Resources

Network Coverage

The share of each state's individual-market plans with rates, in-network physician data and drug formulary data loaded, plus Medicare Advantage and Part D plans (Medicare tab). Select a state to see its insurers. Brokers can also compare plan networks and check doctor disruption.

Coverage map

2027 Medicare plans, data current as of Nov 12, 2026 4:46 AM CT. Tracked separately from individual-market (ACA) plans.

Plan typePlans loadedWith benefitsWith drug formularyWith provider network
MA (Medicare Advantage (no drug coverage))389389 (100%)n/a77 (19%)
MA-PD (Medicare Advantage with drug coverage)5,1725,172 (100%)5,169 (99%)1,487 (28%)
PDP (Part D drug plan)323323 (100%)323 (100%)0 (0%)
All Medicare plans5,8845,884 (100%)5,492 (93%)1,564 (26%)

Medicare Advantage provider directories (doctor in-network checks)

1,572 of 5,561 2027 Medicare Advantage plans (MA and MA-PD, 28%) have a public provider directory loaded, so /MedicarePlans can show whether your doctor is in network. Source: each organization's CMS-required public provider directory (Da Vinci Plan-Net FHIR API), crawled slowly and without registering for anything on a plan's behalf.

OrganizationPlan mappingPlans mappedShare of its 2027 MA plansDirectory crawled (CT)
Devoted Health Exact (CMS plan id)
exact (InsurancePlan identifier = CMS plan id; plan period year; bulk FHIR Bundles per contract/year)
740 - Nov 12, 2026
Humana Inc. Exact (CMS plan id)
exact (InsurancePlan identifier = CMS plan id + year)
832 832 of 861 (96%) Nov 9, 2026

Organizations whose directory API needs a developer registration or key are not loaded yet. "Estimated" mappings match a plan to a directory network by name or product line rather than by CMS plan id, so they are flagged on every doctor result. In-network status comes from each Medicare Advantage organization's public provider directory (CMS-required Plan-Net). Directories can be out of date and a plan not listed here may still cover the doctor: always confirm with the plan and the doctor's office before enrolling.

3,163 counties, 286 Part D formularies. Provider networks for Medicare Advantage plans are being added organization by organization (Humana first); where a plan shows no network data, confirm doctors with the plan. Browse 2027 Medicare plans by county.

Map of US states showing the percentage of 2027 Medicare plans with provider network data Alaska: 9 plans, 100% with benefits, 100% with formulary Alabama: 124 plans, 100% with benefits, 92% with formulary Arkansas: 95 plans, 100% with benefits, 90% with formulary Arizona: 157 plans, 100% with benefits, 94% with formulary California: 404 plans, 100% with benefits, 98% with formulary Colorado: 112 plans, 100% with benefits, 94% with formulary Connecticut: 58 plans, 100% with benefits, 93% with formulary District of Columbia: 24 plans, 100% with benefits, 87% with formulary Delaware: 47 plans, 100% with benefits, 91% with formulary Florida: 571 plans, 100% with benefits, 96% with formulary Georgia: 170 plans, 100% with benefits, 88% with formulary Hawaii: 54 plans, 100% with benefits, 92% with formulary Iowa: 83 plans, 100% with benefits, 77% with formulary Idaho: 52 plans, 100% with benefits, 86% with formulary Illinois: 149 plans, 100% with benefits, 89% with formulary Indiana: 148 plans, 100% with benefits, 94% with formulary Kansas: 92 plans, 100% with benefits, 91% with formulary Kentucky: 131 plans, 100% with benefits, 93% with formulary Louisiana: 132 plans, 100% with benefits, 95% with formulary Massachusetts: 107 plans, 100% with benefits, 83% with formulary Maryland: 56 plans, 100% with benefits, 87% with formulary Maine: 58 plans, 100% with benefits, 89% with formulary Michigan: 192 plans, 100% with benefits, 95% with formulary Minnesota: 75 plans, 100% with benefits, 84% with formulary Missouri: 183 plans, 100% with benefits, 93% with formulary Mississippi: 111 plans, 100% with benefits, 94% with formulary Montana: 32 plans, 100% with benefits, 84% with formulary North Carolina: 190 plans, 100% with benefits, 93% with formulary North Dakota: 32 plans, 100% with benefits, 81% with formulary Nebraska: 61 plans, 100% with benefits, 83% with formulary New Hampshire: 28 plans, 100% with benefits, 89% with formulary New Jersey: 82 plans, 100% with benefits, 90% with formulary New Mexico: 71 plans, 100% with benefits, 95% with formulary Nevada: 107 plans, 100% with benefits, 93% with formulary New York: 233 plans, 100% with benefits, 92% with formulary Ohio: 189 plans, 100% with benefits, 91% with formulary Oklahoma: 90 plans, 100% with benefits, 90% with formulary Oregon: 103 plans, 100% with benefits, 89% with formulary Pennsylvania: 346 plans, 100% with benefits, 93% with formulary Rhode Island: 32 plans, 100% with benefits, 90% with formulary South Carolina: 105 plans, 100% with benefits, 86% with formulary South Dakota: 37 plans, 100% with benefits, 81% with formulary Tennessee: 166 plans, 100% with benefits, 94% with formulary Texas: 431 plans, 100% with benefits, 95% with formulary Utah: 59 plans, 100% with benefits, 89% with formulary Virginia: 157 plans, 100% with benefits, 92% with formulary Vermont: 15 plans, 100% with benefits, 93% with formulary Washington: 123 plans, 100% with benefits, 92% with formulary Wisconsin: 125 plans, 100% with benefits, 77% with formulary West Virginia: 78 plans, 100% with benefits, 89% with formulary Wyoming: 17 plans, 100% with benefits, 76% with formulary District of Columbia: 24 plans
Shade and labels: share of the state's Medicare plans with provider network data. Map outlines: Wikimedia Commons, public domain (CC0).

California - 2027 Medicare

404 plans (MA 7, MA-PD 387, PDP 10) in 55 counties. Benefits 100%, drug formulary 98%, provider network 7%.

See California plans by county

OrganizationMAMA-PDPDPBenefitsDrug formularyProvider network
AIDS Healthcare Foundation0101 of 11 of 10 of 1
Alameda Alliance for Health0101 of 11 of 10 of 1
Alignment Healthcare USA, LLC046046 of 4646 of 460 of 46
Astiva Health Holdings Incorporated0808 of 88 of 80 of 8
California Physicians' Service020222 of 2222 of 220 of 22
Centene Corporation014216 of 1616 of 160 of 16
Champion Health Plans-USA, LLC.010010 of 1010 of 100 of 10
Chinese Hospital Association0404 of 44 of 40 of 4
Clever Care Health Plan, Inc.0606 of 66 of 60 of 6
Community Health Group0202 of 22 of 20 of 2
Contra Costa Health Services0101 of 11 of 10 of 1
Curana Health Holdings, LLC0303 of 33 of 30 of 3
CVS Health Corporation125026 of 2625 of 250 of 26
Elevance Health, Inc.038038 of 3838 of 380 of 38
Elite Health Systems, Inc.0202 of 22 of 20 of 2
Health Care Service Corporation0011 of 11 of 10 of 1
Health Plan of San Mateo0101 of 11 of 10 of 1
Humana Inc.327333 of 3330 of 3030 of 33
IMPERIAL COUNTY LOCAL HEALTH AUTHORITY0101 of 11 of 10 of 1
Imperial Health Plan of California1304 of 43 of 30 of 4
INLAND EMPIRE HEALTH PLAN0101 of 11 of 10 of 1
Kaiser Foundation Health Plan, Inc.048048 of 4848 of 480 of 48
Kern Health Systems (KHS)0101 of 11 of 10 of 1
Local Initiative Health Authority for LA County0101 of 11 of 10 of 1
Molina Healthcare, Inc.0404 of 44 of 40 of 4
Montage Health0404 of 44 of 40 of 4
Orange County Health Authority0101 of 11 of 10 of 1
SAN FRANCISCO HEALTH AUTHORITY0101 of 11 of 10 of 1
SAN JOAQUIN COUNTY HEALTH COMMISSION0101 of 11 of 10 of 1
SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTH0101 of 11 of 10 of 1
SANTA CLARA COUNTY HEALTH AUTHORITY0101 of 11 of 10 of 1
SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MAN0101 of 11 of 10 of 1
SCAN Group066066 of 6666 of 660 of 66
The Regents of the University of California0202 of 22 of 20 of 2
UnitedHealth Group, Inc.240244 of 4442 of 420 of 44
Ventura County Medi-Cal Managed Care Commission0101 of 11 of 10 of 1
All states
StateMAMA-PDPDPBenefits %Formulary %Network %
Alabama910411100%92%41%
Alaska009100%100%0%
Arizona91399100%94%35%
Arkansas97511100%90%32%
California738710100%98%7%
Colorado6988100%94%34%
Connecticut44410100%93%29%
Delaware4349100%91%21%
District of Columbia3129100%87%4%
Florida2253811100%96%38%
Georgia191429100%88%31%
Hawaii4428100%92%46%
Idaho7378100%86%19%
Illinois1612310100%89%36%
Indiana81328100%94%35%
Iowa19559100%77%14%
Kansas87212100%91%32%
Kentucky81158100%93%38%
Louisiana61188100%95%43%
Maine6448100%89%22%
Maryland7409100%87%10%
Massachusetts158210100%83%4%
Michigan917211100%95%14%
Minnesota12549100%84%0%
Mississippi6969100%94%29%
Missouri121629100%93%35%
Montana5189100%84%53%
Nebraska10429100%83%22%
Nevada7919100%93%15%
New Hampshire3178100%89%46%
New Jersey86311100%90%21%
New Mexico35810100%95%32%
New York182069100%92%13%
North Carolina1316611100%93%34%
North Dakota6179100%81%0%
Ohio161649100%91%23%
Oklahoma9729100%90%38%
Oregon11848100%89%33%
Pennsylvania223168100%93%17%
Rhode Island31910100%90%0%
South Carolina14838100%86%31%
South Dakota7219100%81%0%
Tennessee914611100%94%34%
Texas1940210100%95%28%
Utah6458100%89%37%
Vermont1410100%93%33%
Virginia121369100%92%39%
Washington91068100%92%33%
West Virginia8628100%89%20%
Wisconsin28898100%77%14%
Wyoming449100%76%29%

Sources: CMS Medicare Advantage and Part D Landscape files (plans, premiums, counties, Star Ratings), Plan Benefit Package files (benefits) and the Part D formulary files. Formulary applies to MA-PD and PDP plans only. Derived from CMS public files (Landscape, Plan Benefit Package, Part D formulary). Plan availability, premiums, benefits and drug coverage can change: always confirm with the insurer or Medicare.gov before enrolling.