About 638,000 people with Medicare live in 193 counties where no general-enrollment Medicare Advantage plan with drug coverage will be offered in 2027, according to a new KFF analysis. That is up from 123 counties and 399,000 beneficiaries in 2026, an increase of 239,000 people.
The affected counties are spread across 16 states and the U.S. territories other than Puerto Rico. New Hampshire, North Dakota, and Oklahoma joined the list for 2027. Alaska has no general-enrollment Medicare Advantage drug plan in any county, affecting about 110,000 beneficiaries.
