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

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Vlada / Medicare Advantage / New York

Medicare Advantage plan exits 2027 in New York, by county

242,476 of New York's 1,833,227 Medicare Advantage members (13.2%) 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
1,833,227
members, Sept 2026
must pick for 2027
242,476
must pick for 2027
share of members
13.2%
share of members
counties
62
counties

Members who must pick a new plan each year, 2016 to 2027

Members of individual Medicare Advantage plans in New York 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.

0106k213k319k425k7.3%20169.5%20171.1%20185.2%20191.9%20200.6%20210.1%20222.8%20233.7%202416.8%202523.8%202613.2%2027

Every New York 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.

CountyMembers, Sept 2026Must pick for 2027ShareOffered a new or renumbered planCompany gone
Onondaga52,79220,61139.0%1920
Suffolk82,34018,20122.1%2,474883
Nassau83,32415,03018.0%1,391753
Oneida28,57712,95145.3%2030
Broome22,35011,55051.7%213134
Monroe110,77011,50610.4%09,078
Erie126,88311,0978.7%5,8150
Queens231,9209,7954.2%0472
New York128,1059,4617.4%6,923552
Westchester58,5105,84210.0%715419
Oswego15,8455,61435.4%1140
Steuben12,2954,95140.3%600
Herkimer8,4004,66855.6%2180
Chemung10,5224,60143.7%1470
Clinton7,7824,13853.2%1,5300
St. Lawrence10,4084,01738.6%1730
Chenango7,1753,94955.0%2060
Montgomery6,8603,92057.1%3,0010
Kings212,7933,8661.8%0400
Orange22,8833,69616.2%1,525323
Cayuga9,6133,66338.1%360
Otsego5,9803,57759.8%1,0820
Madison8,6143,51240.8%440
Ulster15,0713,35322.2%7380
Jefferson11,1113,29929.7%1180
Richmond38,2403,2638.5%988527
Tioga6,2203,20751.6%640
Fulton7,5423,19842.4%2,6420
Delaware5,2173,00357.6%2,232558
Bronx151,2932,9652.0%0288
Niagara32,2742,8288.8%1,5180
Tompkins6,8932,78340.4%790
Saratoga25,9492,68410.3%2,014187
Cortland5,0602,56250.6%1120
Essex3,6822,37864.6%1,0990
Albany26,0522,2198.5%1,269230
Dutchess20,3892,10210.3%784266
Chautauqua20,1371,9939.9%2720
Schenectady16,9381,77110.5%1,20785
Livingston9,2971,64417.7%00
Cattaraugus11,1841,51113.5%4000
Rensselaer15,6111,2868.2%750112
Lewis3,3261,23737.2%370
Schuyler2,4031,23551.4%390
Sullivan6,1451,00216.3%3010
Columbia6,37597815.3%74275
Putnam5,29997118.3%197755
Rockland15,5529386.0%65171
Warren9,4169299.9%62826
Genesee9,5758959.3%2590
Schoharie3,50389025.4%2890
Washington8,7187388.5%48941
Greene5,47167712.4%46485
Allegany5,92565311.0%1290
Wyoming6,1255108.3%2140
Franklin4,7194589.7%3200
Seneca4,40544610.1%00
Ontario18,0224132.3%00
Orleans6,2754066.5%1000
Wayne14,6522892.0%00
Yates3,9032847.3%00
Hamilton51726250.7%2130
New York, 62 counties1,833,227242,47613.2%46,83416,420

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.

New York against the nation

MeasureNew YorkUnited States
Must pick a new plan for 2027242,4763,153,512
Share of members13.2%10.6%
Share for 202623.8%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

Measure20272026Change
Members in contracts rated 4+ stars44.9%61.7%-16.8 pts
Member-weighted average star3.693.94-0.25
Rated contracts48

Members by star, 2027: 5.0: 18,418 · 4.5: 279,459 · 4.0: 655,434 · 3.5: 715,108 · 3.0: 452,785 · 2.5: 1,931; 3,708 in unrated contracts. CMS Star Ratings released 2026-10-08, each contract's overall star weighted by its 2026-10 members in New York (individual and group); rating year 2027 pays in 2028.

By company, 2027

CMS parent organizations with members in New York 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.

CompanyMembersMust pickShare of own membersPlan terminatedService area reducedOffered a new or renumbered planCompany gone
Lifetime Healthcare, Inc.295,26780,30027.2%72,2008,1008,1000
Humana Inc.104,60070,17367.1%54,47015,7033,86510,178
CVS Health Corporation285,02825,9719.1%20,2325,73914,1230
Centene Corporation162,13316,26110.0%1,25715,00400
MVP Health Care, Inc.43,96313,48830.7%13,488011,0300
Highmark Health23,55010,53444.7%10,53406,0190
Elderplan, Inc.26,8356,77825.3%6,778000
UnitedHealth Group, Inc.321,0556,7012.1%6,55814300
Health Care Service Corporation4,3894,389100.0%4,389004,389
EmblemHealth, Inc.7,9443,97350.0%3,78119201,853
Independent Health Association, Inc.28,6022,6519.3%2,65102,6510
Elevance Health, Inc.52,5831,2572.4%1,25701,0460
Healthfirst, Inc.371,77700.0%0000
Visiting Nurse Service of New York72,02200.0%0000
New York City Health and Hospitals Corporation14,05500.0%0000
Village Care of New York, Inc.10,85600.0%0000
Trinity Health Corporation2,53500.0%0000
Hamaspik of Rockland County, Inc.2,49900.0%0000
Molina Healthcare, Inc.1,40500.0%0000
CareSource86800.0%0000
Longevity Health Founders, LLC68200.0%0000
VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK57900.0%0000

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 New York, by county. https://www.vladahealth.com/medicare-advantage/ny. 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 New York; 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 New York must pick a new plan for 2027?
242,476 of 1,833,227 members (13.2%): 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 New York county has the most members who must pick?
Onondaga County: 20,611 of 52,792 members (39.0%). 0 of the 62 counties lose 90% or more of their members' plans; 0 lose none.
Which company ended the most plans in New York for 2027?
Lifetime Healthcare, Inc.: 80,300 of its 295,267 New York members (27.2%) are in a plan it does not sell in their county for 2027.
How did New York's Star Ratings change for 2027?
44.9% of members are in contracts rated 4 stars or more for 2027, against 61.7% the year before; the member-weighted average star is 3.69, from 3.94, over 48 rated contracts.
How does 2027 compare with 2026 in New York?
425,246 members (23.8%) had to pick a new plan for 2026; for 2027 it is 242,476 (13.2%), a change of -182,770 members.

Ask this in Claude or ChatGPT

The free Vlada connector answers it from the same files, with the source and a response hash. Install in one minute.

Use Vlada. Which New York 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 NY) and get_stars_rollup (group_by state).