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 Directories can be out of date and a plan not listed here may still cover the doctor: always confirm with the plan and the doctor's office before enrolling.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).

North Carolina - 2026 Medicare

187 plans (MA 14, MA-PD 161, PDP 12) in 100 counties. Benefits 100%, drug formulary 92%, provider network 14%.

See North Carolina plans by county

OrganizationMAMA-PDPDPBenefitsDrug formularyProvider network
Alignment Healthcare USA, LLC0707 of 77 of 70 of 7
Centene Corporation18211 of 1110 of 100 of 11
CuraCor Solutions Corp.214218 of 1816 of 160 of 18
CVS Health Corporation118120 of 2019 of 190 of 20
Devoted Health, Inc.119020 of 2019 of 190 of 20
Health Care Service Corporation119222 of 2221 of 210 of 22
Humana Inc.427334 of 3430 of 3028 of 34
Independence Health Group, Inc.0101 of 11 of 10 of 1
Liberty Healthcare Insurance0303 of 33 of 30 of 3
Longevity Health Founders, LLC0101 of 11 of 10 of 1
Missouri Healthcare Advisors, LLC0202 of 22 of 20 of 2
Rifkin Managed Care Holding, LLC0303 of 33 of 30 of 3
Risant Health, Inc.1405 of 54 of 40 of 5
Troy Holdings, Inc.0202 of 22 of 20 of 2
UNICO Services, Inc.0101 of 11 of 10 of 1
UnitedHealth Group, Inc.332237 of 3734 of 340 of 37
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.