Options for Medicare Advantage are shrinking again in New Hampshire, with two major providers — CVS Health and BMC, which offers WellSense — no longer offering their plans as of January 1.

A fairly new firm, Devoted Health, will start providing plans in portions of the state next year. Its coverage area will not include Coos County, which won’t have any Medicare Advantage offerings at all in 2027.

The news follows the departure this year of Martin’s Point and Anthem and sharp pullback of Anthem to the state’s wealthier southeast section.

Medicare Advantage, also called Part C, is an alternative to Medicare offered by private insurance companies approved by the federal government. It provides more benefits but at a higher cost. Insurance firms say the program is becoming less attractive to them because of the Trump administration’s cutbacks on federal reimbursement, along with an increase in the population of older people and increase in many health-care costs,

The departure of CVS Health and BMC Health System affects more than 14,200 people who currently enroll in their Advantage programs, according to the N.H. Insurance Department.

Devoted Health was founded in 2017 by two brothers, Todd and Ed Park, with a background in the health care industry. It is currently operating in 29 states.

This story will be updated as more information becomes available.

David Brooks can be reached at dbrooks@cmonitor.com. Sign up for his Granite Geek weekly email newsletter at granitegeek.org.