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Vlada / Medicare Advantage / California / San Joaquin County

Medicare Advantage plan exits 2027 in San Joaquin County, CA

3,241 of the 57,575 Medicare Advantage members in San Joaquin County (5.6%) are in a plan that is not sold in the county for 2027: 9 of the 44 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
57,575
members, Sept 2026
must pick for 2027
3,241
must pick for 2027
share of members
5.6%
share of members
plans end
9 of 44
plans end

Medicare Advantage members in San Joaquin 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. 39 plans are listed for the county for 2027 against 44 for 2026.

018k36k54k72k36%201537%38%201739%41%201945%47%202150%52%202354%55%202555%

The plans that end for 2027

Every plan sold in San Joaquin 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
Central Health Classic Care Plan III (HMO) H5649-023Molina Healthcare, Inc.Regular HMO1,0371,037001,037
Alignment Health My Choice (PPO) H4961-001Alignment Healthcare USA, LLCRegular PPO79607967960
Anthem Medicare Advantage (HMO-POS) H0544-095Elevance Health, Inc.Regular HMO501501000
Central Health Embrace Care Plan (HMO C-SNP) H5649-025Molina Healthcare, Inc.CSNP HMO38538500385
Alignment Health Honor+ Plan (HMO) H3815-052Alignment Healthcare USA, LLCRegular HMO30503053050
Anthem Prime (HMO-POS) H4161-005Elevance Health, Inc.Regular HMO115011500
Central Health Dual Access Plan (HMO D-SNP) H5649-024Molina Healthcare, Inc.D-SNP HMO39390039
Central Health Valor Care Plan (HMO) H5649-030Molina Healthcare, Inc.Regular HMO33330033
Central Health Embrace Choice Plan (HMO C-SNP) H5649-026Molina Healthcare, Inc.CSNP HMO30300030
9 plans3,2412,0251,2161,1011,524

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 San Joaquin County

CompanyMembers, Sept 2026PlansPlans endingMust pickShare of own membersOffered a new or renumbered planCompany gone
Molina Healthcare, Inc.1,524551,524100.0%01,524
Alignment Healthcare USA, LLC10,1141221,10110.9%1,1010
Elevance Health, Inc.6923261689.0%00
Kaiser Foundation Health Plan, Inc.25,8993000.0%00
Humana Inc.6,9275000.0%00
SCAN Group4,9385000.0%00
Centene Corporation3,1762000.0%00
Imperial Health Plan of California3,1433000.0%00
CVS Health Corporation3962000.0%00
California Physicians' Service3542000.0%00
UnitedHealth Group, Inc.2361000.0%00
SAN JOAQUIN COUNTY HEALTH COMMISSION1761000.0%00

San Joaquin County against California and the nation

MeasureCountyCaliforniaUnited States
Must pick for 2027, share of members5.6%5.5%10.6%
Must pick for 20265.0%10.1%
Must pick for 2025, members1,855 of 52,675
Must pick for 2026, members2,777 of 55,538
Must pick for 2027, members3,241 of 57,575

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

Star Ratings 2027 in San Joaquin County

Measure20272026Change
Members in contracts rated 4+ stars79.3%72.3%+7.0 pts
Member-weighted average star4.164.02+0.14
Rated contracts with members here2326

Members by star, 2027: 4.5: 39,364 · 4.0: 15,392 · 3.5: 12,578 · 3.0: 868 · 2.5: 859; 1,776 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 San Joaquin County, CA. https://www.vladahealth.com/medicare-advantage/ca/san-joaquin. 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 San Joaquin County must pick a new plan for 2027?
3,241 of 57,575 members (5.6%): 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 San Joaquin County ends with the most members?
Central Health Classic Care Plan III (HMO) (H5649-023, Molina Healthcare, Inc.): 1,037 members in September 2026, terminated.
Which company ended the most plans in San Joaquin County for 2027?
Molina Healthcare, Inc.: 1,524 of its 1,524 members in the county (100.0%), 5 of its 5 plans.
What share of San Joaquin County's Medicare eligibles are in Medicare Advantage?
55.4% in September 2026: 71,991 of 129,990 eligibles, from the CMS state-county penetration file.
How are San Joaquin County's members rated for 2027?
79.3% of members are in contracts rated 4 stars or more for 2027 (72.3% the year before); the member-weighted average star is 4.16 over 23 rated contracts.
How does 2027 compare with 2026 in San Joaquin County?
2,777 members (5.0%) had to pick a new plan for 2026; for 2027 it is 3,241 (5.6%), a change of +464 members.

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