2027 Medicare Advantage plan changes by county
Which 2026 Medicare Advantage plans are not offered the same way in 2027, county by county, from public CMS files. Updated 2026-10-05. Preliminary: CMS has not yet published the 2027 Plan Crosswalk, so these are possible changes, not confirmed exits.
National picture
| Measure | Count |
|---|---|
| 2026 plan-county offerings whose plan ID is not in the 2027 Landscape | 26,423 |
| Plans that continue in 2027 but are no longer listed in a county | 4,973 |
| New plan-county offerings for 2027 | 23,792 |
| September 2026 enrollment in changed plan-county offerings (floor) | 5,266,118 |
| ...of which no new same-organization, same-type plan appears in that county (floor) | 2,322,321 |
Many "not in 2027" plans are renumbered or consolidated into a new plan ID, and their members move automatically. That is why the second enrollment figure, which excludes changes where the same organization offers a new plan of the same type in the county, is the better estimate of disruption.
Look up a county
States with the most enrollment in changed plans without a same-organization replacement
| State | Changed plan-county offerings | New offerings | Enrollment in changed offerings | No same-org replacement |
|---|---|---|---|---|
| OH | 2,610 | 1,372 | 323,053 | 221,429 |
| NY | 951 | 614 | 354,252 | 209,084 |
| CA | 316 | 260 | 270,584 | 198,044 |
| TX | 3,432 | 2,417 | 442,163 | 159,932 |
| FL | 1,000 | 616 | 442,925 | 96,141 |
| OR | 202 | 125 | 182,933 | 95,175 |
| WA | 636 | 267 | 169,283 | 87,788 |
| MN | 782 | 199 | 394,456 | 87,464 |
| CT | 122 | 65 | 87,708 | 77,182 |
| GA | 1,487 | 1,113 | 106,218 | 67,980 |
| MI | 760 | 533 | 136,320 | 63,853 |
| NJ | 235 | 177 | 63,857 | 62,951 |
Organizations with the most enrollment in changed plans without a same-organization replacement
| Parent organization | Enrollment (floor) |
|---|---|
| UnitedHealth Group, Inc. | 447,448 |
| Humana Inc. | 305,158 |
| CVS Health Corporation | 241,982 |
| Centene Corporation | 161,414 |
| Health Care Service Corporation | 131,979 |
| Lifetime Healthcare, Inc. | 86,482 |
| Molina Healthcare, Inc. | 85,554 |
| Elevance Health, Inc. | 69,592 |
| Kaiser Foundation Health Plan, Inc. | 67,326 |
| Providence St Joseph Health | 52,989 |
Method and limits
We compare the CMS CY2026_Landscape_202609.csv and CY2027_Landscape_202609.csv files plan by plan and county by county, and weight each change by CMS monthly enrollment (CPSC_Enrollment_Info_2026_09.csv). Only individual-market Medicare Advantage, MA-PD and Special Needs Plans are included; stand-alone Part D and employer group plans are not.
CMS suppresses enrollment counts of 10 or fewer; we count those as zero, so every enrollment figure is a floor. "Likely replacement" means the same parent organization offers a new 2027 plan of the same type in the county; it is a heuristic, not CMS crosswalk data. When CMS publishes the 2027 Plan Crosswalk, this page will switch to confirmed terminations and service-area reductions.
For licensed agents and agencies. This is market information from public data, not advice about any plan; confirm plan availability with the carrier and Medicare before advising a beneficiary. Data: Centers for Medicare & Medicaid Services.