10/01/2026
I was temporarily suspended from my personal Nextdoor account people because a guy reported me for posting "misinformation" about how many people were losing Advantage plans and that agents don't get paid for drug plans. I just had to laugh. So I posted this today in my local (Marin county) Nextdoor, on my business page, and I'm posting it here in case they take it down. And also because I think this is helpful info for people, especially in California.
🔹 2027 MEDICARE UPDATE 🔹
I’m finally allowed to talk about 2027 Medicare plans, so I’m going to share with you what I know to be coming. I will focus on Marin but include info that affects all Californians and likely a few outlying counties, as I know people have friends and family nearby.
THIS IS ALL INFORMATION I KNOW TO BE 100% ACCURATE. My personal account was temporarily suspended for supposedly posting “misinformation” on my last Medicare post. LOL What I posted then and now is all information that can now be found publicly on official websites if you know where to look.
🔹 STANDALONE PART D RX DRUG PLANS🔹
Californians will be losing two standalone Part D plans in 2027: the Aetna SilverScript Choice plan and the HealthSpring Extra Rx plan. If you’re on either of those plans, you will need to enroll in a new plan between 10/15 - 12/7.
As I said in my last post, agents are no longer compensated for any Part D plans, so our insurance doesn’t cover us if we help people with them. In the past, I’ve sent everyone to medicare dot gov to do the research. But based on personal experience, I no longer think that’s a viable option. I wrote an extensive Part D Cheat Sheet that covers my suggested solutions. I’m happy to share with anyone who texts me at 415 539 2979 and includes their name & email. Or just email me and ask for it, cheri @ savvyseniorsolutions dot com, and I’ll email it to you.
💚 BY THE WAY, MY PART D CHEAT SHEET WORKS IN ALL STATES 💚
Simple hint: the plan to choose is the one that covers ALL of your medications at a pharmacy you like for the lowest overall annual cost. But because these plans can change significantly every year, you must do this ever AEP (10/15-12/7).
Even if your Part D plan is not terminating, you really need to check your meds against next year’s plan, as things are changing dramatically.
Next year there will be no $0 premium Part D plans in California. *** VERY IMPORTANT: If you are on the $0 premium plan this year, make sure you look for AND PAY any bill you receive from the plan you’ll have in 2027. People often miss this step. If you don’t pay your premium and the plan can’t reach you, they will eventually disenroll you, so pay attention.
On the Annual Notice of Change for one of the plans, it shows the premium going from $0 this year to $7.30 next year. However, official CMS documentation as well as the carrier enrollment kits all show it to be $9.30. I have no idea which will be the final price, but if you’re affected, you will eventually find out LOL. (This is the Part D plan I’m on, so I’ve seen the ANOC.)
🔹IF YOU HAVE MEDICARE, MEDI-CAL, AND A PART D PLAN WITH LIS 🔹
If this is you, make sure you are on a plan for 2027 with a premium that falls below the LIS threshold, which will be $7.28 next year. LIS will only pay $7.28. If your premium is higher than that, you’ll have to pay the difference.
🔹WANT A MEDICARE SUPPLEMENT BUT AREN'T HEALTHY ENOUGH TO QUALIFY? 🔹
If this is you and you are on a Medicare Advantage plan that is going to change 15% for the worse in any way (i.e., increased premium or copay on major services, or higher MOOP on the medical–not drug–side, etc.), you will have a period of guaranteed issue at the end of the year. In other words, if this describes you, you can get a Supplement (aka Medigap) without having to be healthy enough to qualify. Many Advantage plans, even the ones sold by the company that starts K, often change 15% or more from year to year. If that’s you, reach out. If you’re not sure if your plan is going to change enough, email me with the exact plan you’re on and I’ll let you know. I love Medigap plans and am always happy to help people make that transition.
🔹MEDICARE SUPPLEMENTS/MEDIGAP PLANS 🔹
If you are on original Medicare with a Medicare Supplement plan (aka Medigap plan), YOUR PLAN NEVER CHANGES (other than going up in price each year). They are permanent plans. The only thing YOU need to do during 10/15-12/7 is look at your drug plan & follow the instructions above.
🔹MEDICARE ADVANTAGE 🔹
CMS released the 2027 Medicare landscape files today, and 17.7% of people nationwide with Medicare Advantage are in a plan that will not be available in 2027. That’s about 5.27 million people. Some will be automatically “crosswalked” into a different plan, but not all. Some of those details haven’t been released yet.
If your plan is being terminated and you don’t take action, you will go back to original Medicare with no supplement plan, leaving you exposed to 20% of all medical costs, high hospital deductibles, and no Rx drug coverage. So please pay attention to anything you receive from your plan.
The good news for Marin is that 2027 should be a pretty stable year. I know there have been some network disruptions here this year, which is somewhat normal for Advantage plans, but compared to other counties, Marin will be stable in 2027. The carriers we have in 2026 will all remain here, and no new ones are coming in for 2027. There are a couple of new plans, but remember that some plans require things such as Medi-Cal or a chronic condition. If your plan has been working well for you, I advise you just stay put for 2027.
🔹 SONOMA COUNTY 🔹
In our neighboring Sonoma county, there is some great news: SCAN Health Plan will be returning there with Medicare Advantage plans for 2027!! 👏🏻 You’ve probably seen the SCAN Costco commercials and ads; the two companies are co-branding Advantage plans in two states, California and Nevada. This is super exciting news for our friends just north of us, as they have had limited choices the past few years, and SCAN is an awesome company.
SCAN will also have a Costco branded Medicare Supplement plan in Washington state (!!) and a co-branded Medicare Advantage plan with Walmart in Arizona and Texas.
Side note: I’ll have a table at the Sonoma County Senior Expo, Sonoma County Event Center at 1350 Bennett Valley Road, Santa Rosa, on Thursday October 8 from 10-1. I’ll have more Medicare calendars & info, and lots of info on SCAN, so even if you don’t live up there, stop by!
🔹PLANS LEAVING CALIFORNIA 🔹
Central Health: I know this company isn’t in Marin, but it is in neighboring counties where Marinites have family and friends. ALL Central Health plans will be terminating in 2027, as well as many Molina plans.
ALL Aetna PPO plans will be leaving California on 2027. This affects most of southern CA but also the Bay Area: San Francisco, Alameda, San Mateo and Santa Clara.
IF YOU ARE LOSING YOUR PLAN, reach out to me. I'll keep you evaluate your options and choose what works best for you. 💜
🔹WHERE TO FIND INFO 🔹
Medicare dot gov is a great place to see what plans will be available for 2027, but give that site a bit of time. It’s rarely accurate on October 1, and even by October 15 the plan info isn’t always completely right. I’d give it until the 20th or so. By then the plans you see there should be pretty solid.
🔹UNSOLICITED ADVICE 🔹
As a licensed Medicare-certified independent agent, and a Medicare beneficiary myself, I know how complicated this system can be. That’s exactly why I decided to get into this industry. My best advice to anyone navigating Medicare–either at the beginning or when they’ve had it for a while–is to find a local trusted independent agent to help you. I still thank my lucky stars that many years ago when my husband went onto Medicare (and we were living in Mexico, so not in the loop at all!), I found an agent who gave me advice that made the entire experience better then and still now. Had he steered us the other way, my husband likely would not still be here. And that’s not hyperbole.
An agent like me costs you nothing, as we’re compensated by insurance companies so you don’t have to pay. Our help doesn’t increase what you pay in any way.
And once you have an agent, you always have an advocate in your corner and someone you can call in a panic when you have a question or heard something on the internet and want to know if it’s true. We work very hard for our clients, often for free, and would not do this if we didn’t love helping people.
Reach out to me if I can help in any way or if you want my Part D Cheat Sheet.