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

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Vlada / Medicare Advantage / Florida / Orange County

Medicare Advantage plan exits 2027 in Orange County, FL

15,296 of the 133,672 Medicare Advantage members in Orange County (11.4%) are in a plan that is not sold in the county for 2027: 19 of the 113 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
133,672
members, Sept 2026
must pick for 2027
15,296
must pick for 2027
share of members
11.4%
share of members
plans end
19 of 113
plans end

Medicare Advantage members in Orange 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. 106 plans are listed for the county for 2027 against 123 for 2026.

035k70k106k141k45%201546%48%201750%52%201954%57%202159%60%202362%62%202562%

The plans that end for 2027

Every plan sold in Orange 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 PPO6,5386,53806,5380
Humana Full Access Giveback H7617-111 (PPO) H7617-111Humana Inc.Regular PPO2,5232,52302,5230
Healthspring Preferred Savings (HMO) H5410-026Health Care Service CorporationRegular HMO1,3031,303000
Humanachoice Florida H7617-109 (PPO) H7617-109Humana Inc.Regular PPO80680608060
Simply More (HMO) H5471-074Elevance Health, Inc.Regular HMO682682000
Aetna Medicare Signature (PPO) H5521-033CVS Health CorporationRegular PPO55105515510
Humana Direct Choice Giveback (PPO) H5216-452Humana Inc.Regular PPO54054005400
Humana Direct Choice Giveback (PPO) H7617-112Humana Inc.Regular PPO42042004200
Health First Emerald Plus H1099-024 (HMO) H1099-024Health First Shared Services, Inc.Regular HMO40440400404
Simply Extra Platinum (HMO) H5471-120Elevance Health, Inc.Regular HMO376376000
Aetna Medicare Premier (PPO) H5521-586CVS Health CorporationRegular PPO260260000
Simply Level Platinum (HMO C-SNP) H5471-122Elevance Health, Inc.CSNP HMO223223000
Aetna Medicare Select Extra (HMO-POS) H1609-028CVS Health CorporationRegular HMO219021900
Health First Complete Care H1099-023 (HMO) H1099-023Health First Shared Services, Inc.Regular HMO19419400194
Simply Level (HMO C-SNP) H5471-073Elevance Health, Inc.CSNP HMO165165000
Wellcare Patriot Giveback (HMO) H1032-239Centene CorporationRegular HMO4242000
Humana Usaa Honor Giveback (PPO) H5216-467Humana Inc.Regular PPO20200200
Health First Premier Access H1099-025 (HMO-POS) H1099-025Health First Shared Services, Inc.Regular HMO15150015
Drselect-cfl (HMO) H4140-016DOCTORS HEALTHCARE PLANS, INC.Regular HMO15150150
19 plans15,29614,52677011,413613

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 Orange County

CompanyMembers, Sept 2026PlansPlans endingMust pickShare of own membersOffered a new or renumbered planCompany gone
Humana Inc.59,98633610,84718.1%10,8470
Elevance Health, Inc.18,7592141,4467.7%00
Health Care Service Corporation3,041411,30342.8%00
CVS Health Corporation4,382931,03023.5%5510
Health First Shared Services, Inc.61333613100.0%0613
Centene Corporation7,53961420.6%00
DOCTORS HEALTHCARE PLANS, INC.46211532.6%150
UnitedHealth Group, Inc.29,70213000.0%00
Devoted Health, Inc.5,6389000.0%00
Guidewell Mutual Holding Corporation2,5474000.0%00
Athena Healthcare Holdings, LLC8764000.0%00
Ultimate Healthcare Holdings, LLC5194000.0%00
Curana Health Holdings, LLC241000.0%00

Orange County against Florida and the nation

MeasureCountyFloridaUnited States
Must pick for 2027, share of members11.4%11.4%10.6%
Must pick for 20260.7%10.1%
Must pick for 2025, members7,636 of 124,986
Must pick for 2026, members952 of 129,354
Must pick for 2027, members15,296 of 133,672

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

Star Ratings 2027 in Orange County

Measure20272026Change
Members in contracts rated 4+ stars90.1%82.2%+7.9 pts
Member-weighted average star4.104.24-0.14
Rated contracts with members here3537

Members by star, 2027: 5.0: 297 · 4.5: 43,511 · 4.0: 82,373 · 3.5: 10,233 · 3.0: 3,593 · 2.5: 26; 24 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 Orange County, FL. https://www.vladahealth.com/medicare-advantage/fl/orange. 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 Orange County must pick a new plan for 2027?
15,296 of 133,672 members (11.4%): 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 Orange County ends with the most members?
Humana Full Access Giveback H5216-393 (PPO) (H5216-393, Humana Inc.): 6,538 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 Orange County for 2027?
Humana Inc.: 10,847 of its 59,986 members in the county (18.1%), 6 of its 33 plans.
What share of Orange County's Medicare eligibles are in Medicare Advantage?
62.0% in September 2026: 140,874 of 227,235 eligibles, from the CMS state-county penetration file.
How are Orange County's members rated for 2027?
90.1% of members are in contracts rated 4 stars or more for 2027 (82.2% the year before); the member-weighted average star is 4.10 over 35 rated contracts.
How does 2027 compare with 2026 in Orange County?
952 members (0.7%) had to pick a new plan for 2026; for 2027 it is 15,296 (11.4%), a change of +14,344 members.

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