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Medicare Advantage plan exits 2027 in Santa Clara County, CA
8,930 of the 128,850 Medicare Advantage members in Santa Clara County (6.9%) are in a plan that is not sold in the county for 2027: 9 of the 41 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
- 128,850
- members, Sept 2026
- must pick for 2027
- 8,930
- must pick for 2027
- share of members
- 6.9%
- share of members
- plans end
- 9 of 41
- plans end
Medicare Advantage members in Santa Clara 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. 36 plans are listed for the county for 2027 against 46 for 2026.
The plans that end for 2027
Every plan sold in Santa Clara 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.
| Plan | Company | Type | Members | Terminated | Service area reduced | Offered a new or renumbered plan | Company gone |
|---|---|---|---|---|---|---|---|
| Anthem Prime (HMO-POS) H4161-010 | Elevance Health, Inc. | Regular HMO | 2,863 | 2,863 | 0 | 0 | 0 |
| AARP Medicare Advantage From UHC Ca-10 (HMO-POS) H0543-193 | UnitedHealth Group, Inc. | Regular HMO | 2,377 | 2,377 | 0 | 0 | 2,377 |
| Central Health Classic Care Plan III (HMO) H5649-023 | Molina Healthcare, Inc. | Regular HMO | 1,036 | 1,036 | 0 | 0 | 1,036 |
| Anthem Medicare Advantage (HMO-POS) H0544-108 | Elevance Health, Inc. | Regular HMO | 955 | 955 | 0 | 0 | 0 |
| Aetna Medicare Enhanced (PPO) H5521-676 | CVS Health Corporation | Regular PPO | 661 | 661 | 0 | 0 | 0 |
| Central Health Embrace Care Plan (HMO C-SNP) H5649-025 | Molina Healthcare, Inc. | CSNP HMO | 553 | 553 | 0 | 0 | 553 |
| Aetna Medicare Eagle (PPO) H5521-369 | CVS Health Corporation | Regular PPO | 342 | 342 | 0 | 0 | 0 |
| Central Health Embrace Choice Plan (HMO C-SNP) H5649-026 | Molina Healthcare, Inc. | CSNP HMO | 121 | 121 | 0 | 0 | 121 |
| Central Health Valor Care Plan (HMO) H5649-030 | Molina Healthcare, Inc. | Regular HMO | 22 | 22 | 0 | 0 | 22 |
| 9 plans | 8,930 | 8,930 | 0 | 0 | 4,109 |
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 Santa Clara County
| Company | Members, Sept 2026 | Plans | Plans ending | Must pick | Share of own members | Offered a new or renumbered plan | Company gone |
|---|---|---|---|---|---|---|---|
| Elevance Health, Inc. | 9,821 | 3 | 2 | 3,818 | 38.9% | 0 | 0 |
| UnitedHealth Group, Inc. | 2,377 | 1 | 1 | 2,377 | 100.0% | 0 | 2,377 |
| Molina Healthcare, Inc. | 1,732 | 4 | 4 | 1,732 | 100.0% | 0 | 1,732 |
| CVS Health Corporation | 1,243 | 4 | 2 | 1,003 | 80.7% | 0 | 0 |
| Kaiser Foundation Health Plan, Inc. | 65,845 | 4 | 0 | 0 | 0.0% | 0 | 0 |
| Alignment Healthcare USA, LLC | 23,108 | 14 | 0 | 0 | 0.0% | 0 | 0 |
| SANTA CLARA COUNTY HEALTH AUTHORITY | 11,705 | 1 | 0 | 0 | 0.0% | 0 | 0 |
| SCAN Group | 8,311 | 4 | 0 | 0 | 0.0% | 0 | 0 |
| Astiva Health Holdings Incorporated | 2,540 | 3 | 0 | 0 | 0.0% | 0 | 0 |
| Imperial Health Plan of California | 1,716 | 2 | 0 | 0 | 0.0% | 0 | 0 |
| California Physicians' Service | 452 | 1 | 0 | 0 | 0.0% | 0 | 0 |
Santa Clara County against California and the nation
| Measure | County | California | United States |
|---|---|---|---|
| Must pick for 2027, share of members | 6.9% | 5.5% | 10.6% |
| Must pick for 2026 | 3.4% | 10.1% | |
| Must pick for 2025, members | 11,000 of 118,982 | ||
| Must pick for 2026, members | 4,268 of 124,004 | ||
| Must pick for 2027, members | 8,930 of 128,850 |
State and national figures: the California hub and the national report.
Star Ratings 2027 in Santa Clara County
| Measure | 2027 | 2026 | Change |
|---|---|---|---|
| Members in contracts rated 4+ stars | 69.8% | 79.7% | -9.9 pts |
| Member-weighted average star | 4.07 | 4.13 | -0.06 |
| Rated contracts with members here | 27 | 25 |
Members by star, 2027: 4.5: 94,517 · 4.0: 15,119 · 3.5: 23,184 · 3.0: 23,302 · 2.5: 871; 1,732 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 Santa Clara County, CA. https://www.vladahealth.com/medicare-advantage/ca/santa-clara. 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 Santa Clara County must pick a new plan for 2027?
- 8,930 of 128,850 members (6.9%): 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 Santa Clara County ends with the most members?
- Anthem Prime (HMO-POS) (H4161-010, Elevance Health, Inc.): 2,863 members in September 2026, terminated.
- Which company ended the most plans in Santa Clara County for 2027?
- Elevance Health, Inc.: 3,818 of its 9,821 members in the county (38.9%), 2 of its 3 plans.
- What share of Santa Clara County's Medicare eligibles are in Medicare Advantage?
- 50.8% in September 2026: 159,972 of 314,684 eligibles, from the CMS state-county penetration file.
- How are Santa Clara County's members rated for 2027?
- 69.8% of members are in contracts rated 4 stars or more for 2027 (79.7% the year before); the member-weighted average star is 4.07 over 27 rated contracts.
- How does 2027 compare with 2026 in Santa Clara County?
- 4,268 members (3.4%) had to pick a new plan for 2026; for 2027 it is 8,930 (6.9%), a change of +4,662 members.
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Use Vlada. In Santa Clara County, California, which Medicare Advantage plans are not sold for 2027, how many members are in each, and what did 2026 look like? Give me a table with the source file, the data vintage and the response hash.
Behind it: get_county_view (state CA, county Santa Clara) and get_landscape_exits (group_by county).