“Am I still going to have Medicare?”
Is a common question I have heard a few times in the past year. I have asked myself a few times why is this question becoming more popular in the last 12 months. Is it because there are less Joe Namath commercials promoting Medicare Advantage plans, is it because people hear cuts are happening to Medicaid, and people getting confused between Medicare and Medicaid, or are people seeing in the news that big health insurance companies like United Health Care and Humana are no longer servicing certain markets or offering less plans. Two of the three reasons I mentioned are true the health insurance companies are doing less marketing campaigns, and they are leaving certain markets. Now what does this mean if you are currently on a Medicare Advantage plan.
Medicare Advantage plans in 2026 are available to Medicare eligible beneficiaries in 49 states with Alaska being the only state not offering Medicare Advantage plans which has historically been the case. I should mention Puerto Rico does offer Medicare Advantage plans as well. As you continue to read you will find more in-depth reasoning to why insurers are pulling back Medicare Advantage plans and what you can do to stay proactive with the constant changes in Medicare, so you don’t get left behind.
Why Insurers Are Pulling Back
Insurance companies are facing mounting cost pressures that are reshaping the Medicare Advantage market. The key drivers include:
- Rising healthcare costs: Hospital expenses, provider wages, and prescription drug prices continue to climb.
- Increased utilization: More seniors are using healthcare services and advanced treatments.
- Limited government reimbursement: The Centers for Medicare & Medicaid Services (CMS) approved about a 5% payment increase for 2026, but it hasn’t kept pace with real cost growth.
- Reduced profit margins: Some insurers are withdrawing from less profitable or rural markets to stabilize their operations.
As a result, several regions are seeing fewer plan choices, narrower provider networks, and reduced supplemental benefits.
Why Costs Are Rising
The overall cost of Medicare is increasing. Part B premiums alone are projected to rise roughly 11% in 2026, and those costs ripple through Medicare Advantage plans. To offset higher expenses, insurers are:
- Raising premiums and out-of-pocket limits
- Trimming “extra” benefits like dental, vision, or fitness perks
- Tightening provider networks and prior-authorization rules
While these changes aim to keep plans sustainable, they also mean consumers must be more strategic when choosing coverage.
How Consumers Can Stay Proactive
- Review your Annual Notice of Change (ANOC): This document outlines updates to your plan’s costs, benefits, and network for 2026.
- Compare plans early: The Medicare Open Enrollment Period runs from October 15 to December 7, 2025 don’t wait until the last minute to review your options.
- Confirm your doctors and prescriptions: Make sure your providers remain in-network and your medications are covered.
- Explore alternatives: If local options shrink, consider Original Medicare with a Medigap and Part D plan.
- Use trusted resources: Visit Medicare.gov or contact your State Health Insurance Assistance Program (SHIP) for free, unbiased guidance.
Marketing
Seeing less of Joe Namath and commercials advertising Medicare Advantage plans is a real thing. It’s hard to believe it, but having too many customers is an issue that many insurance companies are facing. Some may find a bit of relief from having less insurance companies sending you a bunch of mail/emails regarding the new Medicare plans available in your area, but also at the same time less marketing means less options for the consumer.
The Bottom Line
Medicare Advantage plans in 2026 will likely come with higher costs and fewer choices, but informed consumers still have control. The Medicare space will continue to change every year, and they won’t be just little changes. For 2025 we saw big changes in the prescription drug area. By reviewing your coverage early, comparing alternatives, and seeking guidance, you can ensure your plan continues to meet your health and financial needs. Being proactive today could save you money and frustration.