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Vlada / Medicare Advantage / Massachusetts / Berkshire County

Medicare Advantage plan exits 2027 in Berkshire County, MA

4,087 of the 5,560 Medicare Advantage members in Berkshire County (73.5%) are in a plan that is not sold in the county for 2027: 4 of the 11 plans sold there in September 2026 end, from the CMS 2027 Landscape and crosswalk. Massachusetts: 11.6%; 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
5,560
members, Sept 2026
must pick for 2027
4,087
must pick for 2027
share of members
73.5%
share of members
plans end
4 of 11
plans end

Medicare Advantage members in Berkshire 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. 10 plans are listed for the county for 2027 against 12 for 2026.

02k4k5k7k5%20156%7%20178%9%201910%12%202114%17%202319%16%202517%

The plans that end for 2027

Every plan sold in Berkshire 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
Health New England Medicare Compass (PPO) H2737-001Baystate Health, Inc.Regular PPO1,77001,77000
Fallon Medicare Plus Orange (HMO) H9001-038Fallon Community Health Plan, Inc.Regular HMO1,16101,16100
Health New England Medicare Value (HMO) H8578-012Baystate Health, Inc.Regular HMO1,03901,0391,0390
Fallon Medicare Plus Green (HMO) H9001-030Fallon Community Health Plan, Inc.Regular HMO117011700
4 plans4,08704,0871,0390

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 Berkshire County

CompanyMembers, Sept 2026PlansPlans endingMust pickShare of own membersOffered a new or renumbered planCompany gone
Baystate Health, Inc.3,084522,80991.1%1,0390
Fallon Community Health Plan, Inc.1,850521,27869.1%00
CareSource6261000.0%00

Berkshire County against Massachusetts and the nation

MeasureCountyMassachusettsUnited States
Must pick for 2027, share of members73.5%11.6%10.6%
Must pick for 20260.0%10.1%
Must pick for 2025, members2,198 of 5,260
Must pick for 2026, members0 of 4,588
Must pick for 2027, members4,087 of 5,560

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

Star Ratings 2027 in Berkshire County

Measure20272026Change
Members in contracts rated 4+ stars35.7%44.4%-8.7 pts
Member-weighted average star3.463.34+0.12
Rated contracts with members here1110

Members by star, 2027: 4.5: 653 · 4.0: 1,371 · 3.5: 523 · 3.0: 3,119; 626 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 Berkshire County, MA. https://www.vladahealth.com/medicare-advantage/ma/berkshire. 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 Berkshire County must pick a new plan for 2027?
4,087 of 5,560 members (73.5%): their plan is not sold in the county for 2027 according to the CMS crosswalk and Landscape. Massachusetts as a whole: 11.6%; the nation: 10.6%.
Which plan in Berkshire County ends with the most members?
Health New England Medicare Compass (PPO) (H2737-001, Baystate Health, Inc.): 1,770 members in September 2026, its service area reduced.
Which company ended the most plans in Berkshire County for 2027?
Baystate Health, Inc.: 2,809 of its 3,084 members in the county (91.1%), 2 of its 5 plans.
What share of Berkshire County's Medicare eligibles are in Medicare Advantage?
16.8% in September 2026: 6,452 of 38,446 eligibles, from the CMS state-county penetration file.
How are Berkshire County's members rated for 2027?
35.7% of members are in contracts rated 4 stars or more for 2027 (44.4% the year before); the member-weighted average star is 3.46 over 11 rated contracts.
How does 2027 compare with 2026 in Berkshire County?
0 members (0.0%) had to pick a new plan for 2026; for 2027 it is 4,087 (73.5%), a change of +4,087 members.

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