Medicare open enrollment is here once again, and millions of older Americans are weighing the changes coming to their plans — and whether their insurer can still offer the coverage they need.
While beneficiaries consider whether to stick with their current advantage plan, find a new one or switch to traditional care, a KFF analysis shows Medicare Advantage options have dropped to just 35 plans in 2027, down from 39 in 2026. About 1% of enrollees will lose their Medicare Advantage prescription drug plan as a result of this broader decrease in selection.
On top of that, Part D subsidies are expiring at the end of this year, which are in place to cap the premiums seniors pay for prescription drug plans. About half of plan recipients will likely be faced with a higher cost of care as a result, an administration official told ABC News.
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That’s a lot to consider ahead of the Dec. 7 enrollment deadline. And it could be why comedian John Oliver and personal finance expert Suze Orman have long since made arguments against Medicare Advantage (MA).
But here’s how to make your own call.
Why Oliver and Orman are sounding the alarm
Last year, “Last Week Tonight” host John Oliver devoted a critical 31-minute segment to MA, arguing that the program is “woefully insufficient,” riddled with denials and delays, and costly to taxpayers.
Oliver accused major insurers of inflating patient risk scores to drive up federal payments and using restrictive networks and prior authorizations to limit care.
“When you take all this together, you get a system where the incentives are clearly set up for insurance companies to make you look as sick as possible on paper, while doing as little as possible to help you when you actually need it,” he summarized.
Personal finance expert Suze Orman has also been criticizing MA. In a widely shared post, she argued that original Medicare is “better” and warned that major insurers — including UnitedHealthcare and Humana — were going to terminate or consolidate plans for 2026, leaving older adults vulnerable to unexpected changes in premiums, networks and benefits.
Orman urged MA enrollees to carefully review their annual notice of change and consider switching back to traditional Medicare while they still can.
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Medicare Advantage has flaws, but it’s affordable and improving
Despite the backlash, some MA users insist the plans work well for them because of their financial costs.
“I’ve had MA for eight years, and I’ve never spent more than $200 or $300 in a given year on copays,” one Reddit user wrote.
Another said John Oliver “could harm a lot of folks” by implying MA is universally bad. These users argue that while MA has flaws, it remains the only affordable route for many.
On LinkedIn, former CVS Health and UnitedHealth executive Adam Korn questioned Oliver’s criticism.
Korn pointed out that:
- Two-thirds of customers are satisfied with their coverage — whether MA or traditional Medicare.
- MA includes annual out-of-pocket caps, which Original Medicare does not.
- MA plans offer supplemental benefits such as dental, vision, hearing, transportation and meal delivery support.
For many low-income or chronically ill seniors, MA provides more comprehensive support than the traditional program.
Why the debate matters
Over 66 million Americans rely on Medicare, and over 35 million are enrolled in Medicare Advantage.
Private insurers offer Medicare Advantage (Part C) and typically bundle hospital, medical and drug coverage, plus extras. It limits doctors to a network —and going out-of-network can be costly — but it caps annual out-of-pocket expenses.
Nearly all doctors accept original Medicare. But it:
- covers only 80% of most medical (Part B) costs.
- offers no out-of-pocket maximum.
- often requires older adults to buy Medigap and Part D plans to avoid steep bills.
You can switch from MA to traditional Medicare during open enrollment, which runs until December 7.
If you do switch, you may also need to purchase a Medigap policy.
Should you dump your Medicare Advantage plan?
There is no one-size-fits-all answer.
Stick with MA if:
- Your plan covers your doctors.
- Your medications are affordable.
- You rarely need expensive care.
- You value dental/vision/hearing benefits.
- You cannot afford Medigap premiums.
Consider switching to original Medicare if:
- You have a complex or chronic medical condition.
- You want national provider flexibility.
- You worry about MA plan terminations.
- Prior authorizations have disrupted your care.
Millions of older adults rely on MA because it better fits their budgets and health needs. If you’re confused about your options, consult a licensed insurance broker, a financial advisor or a counsellor at your state’s State Health Insurance Assistance Program (SHIP).
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Monique Danao is a highly experienced journalist, editor and copywriter with 8 years of expertise in finance and technology. Her work has been featured in leading publications such as Forbes, Decential, 99Designs, Fast Capital 360, Social Media Today and the South China Morning Post.
