KFF December 9, 2025
Meredith Freed, Jeannie Fuglesten Biniek, Nancy Ochieng, Tricia Neuman

Over the last decade, Medicare Advantage, the private plan alternative to traditional Medicare, has taken on a prominent role in the Medicare program. In 2025, more than 34 million Medicare beneficiaries are enrolled in a Medicare Advantage plan – more than half, or 54%, of the eligible Medicare population.

In 2026, the average Medicare beneficiary has a choice of 32 Medicare Advantage prescription drug (MA-PD) plans, two fewer than the 34 in 2025. Virtually all Medicare Advantage plans for 2026 provide multiple extra benefits like vision, hearing, and dental benefits, similar to last year. While Medicare Advantage plan choices are relatively stable for a large share of beneficiaries, the number of enrollees facing plan terminations is increasing in 2026, which...

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