Orange County has 45 non-SNP Medicare Advantage plans for 2027, down from 59 in 2026 — a change of -24%. Of those, 41 carry a $0 Part C premium. A further 61 Special Needs Plans serve the county and are counted separately below.
Orange County lost more of its non-SNP Medicare Advantage choice than any other county we serve — close to a quarter of it in one year. A lot of that is Health First Health Plans, which does not renew a single one of its three plans here for 2027, and Humana, which drops five PPOs including four of its giveback plans. If your card says Health First, your plan is going away and no Health First plan replaces it in this county.
By The Numbers2027 Medicare Advantage in Orange County
| Measure (non-SNP Medicare Advantage) | 2026 | 2027 |
|---|---|---|
| Plans available | 59 | 45 |
| With a $0 Part C premium | 54 | 41 |
| Average Part C premium | $2.04 | $2.49 |
| Average consolidated Part C + D premium | $10.61 | $14.17 |
| Average in-network out-of-pocket maximum | $5,126 | $5,294 |
| Highest in-network out-of-pocket maximum | $9,250 | $9,850 |
| Average Part D deductible (plans with drug coverage) | $371.38 | $523.77 |
| Plans with no drug coverage | 12 | 10 |
| Special Needs Plans (counted separately) | 64 | 61 |
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 Orange County for 2027
1 carrier leaving
Health First Health Plans, Inc.. A carrier absent from the 2027 landscape for this county has no plan here next year.
1 carrier entering
AmeriHealth Caritas VIP Care (HMO-D-SNP) appears in Orange County for the first time in 2027.
33 plans out, 16 in
Across all plan types. Among non-SNP plans specifically that is 18 out and 4 in.
Non-SNP plans that do not return for 2027
Scroll the table sideways for every column
| Plan | Carrier | Type | 2026 Part C premium | 2026 MOOP | CMS plan ID |
|---|---|---|---|---|---|
| Health First Complete Care H1099-023 (HMO) | Health First Health Plans, Inc. | HMO | $0.00 | $2,400 | H1099_023 |
| Health First Emerald Plus H1099-024 (HMO) | Health First Health Plans, Inc. | HMO | $0.00 | $3,200 | H1099_024 |
| Health First Premier Access H1099-025 (HMO-POS) | Health First Health Plans, Inc. | HMO-POS | $0.00 | $4,500 | H1099_025 |
| Aetna Medicare Select Extra (HMO-POS) | Aetna Medicare | HMO-POS | $0.00 | $6,750 | H1609_028 |
| DrSelect-CFL (HMO) | Doctors HealthCare Plans, Inc. | HMO | $0.00 | $3,500 | H4140_016 |
| HumanaChoice Florida H5216-304 (PPO) | Humana | PPO | $0.00 | $4,700 | H5216_304 |
| Humana Full Access Giveback H5216-393 (PPO) | Humana | PPO | $0.00 | $6,750 | H5216_393 |
| Humana Direct Choice Giveback (PPO) | Humana | PPO | $0.00 | $6,750 | H5216_452 |
| HealthSpring Preferred Savings (HMO) | HealthSpring | HMO | $0.00 | $4,800 | H5410_026 |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | HMO | $0.00 | $3,450 | H5471_074 |
| Simply Extra Platinum (HMO) | Simply Healthcare Plans, Inc. | HMO | $0.00 | $3,200 | H5471_120 |
| Aetna Medicare Signature (PPO) | Aetna Medicare | PPO | $0.00 | $6,750 | H5521_033 |
| HumanaChoice Florida H7617-109 (PPO) | Humana | PPO | $0.00 | $4,700 | H7617_109 |
| Humana Full Access Giveback H7617-111 (PPO) | Humana | PPO | $0.00 | $6,750 | H7617_111 |
| Humana Direct Choice Giveback (PPO) | Humana | PPO | $0.00 | $6,750 | H7617_112 |
| Aetna Medicare Premier (PPO) | Aetna Medicare | PPO | $14.00 | $6,750 | H5521_586 |
| Humana USAA Honor Giveback (PPO) | Humana | PPO | $0.00 | $6,750 | H5216_467 |
| Wellcare Patriot Giveback (HMO) | Wellcare | HMO | $0.00 | $5,000 | H1032_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 TypesPlan types available in Orange County for 2027
HMO
- Non-SNP plans 23
- $0 Part C premium 23
- Average Part C premium $0.00
- Average out-of-pocket max $4,149
- Highest out-of-pocket max $7,150
- Without drug coverage 3
PPO
- Non-SNP plans 10
- $0 Part C premium 9
- Average Part C premium $1.86
- Average out-of-pocket max $7,010
- Highest out-of-pocket max $8,900
- Without drug coverage 5
HMO-POS
- Non-SNP plans 7
- $0 Part C premium 7
- Average Part C premium $0.00
- Average out-of-pocket max $4,543
- Highest out-of-pocket max $7,200
- Drug coverage All plans
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
How Orange 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 Orange County that year, labelled as such, and it is the most recent plan-level rating that exists for this county.
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 59 non-SNP plans available in 2026.
The 2026 county average among rated non-SNP plans was 4.16 stars, with 72.9% rated 4 stars or higher. Nationally for 2027, 15 Medicare Advantage contracts earned 5 stars and no stand-alone Part D plan did.
Part DStand-alone Part D in Orange County
Drug-only plans are priced by region, not by county. Orange 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 Orange County
Orlando households often reach 65 still working part-time in hospitality or on contract, sometimes with an employer plan that is not creditable drug coverage. Check that before you drop anything — the Part D late-enrolment penalty is permanent.
Plans are sold county by county, so what is available in Orlando is available across Orlando, Winter Park, Apopka, Ocoee, Winter Garden, Maitland and Lake Nona as well — all of Orange County. You must be enrolled in Medicare Part A and Part B to join a Medicare Advantage plan.
EnrolmentHow 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.
Cities In This CountyCity pages in Orange County
Medicare is the same county-wide, but the rest of the picture is not. Each city page covers what coverage usually looks like locally, across every line we handle.
Other CountiesMedicare 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 Orange County ask
Is my Health First plan ending in Orange County?
All three Health First Health Plans plans available in Orange County for 2026 — Health First Complete Care, Health First Emerald Plus and Health First Premier Access — are non-renewed for 2027, and Health First does not appear in the county’s 2027 landscape at all. If you are in one, you will get a non-renewal letter and you need to choose something else before December 7.
Which Humana plans are not coming back to Orange County?
Five Humana PPOs in the county are non-renewed for 2027: HumanaChoice Florida H7617-109, Humana Full Access Giveback H5216-393 and H7617-111, and Humana Direct Choice Giveback H5216-452 and H7617-112. Humana still offers other plans in Orange County, so this is a plan change rather than a carrier exit.
Does it cost more to use an agent in Orange 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 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 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 CMS Contract Year 2027 Part D benefit parameters
$700 maximum deductible and $2,400 annual out-of-pocket threshold for 2027.
- 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 Orange 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 111 plans for 2026 and 96 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.