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 Queens County, NY
9,795 of the 231,920 Medicare Advantage members in Queens County (4.2%) are in a plan that is not sold in the county for 2027: 16 of the 72 plans sold there in September 2026 end, from the CMS 2027 Landscape and crosswalk. New York: 13.2%; 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
- 231,920
- members, Sept 2026
- must pick for 2027
- 9,795
- must pick for 2027
- share of members
- 4.2%
- share of members
- plans end
- 16 of 72
- plans end
Medicare Advantage members in Queens 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. 68 plans are listed for the county for 2027 against 77 for 2026.
The plans that end for 2027
Every plan sold in Queens 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 |
|---|---|---|---|---|---|---|---|
| Humanachoice H5970-028 (PPO) H5970-028 | Humana Inc. | Regular PPO | 2,579 | 0 | 2,579 | 0 | 0 |
| Wellcare Simple (HMO-POS) H4868-019 | Centene Corporation | Regular HMO | 2,121 | 0 | 2,121 | 0 | 0 |
| Elderplan Flex (HMO-POS) H3347-016 | Elderplan, Inc. | Regular HMO | 1,554 | 1,554 | 0 | 0 | 0 |
| Wellcare Assist (HMO-POS) H4868-016 | Centene Corporation | Regular HMO | 481 | 0 | 481 | 0 | 0 |
| Humana Direct Choice Giveback (PPO) H5970-031 | Humana Inc. | Regular PPO | 480 | 480 | 0 | 0 | 0 |
| Healthspring True Choice (PPO) H7849-150 | Health Care Service Corporation | Regular PPO | 472 | 472 | 0 | 0 | 472 |
| Wellcare Dual Access Open (PPO D-SNP) H2775-112 | Centene Corporation | D-SNP PPO | 392 | 0 | 392 | 0 | 0 |
| Humana Gold Plus Giveback H3533-027 (HMO) H3533-027 | Humana Inc. | Regular HMO | 392 | 392 | 0 | 0 | 0 |
| Aetna Medicare Partial Dual Care (HMO D-SNP) H3312-090 | CVS Health Corporation | D-SNP HMO | 384 | 384 | 0 | 0 | 0 |
| Elderplan Extra Help (HMO-POS) H3347-009 | Elderplan, Inc. | Regular HMO | 323 | 323 | 0 | 0 | 0 |
| Humana Usaa Honor Giveback (PPO) H5970-016 | Humana Inc. | Regular PPO | 251 | 0 | 251 | 0 | 0 |
| Emblemhealth Vip Dual (HMO D-SNP) H5991-012 | EmblemHealth, Inc. | D-SNP HMO | 145 | 145 | 0 | 0 | 0 |
| Emblemhealth Vip Dual Enhanced (HMO D-SNP) H5991-013 | EmblemHealth, Inc. | D-SNP HMO | 117 | 117 | 0 | 0 | 0 |
| Emblemhealth Vip Dual Reserve (HMO D-SNP) H5991-010 | EmblemHealth, Inc. | D-SNP HMO | 58 | 58 | 0 | 0 | 0 |
| Anthem Veteran (HMO-POS) H8432-036 | Elevance Health, Inc. | Regular HMO | 35 | 35 | 0 | 0 | 0 |
| Wellcare Fidelis Patriot Simple (HMO-POS) H5599-010 | Centene Corporation | Regular HMO | 11 | 0 | 11 | 0 | 0 |
| 16 plans | 9,795 | 3,960 | 5,835 | 0 | 472 |
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 Queens County
| Company | Members, Sept 2026 | Plans | Plans ending | Must pick | Share of own members | Offered a new or renumbered plan | Company gone |
|---|---|---|---|---|---|---|---|
| Humana Inc. | 9,586 | 7 | 4 | 3,702 | 38.6% | 0 | 0 |
| Centene Corporation | 18,540 | 10 | 4 | 3,005 | 16.2% | 0 | 0 |
| Elderplan, Inc. | 7,327 | 5 | 2 | 1,877 | 25.6% | 0 | 0 |
| Health Care Service Corporation | 472 | 1 | 1 | 472 | 100.0% | 0 | 472 |
| CVS Health Corporation | 25,505 | 10 | 1 | 384 | 1.5% | 0 | 0 |
| EmblemHealth, Inc. | 589 | 4 | 3 | 320 | 54.3% | 0 | 0 |
| Elevance Health, Inc. | 13,326 | 7 | 1 | 35 | 0.3% | 0 | 0 |
| Healthfirst, Inc. | 93,240 | 7 | 0 | 0 | 0.0% | 0 | 0 |
| UnitedHealth Group, Inc. | 35,832 | 8 | 0 | 0 | 0.0% | 0 | 0 |
| Visiting Nurse Service of New York | 20,011 | 3 | 0 | 0 | 0.0% | 0 | 0 |
| Village Care of New York, Inc. | 3,266 | 3 | 0 | 0 | 0.0% | 0 | 0 |
| New York City Health and Hospitals Corporation | 3,209 | 3 | 0 | 0 | 0.0% | 0 | 0 |
| Hamaspik of Rockland County, Inc. | 502 | 1 | 0 | 0 | 0.0% | 0 | 0 |
| Molina Healthcare, Inc. | 425 | 2 | 0 | 0 | 0.0% | 0 | 0 |
| CareSource | 90 | 1 | 0 | 0 | 0.0% | 0 | 0 |
Queens County against New York and the nation
| Measure | County | New York | United States |
|---|---|---|---|
| Must pick for 2027, share of members | 4.2% | 13.2% | 10.6% |
| Must pick for 2026 | 7.5% | 10.1% | |
| Must pick for 2025, members | 12,583 of 214,783 | ||
| Must pick for 2026, members | 16,931 of 225,649 | ||
| Must pick for 2027, members | 9,795 of 231,920 |
State and national figures: the New York hub and the national report.
Star Ratings 2027 in Queens County
| Measure | 2027 | 2026 | Change |
|---|---|---|---|
| Members in contracts rated 4+ stars | 34.0% | 57.7% | -23.7 pts |
| Member-weighted average star | 3.60 | 3.92 | -0.32 |
| Rated contracts with members here | 29 | 29 |
Members by star, 2027: 5.0: 2,872 · 4.5: 18,725 · 4.0: 62,833 · 3.5: 105,251 · 3.0: 58,509; 8,502 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 Queens County, NY. https://www.vladahealth.com/medicare-advantage/ny/queens. 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 Queens County must pick a new plan for 2027?
- 9,795 of 231,920 members (4.2%): their plan is not sold in the county for 2027 according to the CMS crosswalk and Landscape. New York as a whole: 13.2%; the nation: 10.6%.
- Which plan in Queens County ends with the most members?
- Humanachoice H5970-028 (PPO) (H5970-028, Humana Inc.): 2,579 members in September 2026, its service area reduced.
- Which company ended the most plans in Queens County for 2027?
- Humana Inc.: 3,702 of its 9,586 members in the county (38.6%), 4 of its 7 plans.
- What share of Queens County's Medicare eligibles are in Medicare Advantage?
- 61.1% in September 2026: 260,226 of 426,105 eligibles, from the CMS state-county penetration file.
- How are Queens County's members rated for 2027?
- 34.0% of members are in contracts rated 4 stars or more for 2027 (57.7% the year before); the member-weighted average star is 3.60 over 29 rated contracts.
- How does 2027 compare with 2026 in Queens County?
- 16,931 members (7.5%) had to pick a new plan for 2026; for 2027 it is 9,795 (4.2%), a change of -7,136 members.
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