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Medicare Advantage plan exits 2027 in Sussex County, NJ
643 of the 7,115 Medicare Advantage members in Sussex County (9.0%) are in a plan that is not sold in the county for 2027: 5 of the 34 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
- 7,115
- members, Sept 2026
- must pick for 2027
- 643
- must pick for 2027
- share of members
- 9.0%
- share of members
- plans end
- 5 of 34
- plans end
Medicare Advantage members in Sussex 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. 39 plans are listed for the county for 2027 against 36 for 2026.
The plans that end for 2027
Every plan sold in Sussex 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.
| Plan | Company | Type | Members | Terminated | Service area reduced | Offered a new or renumbered plan | Company gone |
|---|---|---|---|---|---|---|---|
| Braven Medicare Freedom (PPO) H0885-008 | Horizon Mutual Holdings, Inc | Regular PPO | 490 | 490 | 0 | 0 | 0 |
| Aetna Medicare Enhanced Extra (PPO) H5521-513 | CVS Health Corporation | Regular PPO | 78 | 78 | 0 | 0 | 0 |
| Healthspring True Choice (PPO) H7849-149 | Health Care Service Corporation | Regular PPO | 38 | 0 | 38 | 0 | 38 |
| Wellcare Giveback (HMO-POS) H0913-021 | Centene Corporation | Regular HMO | 24 | 24 | 0 | 0 | 0 |
| Wellcare Simple (HMO-POS) H0913-022 | Centene Corporation | Regular HMO | 13 | 13 | 0 | 0 | 0 |
| 5 plans | 643 | 605 | 38 | 0 | 38 |
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 Sussex County
| Company | Members, Sept 2026 | Plans | Plans ending | Must pick | Share of own members | Offered a new or renumbered plan | Company gone |
|---|---|---|---|---|---|---|---|
| Horizon Mutual Holdings, Inc | 669 | 2 | 1 | 490 | 73.2% | 0 | 0 |
| CVS Health Corporation | 2,515 | 11 | 1 | 78 | 3.1% | 0 | 0 |
| Health Care Service Corporation | 38 | 1 | 1 | 38 | 100.0% | 0 | 38 |
| Centene Corporation | 123 | 5 | 2 | 37 | 30.1% | 0 | 0 |
| UnitedHealth Group, Inc. | 3,199 | 10 | 0 | 0 | 0.0% | 0 | 0 |
| Clover Health Holdings, Inc. | 507 | 3 | 0 | 0 | 0.0% | 0 | 0 |
| Elevance Health, Inc. | 64 | 2 | 0 | 0 | 0.0% | 0 | 0 |
Sussex County against New Jersey and the nation
| Measure | County | New Jersey | United States |
|---|---|---|---|
| Must pick for 2027, share of members | 9.0% | 11.7% | 10.6% |
| Must pick for 2026 | 4.7% | 10.1% | |
| Must pick for 2025, members | 1,996 of 6,394 | ||
| Must pick for 2026, members | 320 of 6,766 | ||
| Must pick for 2027, members | 643 of 7,115 |
State and national figures: the New Jersey hub and the national report.
Star Ratings 2027 in Sussex County
| Measure | 2027 | 2026 | Change |
|---|---|---|---|
| Members in contracts rated 4+ stars | 84.7% | 68.5% | +16.2 pts |
| Member-weighted average star | 4.14 | 4.10 | +0.04 |
| Rated contracts with members here | 18 | 17 |
Members by star, 2027: 5.0: 507 · 4.5: 4,588 · 4.0: 4,532 · 3.5: 1,141 · 3.0: 597; 572 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 Sussex County, NJ. https://www.vladahealth.com/medicare-advantage/nj/sussex. 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 Sussex County must pick a new plan for 2027?
- 643 of 7,115 members (9.0%): 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 Sussex County ends with the most members?
- Braven Medicare Freedom (PPO) (H0885-008, Horizon Mutual Holdings, Inc): 490 members in September 2026, terminated.
- Which company ended the most plans in Sussex County for 2027?
- Horizon Mutual Holdings, Inc: 490 of its 669 members in the county (73.2%), 1 of its 2 plans.
- What share of Sussex County's Medicare eligibles are in Medicare Advantage?
- 34.2% in September 2026: 12,065 of 35,257 eligibles, from the CMS state-county penetration file.
- How are Sussex County's members rated for 2027?
- 84.7% of members are in contracts rated 4 stars or more for 2027 (68.5% the year before); the member-weighted average star is 4.14 over 18 rated contracts.
- How does 2027 compare with 2026 in Sussex County?
- 320 members (4.7%) had to pick a new plan for 2026; for 2027 it is 643 (9.0%), a change of +323 members.
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Use Vlada. In Sussex County, New Jersey, which Medicare Advantage plans are not sold for 2027, how many members are in each, and what did 2026 look like? Give me a table with the source file, the data vintage and the response hash.
Behind it: get_county_view (state NJ, county Sussex) and get_landscape_exits (group_by county).