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Vlada / Medicare Advantage / New Jersey / Mercer County

Medicare Advantage plan exits 2027 in Mercer County, NJ

2,158 of the 17,918 Medicare Advantage members in Mercer County (12.0%) are in a plan that is not sold in the county for 2027: 12 of the 50 plans sold there in September 2026 end, from the CMS 2027 Landscape and crosswalk. New Jersey: 11.7%; 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
17,918
members, Sept 2026
must pick for 2027
2,158
must pick for 2027
share of members
12.0%
share of members
plans end
12 of 50
plans end

Medicare Advantage members in Mercer 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. 50 plans are listed for the county for 2027 against 57 for 2026.

08k17k25k33k14%201516%29%201730%36%201939%41%202143%44%202346%46%202546%

The plans that end for 2027

Every plan sold in Mercer 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
Braven Medicare Choice (PPO) H0885-003Horizon Mutual Holdings, IncRegular PPO1,2371,237000
Healthspring Preferred (HMO) H3949-054Health Care Service CorporationRegular HMO17601760176
Aetna Medicare Enhanced Extra (PPO) H5521-513CVS Health CorporationRegular PPO16916901690
Amerihealth Medicare Enhanced (PPO) H5361-002Independence Health Group, Inc.Regular PPO131131000
Amerihealth Medicare Ultimate (PPO) H5361-004Independence Health Group, Inc.Regular PPO119119000
Amerihealth Medicare Core (PPO) H5361-001Independence Health Group, Inc.Regular PPO101010100
Healthspring True Choice (PPO) H7849-149Health Care Service CorporationRegular PPO79079079
Braven Medicare Freedom (PPO) H0885-009Horizon Mutual Holdings, IncRegular PPO5454000
Wellcare Giveback (HMO-POS) H0913-021Centene CorporationRegular HMO3636000
Jefferson Health Plans Choice (PPO) H3124-002Thomas Jefferson UniversityRegular PPO20200200
Wellcare Simple (HMO-POS) H0913-022Centene CorporationRegular HMO2020000
Jefferson Health Plans Silver (HMO) H9207-013Thomas Jefferson UniversityRegular HMO1616000
12 plans2,1581,802356189255

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 Mercer County

CompanyMembers, Sept 2026PlansPlans endingMust pickShare of own membersOffered a new or renumbered planCompany gone
Horizon Mutual Holdings, Inc2,476321,29152.1%00
Independence Health Group, Inc.35133351100.0%00
Health Care Service Corporation25522255100.0%0255
CVS Health Corporation2,5441111696.6%1690
Centene Corporation509525611.0%00
Thomas Jefferson University94323638.3%200
UnitedHealth Group, Inc.5,77811000.0%00
Clover Health Holdings, Inc.3,3394000.0%00
Humana Inc.2,0305000.0%00
Elevance Health, Inc.4792000.0%00
Longevity Health Founders, LLC631000.0%00

Mercer County against New Jersey and the nation

MeasureCountyNew JerseyUnited States
Must pick for 2027, share of members12.0%11.7%10.6%
Must pick for 20266.8%10.1%
Must pick for 2025, members2,012 of 16,117
Must pick for 2026, members1,170 of 17,082
Must pick for 2027, members2,158 of 17,918

State and national figures: the New Jersey hub and the national report.

Star Ratings 2027 in Mercer County

Measure20272026Change
Members in contracts rated 4+ stars82.8%68.0%+14.8 pts
Member-weighted average star4.204.08+0.12
Rated contracts with members here2625

Members by star, 2027: 5.0: 3,578 · 4.5: 14,521 · 4.0: 8,065 · 3.5: 1,896 · 3.0: 3,507 · 2.5: 20; 1,356 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 Mercer County, NJ. https://www.vladahealth.com/medicare-advantage/nj/mercer. 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 Mercer County must pick a new plan for 2027?
2,158 of 17,918 members (12.0%): their plan is not sold in the county for 2027 according to the CMS crosswalk and Landscape. New Jersey as a whole: 11.7%; the nation: 10.6%.
Which plan in Mercer County ends with the most members?
Braven Medicare Choice (PPO) (H0885-003, Horizon Mutual Holdings, Inc): 1,237 members in September 2026, terminated.
Which company ended the most plans in Mercer County for 2027?
Horizon Mutual Holdings, Inc: 1,291 of its 2,476 members in the county (52.1%), 2 of its 3 plans.
What share of Mercer County's Medicare eligibles are in Medicare Advantage?
45.5% in September 2026: 33,369 of 73,378 eligibles, from the CMS state-county penetration file.
How are Mercer County's members rated for 2027?
82.8% of members are in contracts rated 4 stars or more for 2027 (68.0% the year before); the member-weighted average star is 4.20 over 26 rated contracts.
How does 2027 compare with 2026 in Mercer County?
1,170 members (6.8%) had to pick a new plan for 2026; for 2027 it is 2,158 (12.0%), a change of +988 members.

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