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Vlada / Medicare Advantage / California / Tulare County

Medicare Advantage plan exits 2027 in Tulare County, CA

1,236 of the 23,877 Medicare Advantage members in Tulare County (5.2%) are in a plan that is not sold in the county for 2027: 5 of the 22 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
23,877
members, Sept 2026
must pick for 2027
1,236
must pick for 2027
share of members
5.2%
share of members
plans end
5 of 22
plans end

Medicare Advantage members in Tulare 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. 21 plans are listed for the county for 2027 against 24 for 2026.

07k13k20k27k13%201515%16%201718%20%201924%27%202130%33%202335%36%202537%

The plans that end for 2027

Every plan sold in Tulare 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 II (HMO) H5649-028Molina Healthcare, Inc.Regular HMO69569500695
Central Health Embrace Care Plan (HMO C-SNP) H5649-025Molina Healthcare, Inc.CSNP HMO33133100331
Central Health Embrace Choice Plan (HMO C-SNP) H5649-026Molina Healthcare, Inc.CSNP HMO10110100101
Central Health Dual Access Plan (HMO D-SNP) H5649-024Molina Healthcare, Inc.D-SNP HMO85850085
Central Health Valor Care Plan (HMO) H5649-030Molina Healthcare, Inc.Regular HMO24240024
5 plans1,2361,236001,236

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 Tulare County

CompanyMembers, Sept 2026PlansPlans endingMust pickShare of own membersOffered a new or renumbered planCompany gone
Molina Healthcare, Inc.1,236551,236100.0%01,236
Humana Inc.8,7603000.0%00
Elevance Health, Inc.6,3614000.0%00
Centene Corporation4,5681000.0%00
SCAN Group1,1193000.0%00
UnitedHealth Group, Inc.8761000.0%00
Imperial Health Plan of California6412000.0%00
Kaiser Foundation Health Plan, Inc.3163000.0%00

Tulare County against California and the nation

MeasureCountyCaliforniaUnited States
Must pick for 2027, share of members5.2%5.5%10.6%
Must pick for 20261.9%10.1%
Must pick for 2025, members4,922 of 21,540
Must pick for 2026, members420 of 22,548
Must pick for 2027, members1,236 of 23,877

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

Star Ratings 2027 in Tulare County

Measure20272026Change
Members in contracts rated 4+ stars50.3%13.0%+37.3 pts
Member-weighted average star3.633.27+0.36
Rated contracts with members here1517

Members by star, 2027: 4.5: 2,015 · 4.0: 10,535 · 3.5: 5,177 · 3.0: 6,569 · 2.5: 662; 1,317 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 Tulare County, CA. https://www.vladahealth.com/medicare-advantage/ca/tulare. 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 Tulare County must pick a new plan for 2027?
1,236 of 23,877 members (5.2%): 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 Tulare County ends with the most members?
Central Health Classic Care Plan II (HMO) (H5649-028, Molina Healthcare, Inc.): 695 members in September 2026, terminated.
Which company ended the most plans in Tulare County for 2027?
Molina Healthcare, Inc.: 1,236 of its 1,236 members in the county (100.0%), 5 of its 5 plans.
What share of Tulare County's Medicare eligibles are in Medicare Advantage?
37.0% in September 2026: 26,646 of 71,968 eligibles, from the CMS state-county penetration file.
How are Tulare County's members rated for 2027?
50.3% of members are in contracts rated 4 stars or more for 2027 (13.0% the year before); the member-weighted average star is 3.63 over 15 rated contracts.
How does 2027 compare with 2026 in Tulare County?
420 members (1.9%) had to pick a new plan for 2026; for 2027 it is 1,236 (5.2%), a change of +816 members.

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