At least four companies that provide Medicare Advantage plans to older Mainers are cutting the options they offer in the state amid regional rollbacks and federal reductions to Medicare.

Anthem is scaling back its choices and Aetna is ending its Advantage plans in the state, spokespeople for the companies confirmed Wednesday. Martin’s Point Health is discontinuing a plan, according to a letter to members obtained by the Bangor Daily News, and United Healthcare is cutting one of its own, the company said Tuesday.

It’s not clear yet how many Mainers will be affected, how many companies are reducing their offerings here overall or if some counties will be more heavily affected than others, as is the case in New Hampshire and Vermont .

Medicare Advantage plans are offered by private insur

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