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Medicare Advantage plan exits 2027 in Gem County, ID
1,231 of the 3,412 Medicare Advantage members in Gem County (36.1%) are in a plan that is not sold in the county for 2027: 9 of the 28 plans sold there in September 2026 end, from the CMS 2027 Landscape and crosswalk. Idaho: 35.5%; 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
- 3,412
- members, Sept 2026
- must pick for 2027
- 1,231
- must pick for 2027
- share of members
- 36.1%
- share of members
- plans end
- 9 of 28
- plans end
Medicare Advantage members in Gem 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. 22 plans are listed for the county for 2027 against 30 for 2026.
The plans that end for 2027
Every plan sold in Gem 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.
| Plan | Company | Type | Members | Terminated | Service area reduced | Offered a new or renumbered plan | Company gone |
|---|---|---|---|---|---|---|---|
| Saint Alphonsus Health Plan No Premium (HMO) H6910-001 | Trinity Health Corporation | Regular HMO | 452 | 452 | 0 | 0 | 452 |
| Saint Alphonsus Health Plan Cash Back (HMO) H6910-005 | Trinity Health Corporation | Regular HMO | 423 | 423 | 0 | 0 | 423 |
| Pacificsource Medicare Mycare Choice Rx 24 (HMO-POS) H3864-024 | PacificSource | Regular HMO | 117 | 117 | 0 | 0 | 117 |
| Humanachoice - Diabetes And Heart (PPO C-SNP) H7617-034 | Humana Inc. | CSNP PPO | 81 | 81 | 0 | 81 | 0 |
| Humana Essentials Plus Giveback H5216-429 (PPO) H5216-429 | Humana Inc. | Regular PPO | 44 | 44 | 0 | 0 | 0 |
| Molina Medicare Complete Care Select (HMO D-SNP) H5628-014 | Molina Healthcare, Inc. | D-SNP HMO | 36 | 36 | 0 | 0 | 0 |
| Saint Alphonsus Health Plan Choice (PPO) H3828-001 | Trinity Health Corporation | Regular PPO | 31 | 31 | 0 | 0 | 31 |
| Pacificsource Medicare Explorer 6 (PPO) H4754-006 | PacificSource | Regular PPO | 28 | 28 | 0 | 0 | 28 |
| Saint Alphonsus Health Plan Glory No Rx (HMO) H6910-004 | Trinity Health Corporation | Regular HMO | 19 | 19 | 0 | 0 | 19 |
| 9 plans | 1,231 | 1,231 | 0 | 81 | 1,070 |
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 Gem County
| Company | Members, Sept 2026 | Plans | Plans ending | Must pick | Share of own members | Offered a new or renumbered plan | Company gone |
|---|---|---|---|---|---|---|---|
| Trinity Health Corporation | 925 | 4 | 4 | 925 | 100.0% | 0 | 925 |
| PacificSource | 145 | 2 | 2 | 145 | 100.0% | 0 | 145 |
| Humana Inc. | 516 | 9 | 2 | 125 | 24.2% | 81 | 0 |
| Molina Healthcare, Inc. | 179 | 2 | 1 | 36 | 20.1% | 0 | 0 |
| Gemstone Holdings, Inc. | 1,017 | 4 | 0 | 0 | 0.0% | 0 | 0 |
| UnitedHealth Group, Inc. | 616 | 6 | 0 | 0 | 0.0% | 0 | 0 |
| Mitchell Family Office | 14 | 1 | 0 | 0 | 0.0% | 0 | 0 |
Gem County against Idaho and the nation
| Measure | County | Idaho | United States |
|---|---|---|---|
| Must pick for 2027, share of members | 36.1% | 35.5% | 10.6% |
| Must pick for 2026 | 62.7% | 10.1% | |
| Must pick for 2025, members | 350 of 3,297 | ||
| Must pick for 2026, members | 2,136 of 3,405 | ||
| Must pick for 2027, members | 1,231 of 3,412 |
State and national figures: the Idaho hub and the national report.
Star Ratings 2027 in Gem County
| Measure | 2027 | 2026 | Change |
|---|---|---|---|
| Members in contracts rated 4+ stars | 46.6% | 34.3% | +12.3 pts |
| Member-weighted average star | 3.56 | 3.66 | -0.10 |
| Rated contracts with members here | 10 | 12 |
Members by star, 2027: 4.5: 423 · 4.0: 692 · 3.5: 20 · 3.0: 1,260; 1,148 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 Gem County, ID. https://www.vladahealth.com/medicare-advantage/id/gem. 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 Gem County must pick a new plan for 2027?
- 1,231 of 3,412 members (36.1%): their plan is not sold in the county for 2027 according to the CMS crosswalk and Landscape. Idaho as a whole: 35.5%; the nation: 10.6%.
- Which plan in Gem County ends with the most members?
- Saint Alphonsus Health Plan No Premium (HMO) (H6910-001, Trinity Health Corporation): 452 members in September 2026, terminated.
- Which company ended the most plans in Gem County for 2027?
- Trinity Health Corporation: 925 of its 925 members in the county (100.0%), 4 of its 4 plans.
- What share of Gem County's Medicare eligibles are in Medicare Advantage?
- 60.8% in September 2026: 3,619 of 5,954 eligibles, from the CMS state-county penetration file.
- How are Gem County's members rated for 2027?
- 46.6% of members are in contracts rated 4 stars or more for 2027 (34.3% the year before); the member-weighted average star is 3.56 over 10 rated contracts.
- How does 2027 compare with 2026 in Gem County?
- 2,136 members (62.7%) had to pick a new plan for 2026; for 2027 it is 1,231 (36.1%), a change of -905 members.
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Use Vlada. In Gem County, Idaho, which Medicare Advantage plans are not sold for 2027, how many members are in each, and what did 2026 look like? Give me a table with the source file, the data vintage and the response hash.
Behind it: get_county_view (state ID, county Gem) and get_landscape_exits (group_by county).