2027 open enrollment. 3.15M must pick a new plan.

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Vlada / Medicare Advantage / California / Riverside County

Medicare Advantage plan exits 2027 in Riverside County, CA

7,326 of the 245,723 Medicare Advantage members in Riverside County (3.0%) are in a plan that is not sold in the county for 2027: 13 of the 85 plans sold there in September 2026 end, from the CMS 2027 Landscape and crosswalk. California: 5.5%; the nation: 10.6%.

Period: plan year 2027 against September 2026 members · Updated 2026-10-20 · Next: CMS January 2027 enrollment (February 2027): where the members landed

members, Sept 2026
245,723
members, Sept 2026
must pick for 2027
7,326
must pick for 2027
share of members
3.0%
share of members
plans end
13 of 85
plans end

Medicare Advantage members in Riverside County, 2015 to 2026

MA enrollment in September each year, with MA penetration (members over Medicare eligibles) at the top of each bar, from the CMS state-county penetration file. Navy: the last two years. 88 plans are listed for the county for 2027 against 91 for 2026.

072k145k217k289k56%201556%57%201758%59%201960%61%202161%63%202363%64%202563%

The plans that end for 2027

Every plan sold in Riverside County in September 2026 with members whose plan is not sold there for 2027: how it went (terminated, or its service area reduced so it continues elsewhere), the members the same company offers a new or renumbered plan of the same type, and the members whose company sells nothing in the county next year.

PlanCompanyTypeMembersTerminatedService area reducedOffered a new or renumbered planCompany gone
Scan Affirm Partnered With Included Lgbtq+ Health (HMO) H5425-092SCAN GroupRegular HMO1,9961,99601,9960
Wellcare Giveback (HMO) H5087-032Centene CorporationRegular HMO1,3891,389000
Central Health Medicare Plan (HMO) H5649-001Molina Healthcare, Inc.Regular HMO1,0211,021000
Alignment Health Honor+ Plan (HMO) H3815-052Alignment Healthcare USA, LLCRegular HMO65806586580
Central Health Part B Savings Plan (HMO) H5649-029Molina Healthcare, Inc.Regular HMO600600000
Central Health Classic Care Plan I (HMO) H5649-027Molina Healthcare, Inc.Regular HMO519519000
Central Health Embrace Care Plan (HMO C-SNP) H5649-025Molina Healthcare, Inc.CSNP HMO250250000
Astiva Health Premier Plan (HMO) H1993-015Astiva Health Holdings IncorporatedRegular HMO238238000
Molina Medicare Choice Care (HMO) H5810-014Molina Healthcare, Inc.Regular HMO219219000
Scan Mychoice (HMO) H5425-108SCAN GroupRegular HMO18918901890
Central Health Embrace Choice Plan (HMO C-SNP) H5649-026Molina Healthcare, Inc.CSNP HMO130130000
Alignment Health The One (HMO) H3815-034Alignment Healthcare USA, LLCRegular HMO10201021020
Central Health Valor Care Plan (HMO) H5649-030Molina Healthcare, Inc.Regular HMO1515000
13 plans7,3266,5667602,9450

Download this table (CSV, CC BY 4.0) · cells under 11 members are suppressed by CMS and count as zero, so every count is a floor.

By company in Riverside County

CompanyMembers, Sept 2026PlansPlans endingMust pickShare of own membersOffered a new or renumbered planCompany gone
Molina Healthcare, Inc.6,860872,75440.1%00
SCAN Group61,6931022,1853.5%2,1850
Centene Corporation5,815511,38923.9%00
Alignment Healthcare USA, LLC19,8221527603.8%7600
Astiva Health Holdings Incorporated7,143412383.3%00
Kaiser Foundation Health Plan, Inc.64,8994000.0%00
UnitedHealth Group, Inc.32,0447000.0%00
INLAND EMPIRE HEALTH PLAN18,9991000.0%00
Humana Inc.12,2018000.0%00
Elevance Health, Inc.6,7262000.0%00
California Physicians' Service2,9692000.0%00
Imperial Health Plan of California2,3472000.0%00
CVS Health Corporation1,9626000.0%00
Clever Care Health Plan, Inc.1,6314000.0%00
Champion Health Plans-USA, LLC.4964000.0%00
Curana Health Holdings, LLC1163000.0%00

Riverside County against California and the nation

MeasureCountyCaliforniaUnited States
Must pick for 2027, share of members3.0%5.5%10.6%
Must pick for 20263.8%10.1%
Must pick for 2025, members7,407 of 230,572
Must pick for 2026, members9,063 of 240,038
Must pick for 2027, members7,326 of 245,723

State and national figures: the California hub and the national report.

Star Ratings 2027 in Riverside County

Measure20272026Change
Members in contracts rated 4+ stars67.6%76.5%-8.9 pts
Member-weighted average star3.943.96-0.02
Rated contracts with members here3840

Members by star, 2027: 4.5: 103,970 · 4.0: 87,206 · 3.5: 46,992 · 3.0: 41,902 · 2.5: 2,797; 3,649 in unrated contracts. Each contract's 2027 overall star (CMS, released 2026-10-08) weighted by its 2026-09 members in the county, individual and group; 2026 by 2025-09 members.

Sources

  • CMS Medicare Advantage/Part D Landscape, plan year 2027: landscape_cy2027-landscape-202609-1.zip (CMS, September 2026); CMS plan crosswalk CY2027.
  • CMS monthly enrollment by contract, plan and county, 2026-09 (and the two Septembers before, for the series).
  • CMS MA state-county penetration file, September of each year (eligibles, enrollment, penetration).
  • CMS Star Ratings 2027, released 2026-10-08. Page object written 2026-10-20.

Receipts: athena(table=medicare_semantic.exits_cells_county_2027_v1, block=plans) 042eb472aa7d…; athena(table=medicare_semantic.exits_cells_county_2025_v1, medicare_semantic.exits_cells_county_2026_v1, medicare_semantic.exits_cells_county_2027_v1, block=series) ee9fd56a8632…; athena(table=medicare_semantic.ma_spine_county_market_v20261012b, block=market) e6c1b5ce62c0…; athena(table=medicare_semantic.ma_spine_contract_stars_v20261012b, weights=medicare_semantic.ma_spine_enroll_plan_county_v20261012a, block=stars) c39711c388e0…. Suppressed cells count as zero in every count.

Cite: Vlada Health (2026). Medicare Advantage plan exits 2027 in Riverside County, CA. https://www.vladahealth.com/medicare-advantage/ca/riverside. Data: CC BY 4.0.

Method

  • Population: members of individual Medicare Advantage plans (H and R contracts, plans 001 to 799, special needs plans included; employer group, Cost, MMP and PACE excluded) in the county in September 2026.
  • Must pick: the CMS crosswalk names no successor plan sold in the county for 2027; members CMS moves to a successor in the county are not counted.
  • Terminated: the plan is gone from every county. Service area reduced: the plan continues elsewhere but not here. Offered a new or renumbered plan: the same company sells, in this county, the same name under a new number or a new plan of the same HMO or PPO and special needs type. Company gone: no plan of any type from that company in the county.
  • Stars: each contract's overall star weighted by its September members in the county; unrated contracts counted apart, never as zero stars. Penetration: the CMS file's own eligibles and MA enrollment.
  • Suppression: CMS hides cells under 11 members; they count as zero, so every count is a floor and every share is not.

The full method and the national tables: How we counted, and how to check it.

Questions

How many Medicare Advantage members in Riverside County must pick a new plan for 2027?
7,326 of 245,723 members (3.0%): their plan is not sold in the county for 2027 according to the CMS crosswalk and Landscape. California as a whole: 5.5%; the nation: 10.6%.
Which plan in Riverside County ends with the most members?
Scan Affirm Partnered With Included Lgbtq+ Health (HMO) (H5425-092, SCAN Group): 1,996 members in September 2026, terminated; the company offers them a new or renumbered plan of the same type in the county.
Which company ended the most plans in Riverside County for 2027?
Molina Healthcare, Inc.: 2,754 of its 6,860 members in the county (40.1%), 7 of its 8 plans.
What share of Riverside County's Medicare eligibles are in Medicare Advantage?
63.4% in September 2026: 289,090 of 456,174 eligibles, from the CMS state-county penetration file.
How are Riverside County's members rated for 2027?
67.6% of members are in contracts rated 4 stars or more for 2027 (76.5% the year before); the member-weighted average star is 3.94 over 38 rated contracts.
How does 2027 compare with 2026 in Riverside County?
9,063 members (3.8%) had to pick a new plan for 2026; for 2027 it is 7,326 (3.0%), a change of -1,737 members.

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