Alachua County Medicare 2027: about 1 in 3 Advantage members are in plans ending or changing.
Gainesville has the biggest Medicare shake-up of any large Florida county this year, and only 16 plans to choose from. Here is how to weigh an Advantage plan against Medigap.
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Plan ending in Alachua County?
Rafael will check the 16 Alachua plans against your UF Health or other doctors, and compare a Medigap option, at no cost.
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53,317 Alachua residents have Medicare; 22,202 (42%) use Medicare Advantage. About 15,701 residents are 60 to 64 (Census ACS 2024). Source: REMCARE plan research from CMS files.
A third of Gainesville-area Advantage members are in plans ending or changing
Among Florida counties with 50,000 or more people on Medicare, Alachua has the biggest shake-up for 2027. About 7,406 residents, roughly a third of the county’s Medicare Advantage members, are in plans that won’t return under the same plan number. Most were in two PPO plans with a Part B premium reduction. And Alachua has only 16 plans open to everyone, from 3 companies.
With so few Advantage choices, Original Medicare with a Medicare Supplement is worth a real look here. Fewer than half of Alachua’s Medicare population uses Advantage plans already.
If UF Health is your hospital
Check every 2027 plan’s network for UF Health Shands and your UF Health specialists. That’s the first filter.
If you want any doctor
Medigap plus a drug plan lets you see any doctor who takes Medicare, including at UF Health, with no network.
If you’re a veteran
The Malcom Randall VA Medical Center is in Gainesville. VA care and Medicare are separate, and you can use both.
Request a free Alachua County plan review.
Tell us how to reach you and which hospital system you use. Please don’t type your Medicare number or health details in the form.
Alachua County, 2027
| Count | |
|---|---|
| Medicare Advantage plans open to anyone | 16 |
| Companies offering them | 3 |
| Plans with a $0 monthly premium | 10 |
| Plans with a Part B premium reduction in their name | 5 |
| Yearly out-of-pocket limits | $3,300 to $9,850 |
| All plans, including special needs plans | 38 |
Plan figures are for 2027. Source: CMS 2027 plan files.
Statewide guide and neighboring counties
The Florida Medicare 2027 guide covers statewide dates, the Medicare Supplement option and every county page we have. Received a non-renewal letter? Read Is your Medicare plan ending in 2027?
Neighboring counties: Marion County, Duval County.
Questions from Alachua County residents
Why is Alachua so affected for 2027?
Two large PPO plans with a Part B premium reduction aren’t returning in Alachua under the same plan number. About 7,406 people, around 33% of the county’s Advantage members, are affected.
How many plans are left in Alachua?
16 plans are open to anyone for 2027, from 3 companies. Counting special needs plans, there are 38.
Is UF Health Shands in network?
It depends on the plan. Give us your UF Health doctors and we’ll check each 2027 plan’s network.
Should I switch to Medigap?
It’s worth comparing. Medigap has a higher monthly premium but no network, which matters with so few Advantage plans here. If your plan is ending, you may be able to buy certain Medigap policies without health questions for a limited time.
I’m a veteran in Gainesville. What should I know?
VA care at the Malcom Randall VA Medical Center and Medicare are separate. Some veterans use both; some choose a plan without drug coverage because they get medicines from the VA.
Can you help me from Gainesville?
Yes, by phone or video. Call 904-583-8391.
Sources
- Medicare.gov: When you can buy Medigap
- CMS 2027 Medicare Advantage and Part D state fact sheets
- Medicare.gov: Special Enrollment Periods
Alachua County numbers come from REMCARE’s 2027 plan research using CMS public files: the CMS CY2027 Landscape (updated 09/22/2026), CMS enrollment by contract/plan/county (September 2026), CMS MA State/County Penetration (September 2026) and Census ACS 2024 5-year estimates. Plan counts are for plans open to anyone on Medicare unless noted. This page is educational; your own plan letter and plan documents decide your options and dates. Updated October 2, 2026.
Rafael Mendoza, licensed agent, REMCARE Insurance Agency, NPN 8929595. Not connected with or endorsed by the U.S. government or the federal Medicare program.