 (CMS).

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Annual Enrollment runs October 15 to December 7, 2026.

Compare plans and enroll online

Medicare Advantage Options in Ohio

Key Takeaway

Your county decides which plans you can choose. Metro areas such as Columbus, Cleveland and Cincinnati usually have the most options.

Feature HMO PPO
Out-of-network care Not covered except emergencies and urgent care Covered at a higher cost
Referrals for specialists Usually required Usually not required
Premiums Usually lower Usually higher
Out-of-pocket maximum In-network limit In-network limit plus a higher combined limit
Best for Lower costs, local care Flexibility, travel, keeping specific doctors

Benefits Ohio Plans May Offer

Ohio Plans May Include

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Hospital and medical coverage, the same as Original Medicare Part A and B

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Part D prescription drug coverage on most plans

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Routine dental, vision and hearing benefits

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Fitness programs and over-the-counter allowances

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Telehealth visits and care coordination programs

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A yearly out-of-pocket maximum on every plan

Not all plans offer all benefits. Benefits vary by plan and county and can change for 2027. Check each plan’s Evidence of Coverage before you enroll.

Understanding Medicare Advantage Plans

Ohio Changes for 2027

212 to 180

Ohio Medicare Advantage plans for 2027.

SNP Only

Wellcare in Ohio for 2027.

If you have a Wellcare plan in Ohio that is not a Special Needs Plan, it is ending December 31, 2026. Other members whose plans are ending should have received a non-renewal letter in early October.

Insurer Key 2027 Changes
UnitedHealthcare 852 plans (up from 846); standard plans pulled from about 140 counties; leaving Wyoming; 34 PPOs cut
Humana 861 plans (down from 887); leaving 57 counties and Minnesota; 37 PPOs cut; about 600,000 members’ plans ending
Aetna (CVS Health) 654 plans (up from 642); standard plans pulled from 123 counties; leaving Maryland and New Hampshire; 20 PPOs cut; 29 C-SNPs added
HCSC (including HealthSpring) From 948 counties to about 478; leaving CT, KS, MT, NY, OR, UT and D.C.; 48 PPOs cut
Centene (Wellcare) Standard plans pulled from 344 counties; leaving Hawaii, Oklahoma and Tennessee
Elevance (Anthem) Standard plans pulled from 56 counties; leaving South Carolina
Devoted Health Adding 342 counties; entering CT, MI, NH, NJ and NY

Source: CMS 2027 landscape data as reported by Becker’s, October 1, 2026, and company announcements. Wellmark, Blue Cross Blue Shield of North Dakota and Blue Cross Blue Shield of Mississippi are also exiting Medicare Advantage for 2027.

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Ohio Insurers to Know for 2027

Insurer What to Know for 2027
Humana 861 plans nationally, down from 887; cutting 37 PPOs
UnitedHealthcare 852 plans nationally; cutting 34 PPOs and pulling standard plans from about 140 counties
Aetna 654 plans nationally; cutting 20 PPOs
Anthem (Elevance) Ohio’s Blue Cross Blue Shield company; Elevance is pulling standard plans from 56 counties nationally
Wellcare (Centene) Special Needs Plans only in Ohio for 2027
Ohio-based plans Regional insurers also offer plans in parts of the state

National figures: CMS 2027 landscape data as reported by Becker’s, October 1, 2026. Availability varies by county.

How to Compare Ohio Plans Side by Side

Ohio Comparison Steps

1

List your doctors and hospital. Ohio has several large health systems; make sure yours is in network.

2

List your drugs and pharmacy. Enter them in Medicare Plan Finder for accurate costs.

3

Pull up every plan in your county. Filter by HMO or PPO and by star rating.

4

Compare the out-of-pocket maximum. It is your worst-case yearly cost for covered care.

5

Compare copays for the care you use. Primary care, specialists, hospital stays and imaging.

6

Check extras last. Dental, vision and hearing benefits vary; check limits.

Write down the same numbers for two or three finalists. The plan that covers your doctors and drugs at the lowest realistic yearly cost is usually the right one, whichever company offers it.

Spotlight on the best Medicare Advantage providers

Medicare Advantage in Ohio

Medicare Advantage, also called Part C, is a way to get your Medicare benefits through a private insurance company approved by Medicare. The plan covers everything Original Medicare Part A and Part B cover, except hospice care, which Original Medicare still pays. Most plans also include Part D drug coverage, and many may add extras such as routine dental, vision and hearing benefits.

In exchange, Medicare Advantage plans generally use networks of doctors and hospitals, and may require referrals or prior authorization for some services. Every Medicare Advantage plan has a yearly out-of-pocket maximum for covered medical care, which Original Medicare does not have. You keep paying your Part B premium, plus your plan’s premium if it has one.

Advantages

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Often a low or $0 premium

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A yearly out-of-pocket maximum

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Drug coverage usually included

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Many plans may include dental, vision and hearing benefits

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One card and one plan

Tradeoffs

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Networks; HMOs require in-network care except emergencies

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Prior authorization and referrals are common

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Copays add up if you use a lot of care

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Plans and networks can change every year

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Switching to Medigap later may require health questions

Medicare Supplement Plans in Ohio

If you prefer Original Medicare, a Medicare Supplement (Medigap) plan pays some or all of what Medicare leaves behind, and lets you see any provider in the U.S. that accepts Medicare. Benefits are standardized by plan letter, so compare prices for the same letter across insurers.

Plan What You Pay Best For
Plan G The Part B deductible; after that, Medicare-approved costs are covered Most complete coverage for new enrollees
Plan N Part B deductible, copays up to $20 for some office visits and up to $50 for some ER visits, and Part B excess charges Lower premium, accepts small copays
High-Deductible Plan G A yearly deductible, then coverage like Plan G Healthy people who want the lowest premium

Medigap benefits are standardized by plan letter. Prices vary by insurer, age, ZIP code and tobacco use.

Watch for: outside your six-month Medigap Open Enrollment Period or a guaranteed issue right, most states let insurers ask health questions and decline you or charge more.

Part D Drug Plans in Ohio

$700

Maximum 2027 Part D deductible, up from $615.

$2,400

2027 Part D out-of-pocket cap, up from $2,100.

About $36

Average 2027 standalone Part D premium, up less than $1 (CMS).

$7

Projected average drug portion of a Medicare Advantage premium for 2027, down from $11.32.

If you keep Original Medicare in Ohio, add a standalone Part D plan. Compare plans with your exact drugs and pharmacies using the 2027 Part D plan finder.

What Original Medicare Leaves You to Pay

A Medicare Supplement plan is built to cover the gaps in Original Medicare. These are the costs it can pick up:

Original Medicare Gap What It Means for You Covered By
Part A deductible A deductible for each hospital benefit period, not once a year. It was $1,736 in 2026. Plans B, C, D, F, G and N in full; K, L and M in part
Part A hospital coinsurance Daily charges after day 60 of a hospital stay, rising after day 90 All 10 plans, plus 365 extra hospital days
Part B deductible A yearly deductible before Part B pays. It was $283 in 2026. Only Plans C and F
Part B coinsurance Usually 20% of the approved amount, with no yearly cap All plans (K and L in part, N with copays)
Part B excess charges Up to 15% above the approved amount from doctors who do not take assignment Plans F and G
Skilled nursing coinsurance Daily charges from day 21 to day 100 of a covered stay Plans C, D, F, G, M and N (K and L in part)
Emergency care abroad Original Medicare generally does not cover care outside the U.S. Plans C, D, F, G, M and N, up to plan limits

No cap without a supplement: Original Medicare has no out-of-pocket maximum. Without a Medigap plan or other coverage, there is no limit to the 20% you can owe on Part B services.

Plan G, Plan N and High-Deductible Plan G

Most people new to Medicare choose one of these three. Plan G covers every gap except the Part B deductible. Plan N trades a lower premium for copays of up to $20 for some office visits and up to $50 for ER visits that do not lead to admission, and it does not cover Part B excess charges. High-Deductible Plan G has a $3,050 deductible for 2027, up from $2,950, then covers like Plan G. See Plan G vs Plan N.

Plan G

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You pay the Part B deductible, then little or nothing

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Covers Part B excess charges

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Highest premium of the three

Plan N

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You pay the Part B deductible plus small copays

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Does not cover Part B excess charges

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Usually a lower premium than Plan G

High-Deductible G

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You pay up to $3,050 in 2027 before coverage starts

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Then covers like Plan G

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Lowest premium

How Medigap Prices Are Set

Your Age

Many insurers charge more as you get older.

Your ZIP Code

Prices vary by state and area.

Tobacco Use

Tobacco users usually pay more.

Discounts

Household or other discounts, depending on the insurer and state.

Pricing Method How the Premium Is Set Over Time
Community-rated Everyone in an area pays the same premium, regardless of age Does not rise because you get older, but can rise for inflation and other reasons
Issue-age-rated Based on your age when you buy Does not rise because you get older, but can rise for other reasons
Attained-age-rated Based on your current age Rises as you age, on top of other increases

The method depends on the insurer and the state. Ask how a policy is priced before you buy, not just what it costs today.

Star Ratings

Medicare rates every Medicare Advantage and Part D plan from 1 to 5 stars each fall, based on things like preventive care, how well the plan manages chronic conditions, member complaints, customer service and drug pricing accuracy. The ratings are shown in Medicare Plan Finder.

Using Star Ratings

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A rating of 4 stars or higher is generally a good sign of quality and service

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Five-star plans have a special enrollment period, so you can switch into one once during the year

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New plans may not have a rating yet, which is not a bad sign by itself

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Ratings measure the plan overall, not how well it covers your specific doctors and drugs

If a Drug Is Not Covered

Sometimes a drug you take is not on a plan’s 2027 formulary, or it carries a rule like prior authorization. You still have options:

If Your Drug Is Not Covered

1

Ask for a transition fill. In the first 90 days of a new plan year or a new plan, plans generally must give you a temporary supply of a drug you were already taking, so you have time to switch or request an exception.

2

Ask your doctor about alternatives. A covered drug in the same class may work as well and cost less.

3

Request a formulary or tiering exception. Your doctor submits a statement explaining why you need the drug or a lower copay. Plans must decide within set time limits.

4

Appeal a denial. If the plan says no, you can appeal, and there are several levels of review.

See steps to appeal a Medicare Part D denial.

All 10 Medigap Plans Compared

Federal law sets exactly what each plan letter covers, so the same letter has the same benefits from every insurer in your state.

Benefit A B C* D F* G K L M N
Part A coinsurance and hospital costs up to 365 extra days Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Part B coinsurance or copayment Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes***
First 3 pints of blood Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes
Part A hospice coinsurance or copayment Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes
Skilled nursing facility coinsurance No No Yes Yes Yes Yes 50% 75% Yes Yes
Part A deductible No Yes Yes Yes Yes Yes 50% 75% 50% Yes
Part B deductible No No Yes No Yes No No No No No
Part B excess charges No No No No Yes Yes No No No No
Foreign travel emergency (up to plan limits) No No 80% 80% 80% 80% No No 80% 80%
Out-of-pocket limit None None None None None None Yes** Yes** None None

*Plans C and F can only be bought by people who were eligible for Medicare before January 1, 2020. **Plans K and L have a yearly out-of-pocket limit that Medicare sets each year; after you reach it, the plan pays 100% of covered services for the rest of the year. ***Plan N pays all Part B coinsurance except copays of up to $20 for some office visits and up to $50 for emergency room visits that do not lead to an inpatient admission. Massachusetts, Minnesota and Wisconsin standardize their plans differently.

When You Can Buy

Key Takeaway

Your six-month Medigap Open Enrollment Period starts the first month you are 65 or older and enrolled in Part B. During it, an insurer cannot deny you or charge more because of your health.

Federal law also gives you guaranteed issue rights in certain situations, generally within 63 days after other coverage ends:

You May Have a Right to Buy If

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Your Medicare Advantage plan leaves your area or stops serving Medicare

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You joined Medicare Advantage when first eligible at 65 and want to switch back within the first year

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You dropped a Medigap policy to try Medicare Advantage for the first time and want to return within a year

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Your employer or union coverage that pays after Medicare ends

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Your Medigap insurer goes bankrupt or misleads you

State rules can give you more: New York and Connecticut allow Medigap enrollment year-round without health questions, and states such as California and Oregon give yearly windows to switch to an equal or lesser plan.

Ohio Regions at a Glance

Ohio’s largest metro areas, Columbus, Cleveland, Cincinnati, Dayton, Toledo and Akron, generally have the most Medicare Advantage choices, with a mix of HMOs and PPOs. Rural counties in Appalachian and northwestern Ohio have fewer plans, and the 2027 cuts are more likely to leave members there with only a handful of choices.

If you live near a state line, such as in the Cincinnati area, check whether the plans you are considering cover the hospitals you use across the border in Kentucky or Indiana.

Ohio Part D Plans

If you keep Original Medicare in Ohio, compare standalone Part D plans with your exact drugs and pharmacy. For 2027, the maximum Part D deductible is $700 and the out-of-pocket cap is $2,400 on every plan, but premiums and drug costs vary widely between plans.

Turning 65 in Ohio

If you are turning 65 in Ohio in 2027, sign up for Part A and Part B during your Initial Enrollment Period, then choose between a Medicare Advantage plan and Original Medicare with a Medigap and Part D plan. Your six-month Medigap Open Enrollment Period is the one time insurers cannot use your health to deny you or charge more.

If Your Plan Is Ending

If your plan will not be offered in your county for 2027, you should have received a non-renewal notice in early October. Your coverage does not stop right away: it continues through December 31, 2026, so you have time to choose.

If Your Plan Is Ending

1

Read the non-renewal letter. It confirms your plan is ending and explains your options.

2

List your doctors and drugs. You will need them to compare replacement plans.

3

Compare plans for 2027. Check networks, drug coverage and the out-of-pocket maximum, not just the premium.

4

Choose by December 31 for no gap. Enrolling during Annual Enrollment by December 7 gives you coverage on January 1, 2027.

5

Use your Special Enrollment Period if needed. People whose plans end generally can still make a choice through the end of February 2027.

If you do nothing: you return to Original Medicare on January 1, 2027, without drug coverage unless you choose a Part D plan. Going without drug coverage can lead to a late enrollment penalty.

Medigap rights: when your Medicare Advantage plan leaves your area, you generally have a guaranteed issue right to buy certain Medicare Supplement plans without health questions, up to 63 days after your coverage ends.

How to Compare Ohio Plans for 2027

How to Compare

1

Read your Annual Notice of Change. It lists every change to your current plan for 2027.

2

Check your doctors and hospitals. Confirm each provider is in the 2027 network, not just the 2026 one.

3

Check your prescriptions. Confirm each drug, its tier and any prior authorization or step therapy rules.

4

Compare total yearly cost. Add the premium, typical copays and drug costs, and look at the out-of-pocket maximum.

5

Check star ratings. Medicare rates plans from 1 to 5 stars on quality and service.

6

Enroll by December 7. Your new coverage starts January 1, 2027.

2027 Enrollment Dates

Enrollment Period Dates What You Can Do
Annual Enrollment Period October 15 to December 7, 2026 Join, switch or drop a Medicare Advantage or Part D plan for January 1, 2027
Medicare Advantage Open Enrollment January 1 to March 31, 2027 If you are in Medicare Advantage, switch to another plan or return to Original Medicare once
Initial Enrollment Period 7 months around your 65th birthday month Sign up for Medicare and choose your first plan
Special Enrollment Periods Varies Change plans after events like moving, losing other coverage or your plan leaving your area

Most people make changes during Annual Enrollment. If you are happy with your current plan, you do not have to do anything; it renews automatically. Still, read your Annual Notice of Change, because premiums, copays, networks and drug lists can all change on January 1.

Special Needs Plans

Special Needs Plans (SNPs) are Medicare Advantage plans built for specific groups. Benefits, networks and drug lists are designed around the members they serve, and many include care coordinators. For 2027, Special Needs Plans are one of the few areas where large insurers are adding plans, even as they cut PPOs.

Type Who Qualifies What Is Different
Dual Special Needs Plan (D-SNP) People with both Medicare and Medicaid Coordinates both programs; often very low costs and added benefits
Chronic Condition SNP (C-SNP) People with qualifying conditions such as diabetes, heart failure or chronic lung disease Doctors, drugs and programs built around the condition
Institutional SNP (I-SNP) People living in a nursing home or who need that level of care at home Care delivered where the member lives

Turning 65 in 2027

If you turn 65 in 2027, your Initial Enrollment Period lasts seven months: the three months before your birthday month, your birthday month and the three months after. Signing up during the first three months means your coverage starts on the first day of your birthday month.

Turning 65 Checklist

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Sign up for Part A and Part B, unless you have qualifying employer coverage and choose to delay Part B

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Decide between Medicare Advantage and Original Medicare with Medigap

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Join a drug plan, or a Medicare Advantage plan with drugs, to avoid a Part D late penalty

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If you choose Medigap, buy during your six-month Medigap Open Enrollment Period

Help Paying Medicare Costs

If your income and savings are limited, two programs can cut your Medicare costs sharply:

Medicare Savings Programs

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Run by your state Medicaid office

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Can pay your Part B premium, and sometimes deductibles and coinsurance

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Income and asset limits vary by state

Extra Help (Part D)

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Run by Social Security

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Lowers Part D premiums, deductibles and copays

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People in a Medicare Savings Program qualify automatically

If you qualify for both Medicare and full Medicaid, you may also be able to join a Dual Special Needs Plan. See help for low-income Part D beneficiaries.

Free Medicare Help in Ohio

Ohio’s State Health Insurance Assistance Program, OSHIIP (Ohio Senior Health Insurance Information Program), offers free, unbiased Medicare counseling. You can also call 1-800-MEDICARE any time or compare plans with a licensed agent at no cost.

Free Help Comparing Plans

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Medicare Plan Finder on Medicare.gov, available any time

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1-800-MEDICARE (1-800-633-4227), available 24 hours a day, seven days a week

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Your State Health Insurance Assistance Program (SHIP), which offers free, unbiased counseling

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A licensed insurance agent or broker, who can compare plans from several insurers at no cost to you

Before any call, have your Medicare card, your list of drugs and doses, your doctors and your preferred pharmacies ready. It turns a long conversation into a short one.

Bottom Line

The Bottom Line

Ohio loses 32 Medicare Advantage plans for 2027, and Wellcare goes SNP-only. Read your Annual Notice of Change or non-renewal letter, compare plans in your county, and enroll during Annual Enrollment, October 15 to December 7, 2026.

Compare plans and enroll online

Frequently Asked Questions

➤ How many Medicare Advantage plans are in Ohio for 2027?

There are 180 Medicare Advantage plans in Ohio for 2027, down from 212 in 2026. Most counties still have plans from several insurers. Because options differ by county, enter your ZIP code in Medicare Plan Finder and compare premiums, out-of-pocket maximums, drug coverage and networks before December 7, 2026.

➤ Is Wellcare leaving Ohio?

Wellcare (Centene) will offer only Special Needs Plans in Ohio for 2027. Members of other Wellcare plans in Ohio need to choose a new plan. Affected members should get a non-renewal notice, keep coverage through December 31, 2026, and have a Special Enrollment Period plus a guaranteed issue right to buy certain Medigap plans.

➤ Which insurers offer Medicare Advantage in Ohio?

Humana, UnitedHealthcare, Aetna, Anthem and Ohio-based plans, among others, offer Medicare Advantage in Ohio. Availability varies by county, so the insurers you can choose from depend on where you live. Compare 2027 plans by ZIP code and check that your doctors and prescriptions are covered before you enroll.

➤ Where can I get free Medicare help in Ohio?

OSHIIP, Ohio’s State Health Insurance Assistance Program, offers free, unbiased counseling. Counselors can help you compare 2027 Medicare Advantage, Medigap and Part D options and understand notices from your plan. They do not sell insurance, so their guidance is independent.

➤ What if my Ohio Medicare Advantage plan is ending?

You will get a non-renewal notice, and your coverage continues through December 31, 2026. You can choose a new plan during Annual Enrollment or a Special Enrollment Period, and you generally have a guaranteed issue right to buy certain Medigap plans.

➤ When can I change my Ohio Medicare plan for 2027?

Annual Enrollment runs October 15 to December 7, 2026, with coverage starting January 1, 2027. If you are in Medicare Advantage, you can also make one change from January 1 to March 31, 2027.

Have Questions?

Speak with a licensed insurance agent

1-855-398-0716

TTY users 711

Mon-Fri: 8am-9pm ET

Find & Compare Plans Online

Speak with a licensed insurance agent

1-855-398-0716TTY 711

Mon-Fri: 8am-9pm ET

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