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

2026 Medicare plans, data current as of Nov 12, 2026 4:32 AM CT. Tracked separately from individual-market (ACA) plans.

Plan typePlans loadedWith benefitsWith drug formularyWith provider network
MA (Medicare Advantage (no drug coverage))434434 (100%)n/a75 (17%)
MA-PD (Medicare Advantage with drug coverage)5,1615,161 (100%)5,128 (99%)783 (15%)
PDP (Part D drug plan)367367 (100%)367 (100%)0 (0%)
All Medicare plans5,9625,962 (100%)5,495 (92%)858 (14%)

Medicare Advantage provider directories (doctor in-network checks)

858 of 5,595 2026 Medicare Advantage plans (MA and MA-PD, 15%) 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 2026 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)
0 - Nov 12, 2026
Humana Inc. Exact (CMS plan id)
exact (InsurancePlan identifier = CMS plan id + year)
858 858 of 887 (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 Directories can be out of date and a plan not listed here may still cover the doctor: always confirm with the plan and the doctor's office before enrolling.

3,159 counties, 328 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 2026 Medicare plans by county.

Map of US states showing the percentage of 2026 Medicare plans with provider network data Alaska: 9 plans, 100% with benefits, 100% with formulary Alabama: 110 plans, 100% with benefits, 92% with formulary Arkansas: 103 plans, 100% with benefits, 90% with formulary Arizona: 143 plans, 100% with benefits, 95% with formulary California: 414 plans, 100% with benefits, 95% with formulary Colorado: 117 plans, 100% with benefits, 90% with formulary Connecticut: 58 plans, 100% with benefits, 91% with formulary District of Columbia: 30 plans, 100% with benefits, 83% with formulary Delaware: 47 plans, 100% with benefits, 89% with formulary Florida: 621 plans, 100% with benefits, 96% with formulary Georgia: 176 plans, 100% with benefits, 87% with formulary Hawaii: 52 plans, 100% with benefits, 88% with formulary Iowa: 84 plans, 100% with benefits, 77% with formulary Idaho: 58 plans, 100% with benefits, 86% with formulary Illinois: 172 plans, 100% with benefits, 87% with formulary Indiana: 137 plans, 100% with benefits, 93% with formulary Kansas: 99 plans, 100% with benefits, 89% with formulary Kentucky: 124 plans, 100% with benefits, 92% with formulary Louisiana: 121 plans, 100% with benefits, 94% with formulary Massachusetts: 114 plans, 100% with benefits, 84% with formulary Maryland: 73 plans, 100% with benefits, 86% with formulary Maine: 61 plans, 100% with benefits, 88% with formulary Michigan: 204 plans, 100% with benefits, 93% with formulary Minnesota: 93 plans, 100% with benefits, 86% with formulary Missouri: 167 plans, 100% with benefits, 92% with formulary Mississippi: 103 plans, 100% with benefits, 93% with formulary Montana: 43 plans, 100% with benefits, 83% with formulary North Carolina: 187 plans, 100% with benefits, 92% with formulary North Dakota: 40 plans, 100% with benefits, 82% with formulary Nebraska: 65 plans, 100% with benefits, 84% with formulary New Hampshire: 28 plans, 100% with benefits, 89% with formulary New Jersey: 97 plans, 100% with benefits, 87% with formulary New Mexico: 84 plans, 100% with benefits, 92% with formulary Nevada: 115 plans, 100% with benefits, 95% with formulary New York: 228 plans, 100% with benefits, 88% with formulary Ohio: 222 plans, 100% with benefits, 92% with formulary Oklahoma: 93 plans, 100% with benefits, 88% with formulary Oregon: 111 plans, 100% with benefits, 86% with formulary Pennsylvania: 344 plans, 100% with benefits, 92% with formulary Rhode Island: 34 plans, 100% with benefits, 91% with formulary South Carolina: 106 plans, 100% with benefits, 87% with formulary South Dakota: 38 plans, 100% with benefits, 78% with formulary Tennessee: 144 plans, 100% with benefits, 93% with formulary Texas: 435 plans, 100% with benefits, 93% with formulary Utah: 65 plans, 100% with benefits, 89% with formulary Virginia: 152 plans, 100% with benefits, 90% with formulary Vermont: 14 plans, 100% with benefits, 92% with formulary Washington: 136 plans, 100% with benefits, 91% with formulary Wisconsin: 131 plans, 100% with benefits, 75% with formulary West Virginia: 81 plans, 100% with benefits, 88% with formulary Wyoming: 25 plans, 100% with benefits, 76% with formulary District of Columbia: 30 plans
Shade and labels: share of the state's Medicare plans with provider network data. Map outlines: Wikimedia Commons, public domain (CC0).

California - 2026 Medicare

414 plans (MA 8, MA-PD 394, PDP 12) in 56 counties. Benefits 100%, drug formulary 95%, provider network 6%.

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, LLC040040 of 4039 of 400 of 40
Astiva Health Holdings Incorporated0707 of 77 of 70 of 7
California Physicians' Service015217 of 1717 of 170 of 17
Centene Corporation016218 of 1817 of 180 of 18
Champion Health Plans-USA, LLC.0707 of 77 of 70 of 7
Chinese Hospital Association0505 of 55 of 50 of 5
Clever Care Health Plan, Inc.0404 of 44 of 40 of 4
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 Corporation131133 of 3332 of 320 of 33
Elevance Health, Inc.044044 of 4441 of 440 of 44
Elite Health Systems, Inc.0202 of 22 of 20 of 2
Health Care Service Corporation0022 of 22 of 20 of 2
Health Plan of San Mateo0101 of 11 of 10 of 1
Humana Inc.324330 of 3026 of 2727 of 30
IMPERIAL COUNTY LOCAL HEALTH AUTHORITY0101 of 11 of 10 of 1
Imperial Health Plan of California1203 of 32 of 20 of 3
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.123024 of 2420 of 230 of 24
Montage Health0404 of 44 of 40 of 4
Orange County Health Authority0101 of 11 of 10 of 1
Providence St Joseph Health0101 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 Group054054 of 5454 of 540 of 54
Sharp Healthcare0404 of 44 of 40 of 4
The Regents of the University of California0202 of 22 of 20 of 2
UnitedHealth Group, Inc.241245 of 4543 of 430 of 45
Ventura County Medi-Cal Managed Care Commission0101 of 11 of 10 of 1
All states
StateMAMA-PDPDPBenefits %Formulary %Network %
Alabama89012100%92%17%
Alaska009100%100%0%
Arizona712610100%95%13%
Arkansas108112100%90%21%
California839412100%95%6%
Colorado99810100%90%16%
Connecticut54211100%91%6%
Delaware53210100%89%12%
District of Columbia51510100%83%10%
Florida2458710100%96%19%
Georgia1914710100%87%18%
Hawaii4408100%88%11%
Idaho84010100%86%20%
Illinois1714312100%87%17%
Indiana911810100%93%23%
Iowa195411100%77%10%
Kansas107712100%89%19%
Kentucky910510100%92%36%
Louisiana710410100%94%28%
Maine7459100%88%18%
Maryland105310100%86%13%
Massachusetts158811100%84%4%
Michigan1417812100%93%10%
Minnesota136911100%86%6%
Mississippi78610100%93%22%
Missouri1214510100%92%20%
Montana72511100%83%39%
Nebraska104411100%84%10%
Nevada510010100%95%13%
New Hampshire3169100%89%17%
New Jersey127312100%87%11%
New Mexico66711100%92%19%
New York2119710100%88%5%
North Carolina1416112100%92%14%
North Dakota72211100%82%0%
Ohio1619610100%92%12%
Oklahoma117111100%88%25%
Oregon158610100%86%10%
Pennsylvania2530712100%92%7%
Rhode Island32011100%91%0%
South Carolina138211100%87%21%
South Dakota81911100%78%0%
Tennessee812412100%93%13%
Texas2739612100%93%15%
Utah74810100%89%23%
Vermont1211100%92%21%
Virginia141299100%90%27%
Washington1111510100%91%19%
West Virginia96012100%88%24%
Wisconsin319010100%75%13%
Wyoming6811100%76%20%

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.