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

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Vlada / Medicare Advantage / Montana / Yellowstone County

Medicare Advantage plan exits 2027 in Yellowstone County, MT

3,913 of the 13,484 Medicare Advantage members in Yellowstone County (29.0%) are in a plan that is not sold in the county for 2027: 11 of the 24 plans sold there in September 2026 end, from the CMS 2027 Landscape and crosswalk. Montana: 25.4%; 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
13,484
members, Sept 2026
must pick for 2027
3,913
must pick for 2027
share of members
29.0%
share of members
plans end
11 of 24
plans end

Medicare Advantage members in Yellowstone 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. 16 plans are listed for the county for 2027 against 26 for 2026.

04k7k11k15k21%201523%24%201724%25%201926%30%202132%35%202337%38%202538%

The plans that end for 2027

Every plan sold in Yellowstone 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
Pacificsource Medicare Mycare Choice Rx 29 (HMO-POS) H3864-029PacificSourceRegular HMO1,0761,076001,076
AARP Medicare Advantage From UHC Mt-0002 (PPO) H8211-009UnitedHealth Group, Inc.Regular PPO877877000
Blue Cross Medicare Advantage Choice Plus (PPO) H0107-005Health Care Service CorporationRegular PPO47447400474
AARP Medicare Advantage From UHC Mt-0001 (PPO) H8211-007UnitedHealth Group, Inc.Regular PPO444444000
Blue Cross Medicare Advantage Classic (PPO) H0107-003Health Care Service CorporationRegular PPO38138100381
Blue Cross Medicare Advantage Dental Premier (PPO) H0107-007Health Care Service CorporationRegular PPO22022000220
Blue Cross Medicare Advantage Health Choice (PPO) H0107-010Health Care Service CorporationRegular PPO12912900129
Blue Cross Medicare Advantage Optimum (PPO) H0107-004Health Care Service CorporationRegular PPO12412400124
AARP Medicare Advantage Patriot No Rx Mt-ma01 (PPO) H8211-010UnitedHealth Group, Inc.Regular PPO8989000
AARP Medicare Advantage Access From UHC Mt-3 (PPO) H8211-012UnitedHealth Group, Inc.Regular PPO7272000
Pacificsource Medicare Mycare Choice 30 (HMO-POS) H3864-030PacificSourceRegular HMO27270027
11 plans3,9133,913002,431

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 Yellowstone County

CompanyMembers, Sept 2026PlansPlans endingMust pickShare of own membersOffered a new or renumbered planCompany gone
UnitedHealth Group, Inc.1,995541,48274.3%00
Health Care Service Corporation1,328551,328100.0%01,328
PacificSource1,103221,103100.0%01,103
Humana Inc.9,05812000.0%00

Yellowstone County against Montana and the nation

MeasureCountyMontanaUnited States
Must pick for 2027, share of members29.0%25.4%10.6%
Must pick for 20260.2%10.1%
Must pick for 2025, members701 of 12,099
Must pick for 2026, members22 of 12,734
Must pick for 2027, members3,913 of 13,484

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

Star Ratings 2027 in Yellowstone County

Measure20272026Change
Members in contracts rated 4+ stars82.1%11.2%+70.9 pts
Member-weighted average star3.953.53+0.42
Rated contracts with members here109

Members by star, 2027: 4.5: 3,774 · 4.0: 8,121 · 3.0: 2,585 · 2.5: 11; 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 Yellowstone County, MT. https://www.vladahealth.com/medicare-advantage/mt/yellowstone. 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 Yellowstone County must pick a new plan for 2027?
3,913 of 13,484 members (29.0%): their plan is not sold in the county for 2027 according to the CMS crosswalk and Landscape. Montana as a whole: 25.4%; the nation: 10.6%.
Which plan in Yellowstone County ends with the most members?
Pacificsource Medicare Mycare Choice Rx 29 (HMO-POS) (H3864-029, PacificSource): 1,076 members in September 2026, terminated.
Which company ended the most plans in Yellowstone County for 2027?
UnitedHealth Group, Inc.: 1,482 of its 1,995 members in the county (74.3%), 4 of its 5 plans.
What share of Yellowstone County's Medicare eligibles are in Medicare Advantage?
38.4% in September 2026: 14,638 of 38,078 eligibles, from the CMS state-county penetration file.
How are Yellowstone County's members rated for 2027?
82.1% of members are in contracts rated 4 stars or more for 2027 (11.2% the year before); the member-weighted average star is 3.95 over 10 rated contracts.
How does 2027 compare with 2026 in Yellowstone County?
22 members (0.2%) had to pick a new plan for 2026; for 2027 it is 3,913 (29.0%), a change of +3,891 members.

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