State guide · Alabama · 2027 plan year
Original Medicare vs Medicare Advantage in Alabama
Medicare Advantage plans differ from county to county. Each guide below lists the 2027 plans on this site for one county, next to Original Medicare with Medigap: premiums, the yearly limit, star ratings, prior authorization, and the yearly cost.
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In most states, including Alabama, you cannot count on getting Medigap later
You can buy any Medigap plan with no health questions in the 6 months that start when you are 65 or older and have Part B. After that, a Medigap company in Alabama can ask about your health. It can say no, or it can charge you more. So if you join a Medicare Advantage plan now, you may not be able to get Medigap later.
One exception is the trial right. If you joined Medicare Advantage when you first got Medicare at 65, or you left a Medigap plan to try Medicare Advantage for the first time, you can switch back within 12 months. Then you can buy a Medigap plan with no health questions.
Read about Medigap rights on Medicare.govCounties with a guide in Alabama
67 local guides. The number shows the 2027 Medicare Advantage plans in each guide.
- Autauga County39 plans
- Baldwin County43 plans
- Barbour County30 plans
- Bibb County39 plans
- Blount County42 plans
- Bullock County35 plans
- Butler County32 plans
- Calhoun County31 plans
- Chambers County36 plans
- Cherokee County37 plans
- Chilton County40 plans
- Choctaw County24 plans
- Clarke County26 plans
- Clay County30 plans
- Cleburne County29 plans
- Coffee County24 plans
- Colbert County37 plans
- Conecuh County23 plans
- Coosa County34 plans
- Covington County24 plans
- Crenshaw County35 plans
- Cullman County39 plans
- Dale County27 plans
- Dallas County38 plans
- DeKalb County32 plans
- Elmore County35 plans
- Escambia County32 plans
- Etowah County37 plans
- Fayette County27 plans
- Franklin County30 plans
- Geneva County27 plans
- Greene County24 plans
- Hale County24 plans
- Henry County27 plans
- Houston County31 plans
- Jackson County39 plans
- Jefferson County43 plans
- Lamar County28 plans
- Lauderdale County37 plans
- Lawrence County35 plans
- Lee County29 plans
- Limestone County39 plans
- Lowndes County38 plans
- Macon County37 plans
- Madison County43 plans
- Marengo County24 plans
- Marion County34 plans
- Marshall County35 plans
- Mobile County46 plans
- Monroe County23 plans
- Montgomery County40 plans
- Morgan County39 plans
- Perry County28 plans
- Pickens County28 plans
- Pike County37 plans
- Randolph County28 plans
- Russell County35 plans
- Shelby County43 plans
- St. Clair County41 plans
- Sumter County23 plans
- Talladega County37 plans
- Tallapoosa County35 plans
- Tuscaloosa County21 plans
- Walker County44 plans
- Washington County27 plans
- Wilcox County23 plans
- Winston County31 plans
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A higher drug plan premium is not, by itself, a reason to switch
With Original Medicare, you buy a separate drug plan. In Alabama, 11 drug plans are for sale for 2027, from $5.30 to $204.60 a month. Half of them cost $110.40 a month or less.
- Every 2027 drug plan limits what you pay for covered drugs to $2,400 a year. The drug coverage in Medicare Advantage plans has the same limit.
- The premium is one part of your yearly cost. Each county guide adds premiums, medical costs, and drug costs, so you can see the whole year.
- A Medicare Advantage plan can cost less in a light year. But you also take on its network and prior authorization rules, and you may not be able to get Medigap later.
- If your income is limited, Extra Help can pay most of your drug plan premium and drug costs. Check Extra Help at SSA.gov
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Sources and method
Plan data comes from the CMS 2027 Plan Benefit Package and landscape files. The data is from 2026-10-10. Drug plan premiums come from the CMS 2027 landscape file for Alabama.
These are estimates, not quotes, and they are for education only. Check every number with Medicare and with the plan before you choose. What you pay depends on your doctors and hospitals, your drugs and pharmacy, and the care you use. Plans can change their benefits, premiums, drug lists, and networks each year.
Pinnie is not an insurance agent or broker and does not sell Medicare plans. Pinnie is not connected with or endorsed by the U.S. government or the federal Medicare program. For all your options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048.