For agents and agencies · AEP 2027

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

MeasureCount
2026 plan-county offerings whose plan ID is not in the 2027 Landscape26,423
Plans that continue in 2027 but are no longer listed in a county4,973
New plan-county offerings for 202723,792
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

StateChanged plan-county offeringsNew offeringsEnrollment in changed offeringsNo same-org replacement
OH2,6101,372323,053221,429
NY951614354,252209,084
CA316260270,584198,044
TX3,4322,417442,163159,932
FL1,000616442,92596,141
OR202125182,93395,175
WA636267169,28387,788
MN782199394,45687,464
CT1226587,70877,182
GA1,4871,113106,21867,980
MI760533136,32063,853
NJ23517763,85762,951

Organizations with the most enrollment in changed plans without a same-organization replacement

Parent organizationEnrollment (floor)
UnitedHealth Group, Inc.447,448
Humana Inc.305,158
CVS Health Corporation241,982
Centene Corporation161,414
Health Care Service Corporation131,979
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 Health52,989

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.

See these changes on the client record while you quote.