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

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Vlada / Medicare Advantage / Florida

Medicare Advantage plan exits 2027 in Florida, by county

320,589 of Florida's 2,813,079 Medicare Advantage members (11.4%) are in a plan that is not sold in their county for 2027, measured from the CMS 2027 Landscape and crosswalk against September 2026 enrollment. Nationally the share is 10.6%.

Period: plan year 2027 against September 2026 members · Updated 2026-10-19 · Next: CMS January 2027 enrollment (February 2027): where the members landed

members, Sept 2026
2,813,079
members, Sept 2026
must pick for 2027
320,589
must pick for 2027
share of members
11.4%
share of members
counties
67
counties

Members who must pick a new plan each year, 2016 to 2027

Members of individual Medicare Advantage plans in Florida whose plan is not sold in their county the next year, by plan year; the share of all members at the top of each bar. Orange: the last three years.

080k160k240k321k1.8%20162.8%20170.3%20180.9%20190.9%20200.6%20210.1%20220.9%20230.7%20244.4%20253.4%202611.4%2027

Every Florida county, 2027

Members in September 2026; those whose plan is not sold in their county for 2027; their share; of those, the members offered a new or renumbered plan by their own company in the county, and the members whose company sells no plan there for 2027. Sorted by members who must pick. Each county links to its own page: the plans that end, the companies, enrollment and penetration since 2015, the Stars.

CountyMembers, Sept 2026Must pick for 2027ShareOffered a new or renumbered planCompany gone
Miami-Dade390,58122,0865.7%12,524406
Hillsborough159,50618,32411.5%17,2090
Lee97,20318,18218.7%17,557325
Orange133,67215,29611.4%11,413613
Polk117,13715,06112.9%12,42056
Pinellas145,93214,80910.1%14,2520
Volusia97,95413,48313.8%13,4150
Pasco96,94611,51811.9%11,11744
Escambia36,02310,54629.3%7,667237
Palm Beach164,10310,1726.2%8,34580
Broward237,70510,0314.2%1,051370
Duval99,3788,8808.9%8,32384
Collier37,0938,53123.0%8,34073
Manatee52,1508,33016.0%8,2540
Seminole47,4098,23917.4%6,538376
Bay17,3677,72344.5%5,292129
Alachua20,6257,40635.9%6,0881,318
Marion77,9877,2029.2%7,0040
Charlotte35,9417,08519.7%7,00717
Santa Rosa18,7586,16432.9%4,08590
Lake65,7766,1279.3%5,527169
Sarasota58,5855,87010.0%5,7980
Okaloosa14,9105,42836.4%093
Osceola53,4604,5418.5%3,289145
Flagler22,9674,39919.2%4,3840
Hernando40,6434,17310.3%4,0050
St. Johns26,4023,85314.6%3,6490
Citrus35,6443,79510.6%3,7250
Highlands20,2063,76718.6%3,180461
Walton7,6623,53946.2%2,28013
Suwannee6,3873,09448.4%3,06331
Columbia9,2403,04132.9%2,850191
Leon22,7392,71211.9%0429
Jackson6,0852,68644.1%1,86646
St. Lucie51,8512,6535.1%179104
Clay20,8192,50212.0%2,36417
Levy7,5402,48733.0%2,124275
Sumter42,6902,2155.2%2,1620
Putnam12,3852,04916.5%1,99653
Gadsden6,6021,72326.1%1,174165
Washington2,8671,36247.5%98512
Martin18,5421,3337.2%5943
Madison2,6991,23445.7%83643
Brevard85,7791,1551.3%14205
Dixie2,8591,14740.1%1,1470
Taylor2,6951,14642.5%83714
Holmes2,4981,13045.2%84311
Wakulla4,2401,10926.2%76964
Gulf1,88396451.2%6760
Nassau11,1719468.5%9460
Gilchrist2,25192641.1%9260
Bradford3,11491129.3%88427
Hamilton1,85390048.6%9000
Hendry4,15480619.4%7540
Calhoun1,83879643.3%5000
Franklin1,59169243.5%4270
DeSoto4,13069016.7%6760
Baker2,44065026.6%389261
Hardee2,73857921.1%52825
Monroe2,80453619.1%5360
Jefferson2,17252924.4%37018
Union1,23247338.4%4730
Lafayette71034748.9%3470
Liberty91833136.1%1980
Indian River23,038970.4%3832
Okeechobee5,335671.3%400
Glades1,465110.8%110
Florida, 67 counties2,813,079320,58911.4%256,6257,165

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.

Florida against the nation

MeasureFloridaUnited States
Must pick a new plan for 2027320,5893,153,512
Share of members11.4%10.6%
Share for 20263.4%10.1%

National figures: the Vlada report 3.15 million Medicare Advantage members must pick a new plan for 2027.

Star Ratings 2027, member-weighted

Measure20272026Change
Members in contracts rated 4+ stars89.5%84.1%+5.4 pts
Member-weighted average star4.154.29-0.14
Rated contracts59

Members by star, 2027: 5.0: 46,482 · 4.5: 1,222,505 · 4.0: 1,462,870 · 3.5: 240,736 · 3.0: 77,891 · 2.5: 3,310; 3,947 in unrated contracts. CMS Star Ratings released 2026-10-08, each contract's overall star weighted by its 2026-10 members in Florida (individual and group); rating year 2027 pays in 2028.

By company, 2027

CMS parent organizations with members in Florida in September 2026: members whose plan is not sold in their county for 2027, as a share of the company's own members; how the plan went (terminated, or its service area reduced so it continues elsewhere but not in their county); of those members, how many the company offers a new or renumbered plan of the same type in the county, and how many are left with no plan from the company there.

CompanyMembersMust pickShare of own membersPlan terminatedService area reducedOffered a new or renumbered planCompany gone
Humana Inc.1,136,873232,53420.5%228,0994,435229,1650
UnitedHealth Group, Inc.803,86722,4082.8%16,1386,27000
CVS Health Corporation176,93120,39311.5%12,3938,00012,2531,715
Elevance Health, Inc.274,54319,2527.0%19,252000
DOCTORS HEALTHCARE PLANS, INC.26,58113,19849.7%13,198013,1980
Health Care Service Corporation15,5805,09332.7%4,78730601,756
Centene Corporation48,5893,3036.8%2,1841,11901,805
Health First Shared Services, Inc.37,0431,9335.2%1,44748601,889
Ultimate Healthcare Holdings, LLC21,9601,3466.1%1,34601,3460
Guidewell Mutual Holding Corporation119,3621,0670.9%01,0676010
Gold Kidney Health Plan2,751481.7%480480
Independence Health Group, Inc.451431.1%014140
Devoted Health, Inc.57,54700.0%0000
LMC Family Holdings, LLC40,42500.0%0000
Athena Healthcare Holdings, LLC23,73500.0%0000
BayCare Health System, Inc.21,78700.0%0000
Universal Health Services, Inc.2,70100.0%0000
Independent Living Systems, LLC1,18800.0%0000
Longevity Health Founders, LLC79800.0%0000
Curana Health Holdings, LLC41300.0%0000
Chapters CareNu Inc18700.0%0000
Mitchell Family Office17300.0%0000

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.
  • CMS Star Ratings 2027, released 2026-10-08.
  • Page object written 2026-10-19; the series 2016 to 2027 from the locked exits history of the Vlada report (independent audit 2026-10-13).

Receipts: athena(table=medicare_semantic.exits_cells_county_2027_v1, block=counties) bce72deb8c12…; athena(table=medicare_semantic.exits_cells_county_2027_v1, block=companies) 15de170f7bb5…; get_stars_rollup(group_by=state, limit=60) 2c1fa6b01add…; file(path=docs/research/plan-exits-2027/data/audited/by_year_state.csv) b2f25ce9152e…. Suppressed cells (under 11 members) count as zero in every count.

Cite: Vlada Health (2026). Medicare Advantage plan exits 2027 in Florida, by county. https://www.vladahealth.com/medicare-advantage/fl. 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 member's county for 2027; members CMS moves to a successor in their county are not counted.
  • Company: CMS's reported parent organization in September 2026; a company's share is over its own members in the state.
  • Stars: each contract's overall star weighted by its members in Florida; unrated contracts counted apart, never as zero stars.
  • 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, with the national tables: How we counted, and how to check it.

Questions

How many Medicare Advantage members in Florida must pick a new plan for 2027?
320,589 of 2,813,079 members (11.4%): their plan is not sold in their county for 2027 according to the CMS crosswalk and Landscape. Nationally the share is 10.6% (3,153,512 members).
Which Florida county has the most members who must pick?
Miami-Dade County: 22,086 of 390,581 members (5.7%). 0 of the 67 counties lose 90% or more of their members' plans; 0 lose none.
Which company ended the most plans in Florida for 2027?
Humana Inc.: 232,534 of its 1,136,873 Florida members (20.5%) are in a plan it does not sell in their county for 2027.
How did Florida's Star Ratings change for 2027?
89.5% of members are in contracts rated 4 stars or more for 2027, against 84.1% the year before; the member-weighted average star is 4.15, from 4.29, over 59 rated contracts.
How does 2027 compare with 2026 in Florida?
92,522 members (3.4%) had to pick a new plan for 2026; for 2027 it is 320,589 (11.4%), a change of +228,067 members.

Ask this in Claude or ChatGPT

The free Vlada connector answers it from the same files, with the source and a response hash. Install in one minute.

Use Vlada. Which Florida counties have the most Medicare Advantage members who must pick a new plan for 2027? Give me a table with the members in the market, the members who lose their plan and the share, then the source file, the data vintage and the response hash.

Behind it: get_landscape_exits (transition_year 2026, group_by county, state FL) and get_stars_rollup (group_by state).