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

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Vlada / Medicare Advantage / Louisiana / St. Mary County

Medicare Advantage plan exits 2027 in St. Mary County, LA

472 of the 6,191 Medicare Advantage members in St. Mary County (7.6%) are in a plan that is not sold in the county for 2027: 6 of the 39 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
6,191
members, Sept 2026
must pick for 2027
472
must pick for 2027
share of members
7.6%
share of members
plans end
6 of 39
plans end

Medicare Advantage members in St. Mary 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. 48 plans are listed for the county for 2027 against 51 for 2026.

02k4k5k7k15%201516%19%201723%33%201939%48%202154%58%202360%61%202561%

The plans that end for 2027

Every plan sold in St. Mary 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 PPO182018200
Aetna Medicare Value Care (PPO) H5521-326CVS Health CorporationRegular PPO138013800
Peoples Health Patriot (PPO) H4544-002UnitedHealth Group, Inc.Regular PPO6363000
Peoples Health Choices (PPO) H4544-001UnitedHealth Group, Inc.Regular PPO5151000
Aetna Medicare Dual Care (PPO D-SNP) H5521-472CVS Health CorporationD-SNP PPO2020000
Aetna Medicare Eagle Plus Giveback (PPO) H5521-235CVS Health CorporationRegular PPO1801800
6 plans47213433800

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 St. Mary County

CompanyMembers, Sept 2026PlansPlans endingMust pickShare of own membersOffered a new or renumbered planCompany gone
CVS Health Corporation5356435866.9%00
UnitedHealth Group, Inc.3,5581021143.2%00
Humana Inc.1,81014000.0%00
Louisiana Health Service & Indemnity Company1674000.0%00
Centene Corporation874000.0%00
Elevance Health, Inc.341000.0%00

St. Mary County against Louisiana and the nation

MeasureCountyLouisianaUnited States
Must pick for 2027, share of members7.6%6.3%10.6%
Must pick for 20260.3%10.1%
Must pick for 2025, members97 of 5,984
Must pick for 2026, members18 of 6,068
Must pick for 2027, members472 of 6,191

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

Star Ratings 2027 in St. Mary County

Measure20272026Change
Members in contracts rated 4+ stars43.5%80.7%-37.2 pts
Member-weighted average star3.874.27-0.40
Rated contracts with members here1615

Members by star, 2027: 4.5: 2,318 · 4.0: 766 · 3.5: 3,864 · 3.0: 148; 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 St. Mary County, LA. https://www.vladahealth.com/medicare-advantage/la/st-mary. 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 St. Mary County must pick a new plan for 2027?
472 of 6,191 members (7.6%): 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 St. Mary County ends with the most members?
Aetna Medicare Signature Plus (PPO) (H5521-233, CVS Health Corporation): 182 members in September 2026, its service area reduced.
Which company ended the most plans in St. Mary County for 2027?
CVS Health Corporation: 358 of its 535 members in the county (66.9%), 4 of its 6 plans.
What share of St. Mary County's Medicare eligibles are in Medicare Advantage?
61.3% in September 2026: 7,204 of 11,746 eligibles, from the CMS state-county penetration file.
How are St. Mary County's members rated for 2027?
43.5% of members are in contracts rated 4 stars or more for 2027 (80.7% the year before); the member-weighted average star is 3.87 over 16 rated contracts.
How does 2027 compare with 2026 in St. Mary County?
18 members (0.3%) had to pick a new plan for 2026; for 2027 it is 472 (7.6%), a change of +454 members.

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Use Vlada. In St. Mary County, Louisiana, 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.

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