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flag Medicare Advantage enrollment dips slightly in 2026 due to rising costs and insurer exits, though access remains strong.

flag Medicare Advantage enrollment is projected to drop slightly to 34 million in 2026, reducing its share to about 48% as rising costs and insurer withdrawals in unprofitable markets slow its growth. flag While the program’s long-term trend remains upward, some seniors are shifting to original Medicare with supplemental plans due to tighter provider networks and referral requirements, despite Medicare Advantage’s added benefits like dental and vision coverage and lower out-of-pocket limits. flag Despite fewer plan options—down to 5,600 nationally—access remains strong, with over 99% of beneficiaries still having at least one choice. flag The federal government spends roughly $83 billion more annually on Medicare Advantage than original Medicare.

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