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Medicare Advantage in Miami-Dade County, Florida: your 2027 guide

Miami · CMS CY2027 landscape data

  • Every figure computed from CMS files
  • Page last revised October 12, 2026
  • Licensed bilingual agent · EN / ES

Miami-Dade County has 41 non-SNP Medicare Advantage plans for 2027, down from 46 in 2026 — a change of -11%. Of those, 37 carry a $0 Part C premium. A further 60 Special Needs Plans serve the county and are counted separately below.

41
Non-SNP plans for 2027
37
$0 Part C premium
$4,555
Average out-of-pocket max
60
Special Needs Plans

Miami-Dade has the smallest Medicare Advantage menu of the five counties we serve and, at the same time, the best numbers on the measures that decide a bad year: the lowest average in-network out-of-pocket maximum and the lowest average Part D deductible of the five. Fewer plans, priced harder — which is what a genuinely competitive Medicare market looks like. HealthSpring is the one carrier not returning for 2027.

2027 Medicare Advantage in Miami-Dade County

Measure (non-SNP Medicare Advantage)20262027
Plans available4641
With a $0 Part C premium4237
Average Part C premium$2.31$2.73
Average consolidated Part C + D premium$13.09$16.12
Average in-network out-of-pocket maximum$4,392$4,555
Highest in-network out-of-pocket maximum$9,250$9,850
Average Part D deductible (plans with drug coverage)$269.86$381.03
Plans with no drug coverage97
Special Needs Plans (counted separately)6960

Source: CMS Medicare Advantage / Part D landscape files, CY2026 and CY2027. “$0 premium” and “average premium” use the Part C premium; the consolidated Part C + D figure is a different, higher number and has its own row.

What changes in Miami-Dade County for 2027

1 carrier leaving

HealthSpring. A carrier absent from the 2027 landscape for this county has no plan here next year.

30 plans out, 16 in

Across all plan types. Among non-SNP plans specifically that is 10 out and 5 in.

Non-SNP plans that do not return for 2027

Scroll the table sideways for every column

PlanCarrierType2026 Part C premium2026 MOOPCMS plan ID
Wellcare Simple (HMO)WellcareHMO $0.00$1,000H1032_237
DrMax (HMO)Doctors HealthCare Plans, Inc.HMO $0.00$3,000H4140_001
DrSelect (HMO)Doctors HealthCare Plans, Inc.HMO $0.00$3,000H4140_012
DrElite-SFL (HMO)Doctors HealthCare Plans, Inc.HMO $0.00$3,400H4140_019
HealthSpring Preferred (HMO)HealthSpringHMO $0.00$6,750H5410_060
Simply More (HMO)Simply Healthcare Plans, Inc.HMO $0.00$3,850H5471_065
Simply Extra Platinum (HMO)Simply Healthcare Plans, Inc.HMO $0.00$2,450H5471_113
Simply More Platinum (HMO)Simply Healthcare Plans, Inc.HMO $0.00$3,400H5471_114
Humana USAA Honor Giveback (PPO)HumanaPPO $0.00$6,750H5216_467
Wellcare Patriot Giveback (HMO)WellcareHMO $0.00$5,000H1032_239

A plan missing from the next year’s landscape may be non-renewed outright or consolidated into another plan. Your plan’s own letter is what tells you which happened to you.

Your Annual Notice of Change, and the letter that matters more

Your Annual Notice of Change

Every Medicare Advantage and Part D plan had to mail an ANOC by 30 September 2026. It lists, line by line, what changes on 1 January 2027: premium, deductible, out-of-pocket maximum, copays, the drug list and its tiers, the provider network and the extra benefits.

The non-renewal letter, if your plan is ending

A separate letter arrives in October. It opens a Special Enrollment Period running from 8 December through the end of February — on top of the normal window — so losing your plan does not leave you stuck.

The handbook, beside the letter

Medicare & You 2027 is the official plain-language guide, published in English and Spanish, and it is free.

The handbook is worth having beside the letter: Medicare & You 2027 (English, PDF) · Medicare y Usted 2027 (Español, PDF).

Plan types available in Miami-Dade County for 2027

HMO

  • Non-SNP plans 24
  • $0 Part C premium 24
  • Average Part C premium $0.00
  • Average out-of-pocket max $3,286
  • Highest out-of-pocket max $7,150
  • Without drug coverage 2

PPO

  • Non-SNP plans 10
  • $0 Part C premium 9
  • Average Part C premium $1.86
  • Average out-of-pocket max $5,930
  • Highest out-of-pocket max $7,500
  • Without drug coverage 3

Regional PPO

  • Non-SNP plans 5
  • $0 Part C premium 2
  • Average Part C premium $18.68
  • Average out-of-pocket max $8,180
  • Highest out-of-pocket max $9,850
  • Without drug coverage 2

HMO-POS

  • Non-SNP plans 2
  • $0 Part C premium 2
  • Average Part C premium $0.00
  • Average out-of-pocket max $3,850
  • Highest out-of-pocket max $5,000
  • Drug coverage All plans

How Miami-Dade County plans were rated

CMS published the 2027 Star Ratings on 8 October 2026, but the 2027 landscape file does not yet carry a star rating for each plan — CMS loads those separately. The distribution below is therefore the 2026 rating for the plans available in Miami-Dade County that year, labelled as such, and it is the most recent plan-level rating that exists for this county.

5.0 6 · 13%
4.5 19 · 41%
4.0 7 · 15%
3.5 14 · 30%

Bar length is each rating’s share of the largest group, so the shape is readable at a glance; the figure on the right is the plan count and its share of all 46 non-SNP plans available in 2026.

The 2026 county average among rated non-SNP plans was 4.18 stars, with 69.6% rated 4 stars or higher. Nationally for 2027, 15 Medicare Advantage contracts earned 5 stars and no stand-alone Part D plan did.

Stand-alone Part D in Miami-Dade County

Drug-only plans are priced by region, not by county. Miami-Dade County sits in PDP Region 11, which covers Florida. The 2027 Part D parameters set by law are a maximum deductible of $700 (up from $615) and an annual out-of-pocket cap of $2,400 (up from $2,100). Once your covered drug spending reaches the cap you pay nothing more for covered Part D drugs that year.

The 2027 Part B premium has not been announced. CMS normally publishes it in November. Any 2027 Part B figure circulating now is a projection, not the rate.

Who this lands on in Miami-Dade County

Miami-Dade is the only county we serve where a 5-star plan is realistically available to an ordinary household, through Leon Health — but Leon works exclusively with its own Leon Medical Centers, so the question is not the star rating, it is whether you are willing to change doctors.

Plans are sold county by county, so what is available in Miami is available across Miami, Hialeah, Miami Beach, Coral Gables, Homestead, Kendall and Doral as well — all of Miami-Dade County. You must be enrolled in Medicare Part A and Part B to join a Medicare Advantage plan.

How and when to enrol

Annual Enrollment

15 October – 7 December 2026. Change anything; it starts 1 January 2027.

Medicare Advantage Open Enrollment

1 January – 31 March 2027. One further change if you hold a Medicare Advantage plan.

Initial Enrollment

The seven months around your 65th birthday — three before, your birthday month, three after.

Special Enrollment Periods

Moving, losing other coverage, and — relevant this year — your plan not being renewed.

You can enrol through Medicare Plan Finder, directly with the plan, or with a licensed agent. Using an agent does not change your premium — commission is already built into it.

Medicare Advantage in the other counties we serve

The plan menu changes at the county line, so each county has its own guide built from the same CMS files.

Questions people in Miami-Dade County ask

Does Miami-Dade have fewer Medicare Advantage plans than the rest of Florida?

It has the smallest menu of the five counties we serve, and it lost about a tenth of its non-SNP plans for 2027. But it also has the lowest average out-of-pocket maximum and the lowest average Part D deductible of the five, so fewer choices here does not mean worse ones.

Is there a 5-star Medicare plan in Miami-Dade for 2027?

Leon Health holds a 5-star contract for 2027 and operates in Miami-Dade. It works exclusively through Leon Medical Centers, so joining it generally means using their doctors. CMS’s 5-star special enrolment period lets you move to a 5-star plan once between December 8, 2026 and November 30, 2027 where one is available to you.

Does it cost more to use an agent in Miami-Dade County?

No. Agent commission is built into the plan premium whether you enrol yourself on Medicare.gov or with help, so the premium is identical either way.

Sources, citations and methodology

  1. 1 CMS Medicare Advantage / Part D Landscape, CY2026 and CY2027

    Plan counts, Part C premiums, consolidated Part C+D premiums, in-network maximum out-of-pocket amounts, annual Part D deductibles, plan types, SNP indicators and CMS plan IDs, by county.

  2. 2 CMS 2027 Medicare Advantage and Part D Star Ratings

    Released 8 October 2026. 15 MA-PD contracts earned 5 stars; no stand-alone Part D plan did.

  3. 3 CMS Contract Year 2027 Part D benefit parameters

    $700 maximum deductible and $2,400 annual out-of-pocket threshold for 2027.

  4. 4 Medicare Plan Finder

    The authority for your own plan, your drugs and your pharmacy. 2027 data available from 1 October 2026.

How these figures were computed. Every number on this page is calculated from the CMS landscape rows for Miami-Dade County in both contract years, not typed by hand. Following CMS and industry convention, Special Needs Plans are excluded from the Medicare Advantage averages and counted separately, and the Part C premium is kept distinct from the consolidated Part C + D premium. Averages are unweighted means across plans; the Part D deductible average covers only plans that include drug coverage. Counting MA-PD and SNP plans together the way CMS’s own county report does gives 106 plans for 2026 and 94 for 2027. Snapshot generated 2026-10-12.

What this page does not show, and why. County-level Medicare enrolment counts are not available from our data sources, so no enrolment or “most enrolled plan” figures are given. Plan-level 2027 star ratings are not yet in the landscape file, so the ratings section is explicitly labelled 2026. County chronic-condition rates were omitted because the available CDC series returns two different unlabelled values per county — apparently crude and age-adjusted prevalence — and publishing either without knowing which it is would be misleading. None of these gaps is filled with an estimate.

Reviewing your Miami-Dade County plan for 2027?

Send your medication list, your doctors and your ZIP code and Vivian will compare what is actually available to you in Miami-Dade County on total annual cost — in English or Spanish, at no charge.

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