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

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Vlada / Medicare Advantage / Minnesota / Cass County

Medicare Advantage plan exits 2027 in Cass County, MN

4,084 of the 5,097 Medicare Advantage members in Cass County (80.1%) are in a plan that is not sold in the county for 2027: 10 of the 15 plans sold there in September 2026 end, from the CMS 2027 Landscape and crosswalk. Minnesota: 62.5%; 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
5,097
members, Sept 2026
must pick for 2027
4,084
must pick for 2027
share of members
80.1%
share of members
plans end
10 of 15
plans end

Medicare Advantage members in Cass 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. 8 plans are listed for the county for 2027 against 15 for 2026.

01k3k4k6k52%201553%56%201756%40%201942%46%202149%51%202353%53%202550%

The plans that end for 2027

Every plan sold in Cass 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
Blue Cross Medicare Advantage Choice (PPO) H5959-014Aware Integrated, Inc.Regular PPO1,6061,60601,6060
Blue Cross Medicare Advantage Comfort (PPO) H5959-016Aware Integrated, Inc.Regular PPO85985908590
Blue Cross Medicare Advantage Core (PPO) H5959-013Aware Integrated, Inc.Regular PPO63663606360
Medica Advantage Solution H8889-005 (PPO) H8889-005Medica Holding CompanyRegular PPO39303933930
AARP Medicare Advantage From UHC Fg-0002 (PPO) H2001-119UnitedHealth Group, Inc.Regular PPO17401740174
Blue Cross Medicare Advantage Complete (PPO) H5959-010Aware Integrated, Inc.Regular PPO15715701570
AARP Medicare Advantage From UHC Fg-0001 (PPO) H2001-118UnitedHealth Group, Inc.Regular PPO14901490149
AARP Medicare Advantage Patriot No Rx Fg-ma01 (PPO) H2001-124UnitedHealth Group, Inc.Regular PPO51051051
Medica Advantage Solution H6154-001 (HMO-POS) H6154-001Medica Holding CompanyRegular HMO4242000
AARP Medicare Advantage From UHC Fg-0003 (PPO) H2001-120UnitedHealth Group, Inc.Regular PPO17170017
10 plans4,0843,3177673,651391

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 Cass County

CompanyMembers, Sept 2026PlansPlans endingMust pickShare of own membersOffered a new or renumbered planCompany gone
Aware Integrated, Inc.3,783643,25886.1%3,2580
Medica Holding Company9235243547.1%3930
UnitedHealth Group, Inc.39144391100.0%0391

Cass County against Minnesota and the nation

MeasureCountyMinnesotaUnited States
Must pick for 2027, share of members80.1%62.5%10.6%
Must pick for 202641.6%10.1%
Must pick for 2025, members1,089 of 5,035
Must pick for 2026, members2,188 of 5,254
Must pick for 2027, members4,084 of 5,097

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

Star Ratings 2027 in Cass County

Measure20272026Change
Members in contracts rated 4+ stars97.2%68.1%+29.1 pts
Member-weighted average star4.044.08-0.04
Rated contracts with members here713

Members by star, 2027: 4.5: 571 · 4.0: 4,591 · 3.5: 146; 42 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 Cass County, MN. https://www.vladahealth.com/medicare-advantage/mn/cass. 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 Cass County must pick a new plan for 2027?
4,084 of 5,097 members (80.1%): their plan is not sold in the county for 2027 according to the CMS crosswalk and Landscape. Minnesota as a whole: 62.5%; the nation: 10.6%.
Which plan in Cass County ends with the most members?
Blue Cross Medicare Advantage Choice (PPO) (H5959-014, Aware Integrated, Inc.): 1,606 members in September 2026, terminated; the company offers them a new or renumbered plan of the same type in the county.
Which company ended the most plans in Cass County for 2027?
Aware Integrated, Inc.: 3,258 of its 3,783 members in the county (86.1%), 4 of its 6 plans.
What share of Cass County's Medicare eligibles are in Medicare Advantage?
50.2% in September 2026: 5,455 of 10,867 eligibles, from the CMS state-county penetration file.
How are Cass County's members rated for 2027?
97.2% of members are in contracts rated 4 stars or more for 2027 (68.1% the year before); the member-weighted average star is 4.04 over 7 rated contracts.
How does 2027 compare with 2026 in Cass County?
2,188 members (41.6%) had to pick a new plan for 2026; for 2027 it is 4,084 (80.1%), a change of +1,896 members.

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