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

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Vlada / Medicare Advantage / Florida / Miami-Dade County

Medicare Advantage plan exits 2027 in Miami-Dade County, FL

22,086 of the 390,581 Medicare Advantage members in Miami-Dade County (5.7%) are in a plan that is not sold in the county for 2027: 15 of the 112 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
390,581
members, Sept 2026
must pick for 2027
22,086
must pick for 2027
share of members
5.7%
share of members
plans end
15 of 112
plans end

Medicare Advantage members in Miami-Dade 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. 101 plans are listed for the county for 2027 against 115 for 2026.

099k198k297k397k63%201564%67%201769%71%201972%74%202175%75%202376%76%202575%

The plans that end for 2027

Every plan sold in Miami-Dade 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
Drmax (HMO) H4140-001DOCTORS HEALTHCARE PLANS, INC.Regular HMO6,2616,26106,2610
Drselect (HMO) H4140-012DOCTORS HEALTHCARE PLANS, INC.Regular HMO4,4124,41204,4120
Simply Extra Platinum (HMO) H5471-113Elevance Health, Inc.Regular HMO3,5723,572000
Simply Level Platinum (HMO C-SNP) H5471-116Elevance Health, Inc.CSNP HMO1,7881,788000
Simply More (HMO) H5471-065Elevance Health, Inc.Regular HMO1,6691,669000
Drextracare (HMO C-SNP) H4140-004DOCTORS HEALTHCARE PLANS, INC.CSNP HMO1,4801,48001,4800
Simply More Platinum (HMO) H5471-114Elevance Health, Inc.Regular HMO1,1711,171000
Simply Level (HMO C-SNP) H5471-069Elevance Health, Inc.CSNP HMO566566000
Healthspring Preferred (HMO) H5410-060Health Care Service CorporationRegular HMO38238200382
Wellcare Simple (HMO) H1032-237Centene CorporationRegular HMO360360000
Drelite-sfl (HMO) H4140-019DOCTORS HEALTHCARE PLANS, INC.Regular HMO19719701970
Humanachoice Florida Snp-de H7617-113 (PPO D-SNP) H7617-113Humana Inc.D-SNP PPO12612601260
Gold Health (HMO-POS C-SNP) H1526-008Gold Kidney Health PlanCSNP HMO48480480
Wellcare Patriot Giveback (HMO) H1032-239Centene CorporationRegular HMO3030000
Healthspring Totalcare (HMO D-SNP) H5410-056Health Care Service CorporationD-SNP HMO24240024
15 plans22,08622,086012,524406

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 Miami-Dade County

CompanyMembers, Sept 2026PlansPlans endingMust pickShare of own membersOffered a new or renumbered planCompany gone
DOCTORS HEALTHCARE PLANS, INC.24,7376412,35049.9%12,3500
Elevance Health, Inc.64,4211558,76613.6%00
Health Care Service Corporation40622406100.0%0406
Centene Corporation2,9006239013.4%00
Humana Inc.101,2743011260.1%1260
Gold Kidney Health Plan141414834.0%480
UnitedHealth Group, Inc.117,32117000.0%00
LMC Family Holdings, LLC40,4253000.0%00
Athena Healthcare Holdings, LLC17,7915000.0%00
CVS Health Corporation11,8595000.0%00
Devoted Health, Inc.6,5259000.0%00
Guidewell Mutual Holding Corporation1,5303000.0%00
Independent Living Systems, LLC8793000.0%00
Curana Health Holdings, LLC2882000.0%00
Longevity Health Founders, LLC531000.0%00
Independence Health Group, Inc.311000.0%00

Miami-Dade County against Florida and the nation

MeasureCountyFloridaUnited States
Must pick for 2027, share of members5.7%11.4%10.6%
Must pick for 20265.6%10.1%
Must pick for 2025, members13,056 of 378,677
Must pick for 2026, members21,555 of 385,032
Must pick for 2027, members22,086 of 390,581

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

Star Ratings 2027 in Miami-Dade County

Measure20272026Change
Members in contracts rated 4+ stars98.1%96.1%+2.0 pts
Member-weighted average star4.384.51-0.13
Rated contracts with members here3429

Members by star, 2027: 5.0: 40,697 · 4.5: 226,956 · 4.0: 119,260 · 3.5: 5,527 · 3.0: 1,820 · 2.5: 154; 319 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 Miami-Dade County, FL. https://www.vladahealth.com/medicare-advantage/fl/miami-dade. 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 Miami-Dade County must pick a new plan for 2027?
22,086 of 390,581 members (5.7%): 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 Miami-Dade County ends with the most members?
Drmax (HMO) (H4140-001, DOCTORS HEALTHCARE PLANS, INC.): 6,261 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 Miami-Dade County for 2027?
DOCTORS HEALTHCARE PLANS, INC.: 12,350 of its 24,737 members in the county (49.9%), 4 of its 6 plans.
What share of Miami-Dade County's Medicare eligibles are in Medicare Advantage?
75.2% in September 2026: 396,635 of 527,506 eligibles, from the CMS state-county penetration file.
How are Miami-Dade County's members rated for 2027?
98.1% of members are in contracts rated 4 stars or more for 2027 (96.1% the year before); the member-weighted average star is 4.38 over 34 rated contracts.
How does 2027 compare with 2026 in Miami-Dade County?
21,555 members (5.6%) had to pick a new plan for 2026; for 2027 it is 22,086 (5.7%), a change of +531 members.

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