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

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Vlada / Medicare Advantage / Michigan / Otsego County

Medicare Advantage plan exits 2027 in Otsego County, MI

1,119 of the 2,585 Medicare Advantage members in Otsego County (43.3%) are in a plan that is not sold in the county for 2027: 10 of the 39 plans sold there in September 2026 end, from the CMS 2027 Landscape and crosswalk. Michigan: 9.9%; 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
2,585
members, Sept 2026
must pick for 2027
1,119
must pick for 2027
share of members
43.3%
share of members
plans end
10 of 39
plans end

Medicare Advantage members in Otsego 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. 52 plans are listed for the county for 2027 against 60 for 2026.

01k2k3k4k27%201527%29%201731%33%201938%42%202145%49%202353%55%202556%

The plans that end for 2027

Every plan sold in Otsego 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
Prioritymedicare Key (HMO-POS) H2320-022Corewell HealthRegular HMO31703173170
Prioritymedicare Edge (PPO) H4875-020Corewell HealthRegular PPO199019900
Humana Full Access Giveback H5216-306 (PPO) H5216-306Humana Inc.Regular PPO160016000
Aetna Medicare Signature (PPO) H5521-285CVS Health CorporationRegular PPO144014400
Prioritymedicare Vital (PPO) H4875-022Corewell HealthRegular PPO9494000
Prioritymedicare Thrive (PPO) H4875-024Corewell HealthRegular PPO8008000
Aetna Medicare Full Dual Care (HMO D-SNP) H3192-007CVS Health CorporationD-SNP HMO5205200
Prioritymedicare Thrive Plus (PPO) H4875-018Corewell HealthRegular PPO4004000
Humana Usaa Honor Giveback With Rx (PPO) H5216-305Humana Inc.Regular PPO2002000
Aetna Medicare Eagle (PPO) H5521-286CVS Health CorporationRegular PPO1301300
10 plans1,119941,0253170

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 Otsego County

CompanyMembers, Sept 2026PlansPlans endingMust pickShare of own membersOffered a new or renumbered planCompany gone
Corewell Health84110573086.8%3170
CVS Health Corporation2384320987.8%00
Humana Inc.7569218023.8%00
Blue Cross Blue Shield of Michigan Mutual Ins. Co.3586000.0%00
UnitedHealth Group, Inc.3047000.0%00
Henry Ford Health System562000.0%00
Centene Corporation321000.0%00

Otsego County against Michigan and the nation

MeasureCountyMichiganUnited States
Must pick for 2027, share of members43.3%9.9%10.6%
Must pick for 202628.7%10.1%
Must pick for 2025, members17 of 2,212
Must pick for 2026, members703 of 2,453
Must pick for 2027, members1,119 of 2,585

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

Star Ratings 2027 in Otsego County

Measure20272026Change
Members in contracts rated 4+ stars88.5%72.4%+16.1 pts
Member-weighted average star4.204.17+0.03
Rated contracts with members here1613

Members by star, 2027: 4.5: 2,363 · 4.0: 1,134 · 3.5: 143 · 3.0: 313; 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 Otsego County, MI. https://www.vladahealth.com/medicare-advantage/mi/otsego. 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 Otsego County must pick a new plan for 2027?
1,119 of 2,585 members (43.3%): their plan is not sold in the county for 2027 according to the CMS crosswalk and Landscape. Michigan as a whole: 9.9%; the nation: 10.6%.
Which plan in Otsego County ends with the most members?
Prioritymedicare Key (HMO-POS) (H2320-022, Corewell Health): 317 members in September 2026, its service area reduced; the company offers them a new or renumbered plan of the same type in the county.
Which company ended the most plans in Otsego County for 2027?
Corewell Health: 730 of its 841 members in the county (86.8%), 5 of its 10 plans.
What share of Otsego County's Medicare eligibles are in Medicare Advantage?
55.5% in September 2026: 4,126 of 7,438 eligibles, from the CMS state-county penetration file.
How are Otsego County's members rated for 2027?
88.5% of members are in contracts rated 4 stars or more for 2027 (72.4% the year before); the member-weighted average star is 4.20 over 16 rated contracts.
How does 2027 compare with 2026 in Otsego County?
703 members (28.7%) had to pick a new plan for 2026; for 2027 it is 1,119 (43.3%), a change of +416 members.

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Use Vlada. In Otsego County, Michigan, 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 MI, county Otsego) and get_landscape_exits (group_by county).