2027 open enrollment. 3.15 million people must pick a new Medicare Advantage plan. See every plan and county, free.3.15M must pick a new plan.
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Medicare Advantage plan exits 2027, by state
3,153,512 of the nation's Medicare Advantage members (10.6%) are in a plan that is not sold in their county for 2027. The 51 states below hold 29,862,383 members and 3,153,512 who must pick; each state page carries every county, the companies and the 2027 Star Ratings.
Updated 2026-10-19 · Source: CMS Landscape 2027, plan crosswalk, September 2026 enrollment, Star Ratings 2027; counted by Vlada.
| State | Members, Sept | Must pick | Share | Counties | 4+ star members |
|---|---|---|---|---|---|
| Minnesota | 549,997 | 343,772 | 62.5% | 87 | 74.9% |
| Florida | 2,813,079 | 320,589 | 11.4% | 67 | 89.5% |
| New York | 1,833,227 | 242,476 | 13.2% | 62 | 44.9% |
| Texas | 2,263,054 | 201,273 | 8.9% | 245 | 72.2% |
| Ohio | 1,218,386 | 192,718 | 15.8% | 88 | 64.5% |
| California | 2,949,523 | 162,111 | 5.5% | 56 | 72.5% |
| Washington | 665,819 | 156,791 | 23.5% | 39 | 58.5% |
| Oregon | 465,998 | 121,120 | 26.0% | 30 | 38.0% |
| Pennsylvania | 1,397,269 | 96,367 | 6.9% | 67 | 72.8% |
| Michigan | 965,551 | 95,557 | 9.9% | 83 | 84.7% |
| Connecticut | 337,680 | 84,623 | 25.1% | 8 | 63.6% |
| Georgia | 910,781 | 84,285 | 9.3% | 159 | 49.4% |
| Maine | 199,592 | 67,888 | 34.0% | 16 | 55.5% |
| Idaho | 178,192 | 63,225 | 35.5% | 44 | 59.5% |
| Illinois | 807,394 | 62,500 | 7.7% | 102 | 82.0% |
| New Mexico | 205,405 | 61,755 | 30.1% | 33 | 56.1% |
| New Jersey | 526,472 | 61,454 | 11.7% | 21 | 79.0% |
| Wisconsin | 652,819 | 58,475 | 9.0% | 72 | 80.7% |
| Massachusetts | 483,581 | 55,898 | 11.6% | 14 | 78.4% |
| Iowa | 225,472 | 50,956 | 22.6% | 99 | 74.4% |
| Indiana | 617,753 | 43,321 | 7.0% | 92 | 65.5% |
| Nebraska | 118,705 | 40,558 | 34.2% | 80 | 35.6% |
| North Carolina | 1,094,140 | 34,446 | 3.1% | 100 | 89.9% |
| Colorado | 464,189 | 31,842 | 6.9% | 62 | 88.1% |
| Maryland | 211,950 | 31,835 | 15.0% | 24 | 66.0% |
| Louisiana | 489,147 | 30,763 | 6.3% | 64 | 54.7% |
| Utah | 258,380 | 30,243 | 11.7% | 28 | 97.3% |
| Nevada | 306,563 | 27,059 | 8.8% | 9 | 80.1% |
| Arizona | 707,092 | 26,344 | 3.7% | 15 | 60.5% |
| Missouri | 643,494 | 25,519 | 4.0% | 115 | 59.2% |
| New Hampshire | 83,749 | 24,500 | 29.3% | 10 | 91.5% |
| Tennessee | 748,878 | 21,855 | 2.9% | 95 | 47.2% |
| Virginia | 597,180 | 21,288 | 3.6% | 133 | 65.6% |
| Hawaii | 136,661 | 19,585 | 14.3% | 4 | 62.0% |
| Montana | 73,154 | 18,554 | 25.4% | 49 | 93.3% |
| South Dakota | 44,129 | 18,074 | 41.0% | 51 | 59.3% |
| Oklahoma | 315,509 | 16,237 | 5.1% | 77 | 80.9% |
| West Virginia | 173,890 | 15,901 | 9.1% | 55 | 75.2% |
| Alabama | 558,357 | 15,272 | 2.7% | 67 | 64.3% |
| Arkansas | 289,801 | 15,048 | 5.2% | 75 | 61.6% |
| North Dakota | 29,589 | 11,749 | 39.7% | 52 | 46.1% |
| Kansas | 180,024 | 10,647 | 5.9% | 83 | 56.3% |
| South Carolina | 549,623 | 9,493 | 1.7% | 46 | 75.0% |
| Kentucky | 407,582 | 9,298 | 2.3% | 120 | 69.1% |
| Mississippi | 281,288 | 8,302 | 3.0% | 82 | 73.5% |
| Wyoming | 15,686 | 7,206 | 45.9% | 23 | 49.0% |
| the District of Columbia | 29,269 | 2,190 | 7.5% | 1 | 86.8% |
| Delaware | 66,746 | 2,157 | 3.2% | 3 | 64.2% |
| Rhode Island | 140,573 | 300 | 0.2% | 5 | 35.0% |
| Vermont | 7,799 | 93 | 1.2% | 6 | 67.8% |
| Puerto Rico | 572,192 | 0 | 0.0% | 78 | 100.0% |
The national report: 3.15 million Medicare Advantage members must pick a new plan for 2027. Ask the free connector for any state or county: install in one minute.