STAT NEWS – Major health insurers are taking drastic steps to discourage older adults from signing up for their private Medicare plans as they seek to boost profits, drawing the ire of insurance brokers and state regulators.
Humana, UnitedHealthcare, Anthem, and Centene, and regional insurers like SummaCare, are among the firms that are halting or cutting commissions on Medicare plans.
Some are even cutting off access to online enrollment portals, according to company notices obtained by STAT. Many of those decisions occurred after Oct. 15, when Medicare’s annual enrollment period started. It ends Dec. 7.
Companies have overhauled their 2026 Medicare Advantage and Medicare prescription drug plans in an attempt to boost profits and adapt to the Inflation Reduction Act.
An estimated 3 million people are in soon-to-be-terminated Medicare Advantage plans and have to choose new coverage.
Over the past few years, the Medicare markets have become an increasingly feverish game of hot potato — with Humana, CVS Health’s Aetna, and now UnitedHealthcare altering benefits and drug formularies with the intention of pushing their sicker, costlier customers to choose a competitor’s plan …
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Major Insurers Scale Back Medicare Advantage and Part D Plans for 2026
Beneficiaries enrolled in Medicare Advantage and Part D drug plans might lose their coverage as UnitedHealthcare, Humana, and Aetna (CVS Health) scale back offerings for 2026.
By Donna LeValley, October 8, 2025
Kiplinger – CVS Health, Humana, and UnitedHealth Group have announced that they will pull back on Medicare Advantage (MA) and Part D prescription drug plans next year.
These changes are a response to financial pressures, including changes to government funding and rising healthcare costs. This has led insurance carriers to scale back their offerings in less profitable regions.
“The combination of (Centers for Medicare and Medicaid Services) funding cuts, rising healthcare costs, and increased utilization have created headwinds that no organization can ignore,” said Bobby Hunter, who is the CEO of Government Programs at UnitedHealthcare.
Insurers feel cost pressures
One of the reasons insurers are dropping Medicare Advantage (MA) plans is reduced government funding. It is estimated that by 2026, government reimbursement will have fallen 20% from 2023 levels, Hunter said.
This longer-term cut is masked by the projected 2026 average reimbursement rate increase of 5.06%, which is higher than the initial 2.23% increase proposed by the Biden administration back in January 2025.
When commenting on the patient impact of eliminating plans, Hunter said, “The exits will likely steer patients toward health maintenance organizations, or plans which require more frequent referrals and limit patients to a network of providers.”
Here is a summary of the planned reductions and key changes for 2026 as reported by Reuters:
- UnitedHealthcare (UHC): The nation’s largest MA provider is making “strategic adjustments” and will stop offering Medicare Advantage plans in 109 U.S. counties in 2026, impacting 180,000.
- Humana: The second-largest MA insurer is also significantly retrenching, cutting plans in hundreds of counties and in a few states to stabilize its financial margins. Humana plans will be available in 85% of U.S. counties next year, down from 89% in 2025, and in 46 states, down from 48 in 2025.
- Aetna (CVS Health): CVS Health’s Aetna insurance business will operate prescription drug plans in 100 fewer U.S. counties next year than it did in 2025. It will provide plans in 43 states and Washington, D.C., and 2,159 counties for 2026, down from 44 states and 2,259 counties in 2025.
What’s happening to your plan?
If you are enrolled in a Medicare Advantage plan through UnitedHealthcare, Humana, or Aetna and want to know if your plan is being eliminated, read your Annual Notice of Change (ANOC).
Your plan is required to send the notice to you and should have arrived by September 30. The ANOC includes any changes in coverage, costs, and any other modifications that will take effect in January 2026.
If you haven’t received a copy of your ANOC, there are a few ways to get one. You can call them directly or check their website.
How to find a new plan
There are resources to help if you are among the MA plan participants who will need to find a new plan for 2026. The Medicare.gov website also has a plan compare feature, Abraham said, adding it allows people to compare “apples to apples,” their current plans to the other options available for 2026.
You can also contact your local SHIP (State Health Insurance Assistance Program) office. It provides unbiased help to Medicare beneficiaries, their families, and caregivers. The office can help you navigate your questions about original Medicare, Medicare Advantage plans, and Medigap insurance …
