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Vlada / Medicare Advantage / Louisiana / Madison County

Medicare Advantage plan exits 2027 in Madison County, LA

214 of the 908 Medicare Advantage members in Madison County (23.6%) are in a plan that is not sold in the county for 2027: 7 of the 24 plans sold there in September 2026 end, from the CMS 2027 Landscape and crosswalk. Louisiana: 6.3%; 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
908
members, Sept 2026
must pick for 2027
214
must pick for 2027
share of members
23.6%
share of members
plans end
7 of 24
plans end

Medicare Advantage members in Madison 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. 42 plans are listed for the county for 2027 against 40 for 2026.

02605107701k10%201511%14%201714%18%201923%29%202135%41%202345%45%202547%

The plans that end for 2027

Every plan sold in Madison 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
Aetna Medicare Signature Plus (PPO) H5521-233CVS Health CorporationRegular PPO65065065
Blue Advantage Classic (HMO-POS) H6453-013Louisiana Health Service & Indemnity CompanyRegular HMO5705700
Blue Advantage Thrive (PPO) H1248-014Louisiana Health Service & Indemnity CompanyRegular PPO2402400
Peoples Health Choices (PPO) H4544-001UnitedHealth Group, Inc.Regular PPO1919000
Aetna Medicare Value Care (PPO) H5521-326CVS Health CorporationRegular PPO19019019
Aetna Medicare Full Dual Care (HMO D-SNP) H3239-027CVS Health CorporationD-SNP HMO15015015
Aetna Medicare Dual Care (PPO D-SNP) H5521-472CVS Health CorporationD-SNP PPO15150015
7 plans214341800114

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 Madison County

CompanyMembers, Sept 2026PlansPlans endingMust pickShare of own membersOffered a new or renumbered planCompany gone
CVS Health Corporation11444114100.0%0114
Louisiana Health Service & Indemnity Company124428165.3%00
UnitedHealth Group, Inc.26461197.2%00
Humana Inc.40610000.0%00

Madison County against Louisiana and the nation

MeasureCountyLouisianaUnited States
Must pick for 2027, share of members23.6%6.3%10.6%
Must pick for 20260.0%10.1%
Must pick for 2025, members11 of 899
Must pick for 2026, members0 of 910
Must pick for 2027, members214 of 908

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

Star Ratings 2027 in Madison County

Measure20272026Change
Members in contracts rated 4+ stars58.3%80.5%-22.2 pts
Member-weighted average star3.984.20-0.22
Rated contracts with members here108

Members by star, 2027: 4.5: 363 · 4.0: 166 · 3.5: 360 · 3.0: 19; 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 Madison County, LA. https://www.vladahealth.com/medicare-advantage/la/madison. 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 Madison County must pick a new plan for 2027?
214 of 908 members (23.6%): their plan is not sold in the county for 2027 according to the CMS crosswalk and Landscape. Louisiana as a whole: 6.3%; the nation: 10.6%.
Which plan in Madison County ends with the most members?
Aetna Medicare Signature Plus (PPO) (H5521-233, CVS Health Corporation): 65 members in September 2026, its service area reduced.
Which company ended the most plans in Madison County for 2027?
CVS Health Corporation: 114 of its 114 members in the county (100.0%), 4 of its 4 plans.
What share of Madison County's Medicare eligibles are in Medicare Advantage?
46.8% in September 2026: 1,024 of 2,187 eligibles, from the CMS state-county penetration file.
How are Madison County's members rated for 2027?
58.3% of members are in contracts rated 4 stars or more for 2027 (80.5% the year before); the member-weighted average star is 3.98 over 10 rated contracts.
How does 2027 compare with 2026 in Madison County?
0 members (0.0%) had to pick a new plan for 2026; for 2027 it is 214 (23.6%), a change of +214 members.

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