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

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Vlada / Medicare Advantage / Florida / Columbia County

Medicare Advantage plan exits 2027 in Columbia County, FL

3,041 of the 9,240 Medicare Advantage members in Columbia County (32.9%) are in a plan that is not sold in the county for 2027: 8 of the 31 plans sold there in September 2026 end, from the CMS 2027 Landscape and crosswalk. Florida: 11.4%; 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
9,240
members, Sept 2026
must pick for 2027
3,041
must pick for 2027
share of members
32.9%
share of members
plans end
8 of 31
plans end

Medicare Advantage members in Columbia 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. 30 plans are listed for the county for 2027 against 39 for 2026.

02k5k7k10k20%201523%27%201729%33%201937%41%202145%48%202351%53%202553%

The plans that end for 2027

Every plan sold in Columbia 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
Humana Full Access Giveback H5216-393 (PPO) H5216-393Humana Inc.Regular PPO2,0152,01502,0150
Humana Full Access Giveback H7617-111 (PPO) H7617-111Humana Inc.Regular PPO83583508350
Aetna Medicare Signature (PPO) H5521-434CVS Health CorporationRegular PPO78078078
Aetna Medicare Eagle Giveback (PPO) H5521-306CVS Health CorporationRegular PPO33033033
Aetna Medicare Signature (PPO) H5521-705CVS Health CorporationRegular PPO31031031
Aetna Medicare Signature (PPO) H5521-269CVS Health CorporationRegular PPO22022022
Wellcare Sunshine Health Dual Align (HMO D-SNP) H1032-242Centene CorporationD-SNP HMO16160016
Wellcare Dual Access Sync (HMO D-SNP) H1032-240Centene CorporationD-SNP HMO11110011
8 plans3,0412,8771642,850191

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 Columbia County

CompanyMembers, Sept 2026PlansPlans endingMust pickShare of own membersOffered a new or renumbered planCompany gone
Humana Inc.5,9641622,85047.8%2,8500
CVS Health Corporation16444164100.0%0164
Centene Corporation272227100.0%027
UnitedHealth Group, Inc.2,9988000.0%00
Guidewell Mutual Holding Corporation871000.0%00

Columbia County against Florida and the nation

MeasureCountyFloridaUnited States
Must pick for 2027, share of members32.9%11.4%10.6%
Must pick for 202611.6%10.1%
Must pick for 2025, members522 of 8,604
Must pick for 2026, members1,052 of 9,080
Must pick for 2027, members3,041 of 9,240

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

Star Ratings 2027 in Columbia County

Measure20272026Change
Members in contracts rated 4+ stars77.0%52.8%+24.2 pts
Member-weighted average star4.073.92+0.15
Rated contracts with members here1416

Members by star, 2027: 4.5: 3,623 · 4.0: 3,762 · 3.5: 2,125 · 3.0: 87; 0 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 Columbia County, FL. https://www.vladahealth.com/medicare-advantage/fl/columbia. 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 Columbia County must pick a new plan for 2027?
3,041 of 9,240 members (32.9%): their plan is not sold in the county for 2027 according to the CMS crosswalk and Landscape. Florida as a whole: 11.4%; the nation: 10.6%.
Which plan in Columbia County ends with the most members?
Humana Full Access Giveback H5216-393 (PPO) (H5216-393, Humana Inc.): 2,015 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 Columbia County for 2027?
Humana Inc.: 2,850 of its 5,964 members in the county (47.8%), 2 of its 16 plans.
What share of Columbia County's Medicare eligibles are in Medicare Advantage?
53.0% in September 2026: 9,766 of 18,427 eligibles, from the CMS state-county penetration file.
How are Columbia County's members rated for 2027?
77.0% of members are in contracts rated 4 stars or more for 2027 (52.8% the year before); the member-weighted average star is 4.07 over 14 rated contracts.
How does 2027 compare with 2026 in Columbia County?
1,052 members (11.6%) had to pick a new plan for 2026; for 2027 it is 3,041 (32.9%), a change of +1,989 members.

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