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Vlada / Medicare Advantage / Minnesota

Medicare Advantage plan exits 2027 in Minnesota, by county

343,772 of Minnesota's 549,997 Medicare Advantage members (62.5%) are in a plan that is not sold in their county for 2027, measured from the CMS 2027 Landscape and crosswalk against September 2026 enrollment. Nationally the share is 10.6%.

Period: plan year 2027 against September 2026 members · Updated 2026-10-19 · Next: CMS January 2027 enrollment (February 2027): where the members landed

members, Sept 2026
549,997
members, Sept 2026
must pick for 2027
343,772
must pick for 2027
share of members
62.5%
share of members
counties
87
counties

Members who must pick a new plan each year, 2016 to 2027

Members of individual Medicare Advantage plans in Minnesota whose plan is not sold in their county the next year, by plan year; the share of all members at the top of each bar. Orange: the last three years.

086k172k258k344k0.0%20160.1%20174.4%20180.7%20190.1%20200.3%20211.8%20220.1%20231.7%20242.9%202538.0%202662.5%2027

Every Minnesota county, 2027

Members in September 2026; those whose plan is not sold in their county for 2027; their share; of those, the members offered a new or renumbered plan by their own company in the county, and the members whose company sells no plan there for 2027. Sorted by members who must pick. Each county links to its own page: the plans that end, the companies, enrollment and penetration since 2015, the Stars.

CountyMembers, Sept 2026Must pick for 2027ShareOffered a new or renumbered planCompany gone
Hennepin123,56467,02154.2%53,3860
Ramsey52,84427,87352.7%19,8141,020
Dakota46,78926,75357.2%21,537648
Anoka41,29819,78147.9%15,573562
Washington31,11419,01561.1%14,143358
Stearns17,64412,83272.7%12,2180
Crow Wing11,39110,82395.0%00
Wright15,7139,23458.8%7,5840
Scott14,1158,05457.1%6,868190
Olmsted8,9137,98189.5%3,993678
Otter Tail9,4617,54979.8%6,2450
Sherburne9,6647,16474.1%6,8580
Carver11,7215,97551.0%4,817108
Douglas6,6415,19978.3%5,1030
Chisago7,7944,63259.4%3,9180
Kandiyohi5,9814,63177.4%4,145123
Winona4,8154,22387.7%3,592631
Morrison5,2764,20479.7%2,587512
Cass5,0974,08480.1%3,651391
Becker5,1113,89476.2%2,8970
Blue Earth5,1003,79974.5%1,489207
Freeborn4,0063,78094.4%2,597312
Mower3,9313,66593.2%1,030283
Steele4,2143,45882.1%1,0932,365
Clay5,1633,40465.9%2,4820
Beltrami4,7403,21967.9%2642,934
Benton4,5423,18570.1%2,785236
Todd3,7373,03281.1%2,5660
Brown3,0582,85493.3%2202,634
Hubbard3,0642,52482.4%1,668819
Isanti5,5912,52045.1%2,13577
Nicollet2,9042,42283.4%2,032390
Polk2,7612,33884.7%00
Wabasha2,7392,21680.9%1,0671,149
Wadena2,1401,94891.0%00
Waseca2,2551,88783.7%3771,510
Martin2,1301,84986.8%820138
Lyon1,9021,79694.4%1321,664
Fillmore2,6011,70465.5%443221
Redwood1,7321,66396.0%521,611
Roseau1,9321,62884.3%1,51771
Renville1,7791,54586.8%1,188339
Pennington1,6801,39382.9%350
Dodge1,5051,39092.4%643747
Faribault1,5991,34584.1%1,208137
Nobles1,4581,29288.6%531,239
Chippewa1,2851,27198.9%01,271
Cottonwood1,2711,22096.0%461,174
Pope1,4081,16182.5%461,115
Swift1,09297589.3%765133
Marshall1,23693976.0%82948
McLeod1,22091174.7%0911
Jackson90889698.7%24872
Lac qui Parle89888198.1%27854
Houston2,62884432.1%742102
Mille Lacs1,01074673.9%0746
Clearwater1,14773764.3%555161
Watonwan80870587.3%5030
Murray75268491.0%350
Lake of the Woods66763495.1%027
Grant76463082.5%54871
Wilkin81162076.4%5430
Sibley70058082.9%0580
Norman68857683.7%00
Red Lake58453090.8%00
Aitkin72552372.1%0523
Lincoln52550796.6%49458
Pine75849865.7%0498
Meeker72848266.2%0482
Big Stone65646470.7%4640
Carlton73939152.9%0391
Goodhue80838747.9%0387
Lake43337987.5%0379
Mahnomen41436688.4%00
Kittson43634478.9%29327
Koochiching45925956.4%0259
St. Louis5,4832564.7%00
Itasca1,67618210.9%078
Le Sueur65410516.1%0105
Kanabec1,0801009.3%0100
Yellow Medicine1008484.0%084
Cook1248165.3%081
Traverse1083027.8%030
Pipestone181168.8%016
Rice42100.0%00
Rock31900.0%00
Stevens8400.0%00
Minnesota, 87 counties549,997343,77262.5%232,29436,267

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.

Minnesota against the nation

MeasureMinnesotaUnited States
Must pick a new plan for 2027343,7723,153,512
Share of members62.5%10.6%
Share for 202638.0%10.1%

National figures: the Vlada report 3.15 million Medicare Advantage members must pick a new plan for 2027.

Star Ratings 2027, member-weighted

Measure20272026Change
Members in contracts rated 4+ stars74.9%71.1%+3.8 pts
Member-weighted average star3.944.14-0.20
Rated contracts22

Members by star, 2027: 4.5: 132,045 · 4.0: 379,668 · 3.5: 132,093 · 3.0: 39,108 · 2.5: 14; 1,562 in unrated contracts. CMS Star Ratings released 2026-10-08, each contract's overall star weighted by its 2026-10 members in Minnesota (individual and group); rating year 2027 pays in 2028.

By company, 2027

CMS parent organizations with members in Minnesota in September 2026: members whose plan is not sold in their county for 2027, as a share of the company's own members; how the plan went (terminated, or its service area reduced so it continues elsewhere but not in their county); of those members, how many the company offers a new or renumbered plan of the same type in the county, and how many are left with no plan from the company there.

CompanyMembersMust pickShare of own membersPlan terminatedService area reducedOffered a new or renumbered planCompany gone
Aware Integrated, Inc.286,733258,21990.1%250,4807,739210,75920,483
Medica Holding Company88,08933,36237.9%20,22813,13421,5351,121
HealthPartners, Inc.49,33424,46749.6%23,47299501,285
UnitedHealth Group, Inc.49,86716,20232.5%14,4501,75201,856
Humana Inc.9,3979,397100.0%5,7923,60509,397
Allina Health and Aetna Insurance Holding Company56,5382,1253.8%7591,36602,125
PrimeWest Rural MN Health Care Access Initiative2,92000.0%0000
Sanford Health2,88100.0%0000
University of Wisconsin Hospitals and Clincs Autho2,42300.0%0000
South Country Health Alliance1,47300.0%0000
Itasca County34200.0%0000

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.
  • CMS Star Ratings 2027, released 2026-10-08.
  • Page object written 2026-10-19; the series 2016 to 2027 from the locked exits history of the Vlada report (independent audit 2026-10-13).

Receipts: athena(table=medicare_semantic.exits_cells_county_2027_v1, block=counties) bce72deb8c12…; athena(table=medicare_semantic.exits_cells_county_2027_v1, block=companies) 15de170f7bb5…; get_stars_rollup(group_by=state, limit=60) 2c1fa6b01add…; file(path=docs/research/plan-exits-2027/data/audited/by_year_state.csv) b2f25ce9152e…. Suppressed cells (under 11 members) count as zero in every count.

Cite: Vlada Health (2026). Medicare Advantage plan exits 2027 in Minnesota, by county. https://www.vladahealth.com/medicare-advantage/mn. 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 member's county for 2027; members CMS moves to a successor in their county are not counted.
  • Company: CMS's reported parent organization in September 2026; a company's share is over its own members in the state.
  • Stars: each contract's overall star weighted by its members in Minnesota; unrated contracts counted apart, never as zero stars.
  • 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, with the national tables: How we counted, and how to check it.

Questions

How many Medicare Advantage members in Minnesota must pick a new plan for 2027?
343,772 of 549,997 members (62.5%): their plan is not sold in their county for 2027 according to the CMS crosswalk and Landscape. Nationally the share is 10.6% (3,153,512 members).
Which Minnesota county has the most members who must pick?
Hennepin County: 67,021 of 123,564 members (54.2%). 16 of the 87 counties lose 90% or more of their members' plans; 3 lose none.
Which company ended the most plans in Minnesota for 2027?
Aware Integrated, Inc.: 258,219 of its 286,733 Minnesota members (90.1%) are in a plan it does not sell in their county for 2027.
How did Minnesota's Star Ratings change for 2027?
74.9% of members are in contracts rated 4 stars or more for 2027, against 71.1% the year before; the member-weighted average star is 3.94, from 4.14, over 22 rated contracts.
How does 2027 compare with 2026 in Minnesota?
222,903 members (38.0%) had to pick a new plan for 2026; for 2027 it is 343,772 (62.5%), a change of +120,869 members.

Ask this in Claude or ChatGPT

The free Vlada connector answers it from the same files, with the source and a response hash. Install in one minute.

Use Vlada. Which Minnesota counties have the most Medicare Advantage members who must pick a new plan for 2027? Give me a table with the members in the market, the members who lose their plan and the share, then the source file, the data vintage and the response hash.

Behind it: get_landscape_exits (transition_year 2026, group_by county, state MN) and get_stars_rollup (group_by state).