2027 open enrollment. 3.15 million people must pick a new Medicare Advantage plan. See every plan and county, free.3.15M must pick a new plan.
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Medicare Advantage plan exits 2027 in North Dakota, by county
11,749 of North Dakota's 29,589 Medicare Advantage members (39.7%) 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
- 29,589
- members, Sept 2026
- must pick for 2027
- 11,749
- must pick for 2027
- share of members
- 39.7%
- share of members
- counties
- 52
- counties
Members who must pick a new plan each year, 2016 to 2027
Members of individual Medicare Advantage plans in North Dakota 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.
Every North Dakota 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.
| County | Members, Sept 2026 | Must pick for 2027 | Share | Offered a new or renumbered plan | Company gone |
|---|---|---|---|---|---|
| Cass | 5,746 | 3,221 | 56.1% | 1,863 | 1,272 |
| Burleigh | 8,175 | 1,693 | 20.7% | 966 | 673 |
| Grand Forks | 3,584 | 1,328 | 37.1% | 409 | 454 |
| Morton | 3,326 | 801 | 24.1% | 382 | 241 |
| Richland | 822 | 668 | 81.3% | 154 | 421 |
| Ward | 699 | 611 | 87.4% | 0 | 611 |
| Williams | 372 | 372 | 100.0% | 0 | 372 |
| Mercer | 358 | 264 | 73.7% | 44 | 159 |
| Ramsey | 335 | 257 | 76.7% | 53 | 85 |
| Barnes | 393 | 245 | 62.3% | 75 | 152 |
| Stutsman | 2,687 | 228 | 8.5% | 96 | 132 |
| Stark | 217 | 201 | 92.6% | 0 | 201 |
| McLean | 337 | 166 | 49.3% | 48 | 106 |
| Traill | 240 | 161 | 67.1% | 74 | 87 |
| Mountrail | 154 | 142 | 92.2% | 0 | 67 |
| Pembina | 192 | 84 | 43.8% | 0 | 84 |
| Bottineau | 75 | 75 | 100.0% | 0 | 75 |
| Emmons | 112 | 71 | 63.4% | 0 | 71 |
| Benson | 81 | 65 | 80.2% | 0 | 26 |
| Ransom | 99 | 61 | 61.6% | 34 | 27 |
| McKenzie | 58 | 58 | 100.0% | 0 | 58 |
| Pierce | 58 | 58 | 100.0% | 0 | 58 |
| McHenry | 137 | 56 | 40.9% | 0 | 56 |
| Dickey | 104 | 55 | 52.9% | 0 | 55 |
| Logan | 70 | 55 | 78.6% | 0 | 55 |
| Walsh | 178 | 53 | 29.8% | 19 | 34 |
| Sargent | 75 | 51 | 68.0% | 0 | 51 |
| McIntosh | 68 | 48 | 70.6% | 0 | 48 |
| Renville | 48 | 48 | 100.0% | 0 | 48 |
| Rolette | 47 | 47 | 100.0% | 0 | 47 |
| Nelson | 81 | 45 | 55.6% | 18 | 27 |
| LaMoure | 72 | 45 | 62.5% | 0 | 45 |
| Eddy | 37 | 37 | 100.0% | 0 | 37 |
| Griggs | 47 | 33 | 70.2% | 0 | 33 |
| Wells | 42 | 31 | 73.8% | 0 | 31 |
| Hettinger | 31 | 31 | 100.0% | 0 | 31 |
| Kidder | 53 | 30 | 56.6% | 0 | 30 |
| Dunn | 30 | 30 | 100.0% | 0 | 30 |
| Cavalier | 28 | 28 | 100.0% | 0 | 28 |
| Burke | 22 | 22 | 100.0% | 0 | 22 |
| Oliver | 21 | 21 | 100.0% | 0 | 21 |
| Towner | 20 | 20 | 100.0% | 0 | 20 |
| Grant | 35 | 18 | 51.4% | 0 | 18 |
| Steele | 30 | 17 | 56.7% | 0 | 17 |
| Bowman | 17 | 17 | 100.0% | 0 | 17 |
| Golden Valley | 16 | 16 | 100.0% | 0 | 16 |
| Adams | 16 | 16 | 100.0% | 0 | 16 |
| Foster | 32 | 15 | 46.9% | 0 | 15 |
| Divide | 12 | 12 | 100.0% | 0 | 12 |
| Sheridan | 24 | 11 | 45.8% | 0 | 11 |
| Slope | 11 | 11 | 100.0% | 0 | 11 |
| Sioux | 65 | 0 | 0.0% | 0 | 0 |
| North Dakota, 52 counties | 29,589 | 11,749 | 39.7% | 4,235 | 6,314 |
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.
North Dakota against the nation
| Measure | North Dakota | United States |
|---|---|---|
| Must pick a new plan for 2027 | 11,749 | 3,153,512 |
| Share of members | 39.7% | 10.6% |
| Share for 2026 | 54.2% | 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
| Measure | 2027 | 2026 | Change |
|---|---|---|---|
| Members in contracts rated 4+ stars | 46.1% | 24.3% | +21.8 pts |
| Member-weighted average star | 3.58 | 3.72 | -0.14 |
| Rated contracts | 10 |
Members by star, 2027: 4.5: 6,102 · 4.0: 17,797 · 3.5: 6,334 · 3.0: 21,012 · 2.5: 574; 0 in unrated contracts. CMS Star Ratings released 2026-10-08, each contract's overall star weighted by its 2026-10 members in North Dakota (individual and group); rating year 2027 pays in 2028.
By company, 2027
CMS parent organizations with members in North Dakota 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.
| Company | Members | Must pick | Share of own members | Plan terminated | Service area reduced | Offered a new or renumbered plan | Company gone |
|---|---|---|---|---|---|---|---|
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 6,314 | 6,314 | 100.0% | 6,314 | 0 | 0 | 6,314 |
| Sanford Health | 4,510 | 4,277 | 94.8% | 4,277 | 0 | 4,235 | 0 |
| UnitedHealth Group, Inc. | 4,674 | 1,158 | 24.8% | 163 | 995 | 0 | 0 |
| Medica Holding Company | 11,296 | 0 | 0.0% | 0 | 0 | 0 | 0 |
| CVS Health Corporation | 2,795 | 0 | 0.0% | 0 | 0 | 0 | 0 |
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 North Dakota, by county. https://www.vladahealth.com/medicare-advantage/nd. 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 North Dakota; 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 North Dakota must pick a new plan for 2027?
- 11,749 of 29,589 members (39.7%): 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 North Dakota county has the most members who must pick?
- Cass County: 3,221 of 5,746 members (56.1%). 20 of the 52 counties lose 90% or more of their members' plans; 1 lose none.
- Which company ended the most plans in North Dakota for 2027?
- Blue Cross Blue Shield of Michigan Mutual Ins. Co.: 6,314 of its 6,314 North Dakota members (100.0%) are in a plan it does not sell in their county for 2027.
- How did North Dakota's Star Ratings change for 2027?
- 46.1% of members are in contracts rated 4 stars or more for 2027, against 24.3% the year before; the member-weighted average star is 3.58, from 3.72, over 10 rated contracts.
- How does 2027 compare with 2026 in North Dakota?
- 20,476 members (54.2%) had to pick a new plan for 2026; for 2027 it is 11,749 (39.7%), a change of -8,727 members.
Ask this in Claude or ChatGPT
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Use Vlada. Which North Dakota 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 ND) and get_stars_rollup (group_by state).