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    Medicare AdvantagePublished: August 17, 2026 | Updated: 9/16/2026By Carol Mitchell

    Medicare Open Enrollment 2027 in Arkansas: Key Dates, What Is Changing, and How to Review Your Plan

    Arkansas Medicare Open Enrollment runs October 15 to December 7, 2026. See the 2027 Part D changes and a checklist for reviewing your coverage.

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    If you plan to compare Medicare Advantage plans in Arkansas for 2027, the next few weeks set the stage. Plans are mailing their annual notices now, new plan details arrive in October, and the Annual Enrollment Period opens soon after. Here is the calendar, what is changing, and how to review your current coverage with a clear head.

    The dates to put on your refrigerator

    • By September 30, 2026: Medicare Advantage and Part D plans must send members an Annual Notice of Change. It lists every change to your plan for the coming year. Open it the day it arrives.
    • Starting October 1, 2026: Plan information for 2027 becomes available, and licensed agents can begin discussing 2027 plans.
    • October 15 through December 7, 2026: The Annual Enrollment Period. You can join, switch, or drop a Medicare Advantage plan or a Part D plan. Changes take effect January 1, 2027.
    • January 1 through March 31, 2027: The Medicare Advantage Open Enrollment Period. If you are already in a Medicare Advantage plan, you can make one switch to another Medicare Advantage plan or return to Original Medicare and add a Part D plan.

    What is changing for 2027

    The prescription drug cap rises. CMS set the 2027 annual out of pocket limit for covered Part D drugs at $2,400, up from $2,100 in 2026. Once your spending on covered drugs reaches that amount, you pay nothing more for covered drugs the rest of the year. The standard Part D deductible also rises to $700, up from $615, and it counts toward the $2,400 cap.

    The coverage gap remains gone. The old Part D donut hole was eliminated in 2025 and does not return in 2027. If you learned about Medicare years ago, this is one of the biggest improvements to understand. Our Part D coverage gap explainer covers the history.

    Insulin and vaccines stay protected. Covered insulin remains capped at $35 per month under Part D, and recommended adult vaccines continue at no cost.

    You can still spread drug costs over the year. The Medicare Prescription Payment Plan, which lets you pay out of pocket drug costs in monthly amounts instead of all at once, continues in 2027.

    Standalone drug plan pricing may shift. CMS is ending a temporary premium stabilization program for standalone Part D plans after 2026, so individual plan premiums will reflect standard market conditions in 2027. Federal law continues to limit growth in the base beneficiary premium to 6 percent per year through 2029. The practical takeaway is simple: compare your drug plan this fall rather than letting it renew automatically.

    Part B numbers come later. The 2027 Part B premium and deductible are typically announced in the fall. Watch for them before you finalize your budget.

    Meeting with an agent is easier. Updated CMS rules removed the former 48 hour waiting period between documenting a Scope of Appointment and meeting with a licensed agent, so you can schedule a review without that delay.

    The Arkansas picture

    According to CMS figures for the 2026 plan year, 682,876 Arkansans were enrolled in Medicare, and 91 Medicare Advantage plans were offered across the state along with 12 standalone Part D plans. Plan availability varies by county, so a plan your neighbor in Pulaski County uses may not be offered in Benton, Sebastian, or Craighead County. CMS publishes updated counts for 2027 in the fall.

    A review checklist that takes 30 minutes

    Use your Annual Notice of Change and walk through these items in order.

    • Costs. Note any change in the monthly premium, deductibles, copays, and the yearly maximum out of pocket amount.
    • Prescriptions. Confirm each of your medications is still on the drug list, check whether any moved to a higher tier, and look for new prior authorization or step therapy requirements.
    • Pharmacies. Make sure your pharmacy is still in network and check whether it is a preferred pharmacy.
    • Doctors and hospitals. Confirm your primary care doctor, specialists, and preferred hospital are still in network for 2027. Networks change more often than people expect, especially across different regions of Arkansas.
    • Travel. If you spend winters out of state or visit family often, review how the plan handles care away from home. Our article on <a href="/blog/does-medicare-advantage-cover-out-of-state-travel">Medicare Advantage and out of state travel</a> explains what to look for.
    • Extra benefits. If dental, vision, or hearing coverage matters to you, read the specific limits rather than assuming last year's terms carry over.

    If everything still fits, you may not need to do anything. If something important changed, the Annual Enrollment Period is your chance to fix it.

    Get a side by side review before December 7

    Our licensed agents help Arkansas residents review Medicare Advantage plan options and Part D coverage every fall. Call (501) 459-6953 or book your review.

    Frequently Asked Questions

    When is Medicare Open Enrollment for 2027 plans in Arkansas?

    The Annual Enrollment Period runs from October 15 through December 7, 2026. Changes you make during this window take effect January 1, 2027. The Medicare Advantage Open Enrollment Period then runs January 1 through March 31, 2027, during which you can make one switch between Medicare Advantage plans or return to Original Medicare.

    What is the 2027 Part D out of pocket cap?

    CMS set the 2027 annual out of pocket limit for covered Part D drugs at $2,400, up from $2,100 in 2026. Once your spending on covered drugs reaches that amount, you pay nothing more for covered drugs for the rest of the year. The standard Part D deductible rises to $700 and counts toward the $2,400 cap.

    Is the Medicare Part D donut hole coming back in 2027?

    No. The coverage gap, commonly called the donut hole, was eliminated in 2025 and does not return in 2027. Once your spending reaches the annual out of pocket cap, you pay nothing for covered drugs for the rest of the year.

    How much is the insulin cap under Medicare Part D in 2027?

    Covered insulin remains capped at $35 per month under Part D. Recommended adult vaccines also continue at no cost.

    What is the Medicare Prescription Payment Plan?

    The Medicare Prescription Payment Plan lets you spread your out of pocket drug costs into monthly amounts instead of paying the full cost at the pharmacy counter. It continues in 2027 and is available to anyone enrolled in a Part D plan.

    How many Medicare Advantage plans are available in Arkansas?

    According to CMS figures for the 2026 plan year, 91 Medicare Advantage plans were offered across Arkansas along with 12 standalone Part D plans. Plan availability varies by county, so a plan offered in Pulaski County may not be available in Benton, Sebastian, or Craighead County.

    What is the Annual Notice of Change?

    The Annual Notice of Change (ANOC) is a document your Medicare Advantage or Part D plan must send you by September 30 each year. It lists every change to your plan for the coming year, including premiums, deductibles, copays, drug formularies, and provider networks. Open it the day it arrives and use it to review your plan during the Annual Enrollment Period.

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    Carol Mitchell

    Carol Mitchell, Licensed Arkansas Medicare Specialist

    Arkansas Insurance License: #99-4271823 | Last Updated: 9/16/2026

    Carol is a trusted local Medicare advisor serving Little Rock and communities across Arkansas. She specializes in helping seniors navigate Medicare Advantage, Medigap, and Part D plans. Carol is certified annually by America's Health Insurance Plans (AHIP).

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