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

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Vlada / Medicare Advantage / Ohio / Hamilton County

Medicare Advantage plan exits 2027 in Hamilton County, OH

12,495 of the 76,916 Medicare Advantage members in Hamilton County (16.2%) are in a plan that is not sold in the county for 2027: 20 of the 91 plans sold there in September 2026 end, from the CMS 2027 Landscape and crosswalk. Ohio: 15.8%; 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
76,916
members, Sept 2026
must pick for 2027
12,495
must pick for 2027
share of members
16.2%
share of members
plans end
20 of 91
plans end

Medicare Advantage members in Hamilton 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. 82 plans are listed for the county for 2027 against 96 for 2026.

023k47k70k94k41%201538%41%201742%44%201948%50%202155%56%202357%58%202557%

The plans that end for 2027

Every plan sold in Hamilton 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
UHC Dual Complete Oh-d001 (HMO D-SNP) H5253-059UnitedHealth Group, Inc.D-SNP HMO3,3073,307000
UHC Dual Complete Oh-s2 (HMO D-SNP) H1285-001UnitedHealth Group, Inc.D-SNP HMO2,8162,816000
Humana Gold Plus Snp-de H6622-087 (HMO D-SNP) H6622-087Humana Inc.D-SNP HMO1,5731,573000
Aetna Medicare Dual Care (HMO D-SNP) H0628-013CVS Health CorporationD-SNP HMO1,1071,107000
Humana Gold Plus Snp-de H6622-015 (HMO D-SNP) H6622-015Humana Inc.D-SNP HMO960960000
Wellcare Simple (HMO-POS) H0908-003Centene CorporationRegular HMO441441000
Devoted Dual Plus 010 Oh (HMO D-SNP) H2697-010Devoted Health, Inc.D-SNP HMO357357000
Aetna Medicare Signature (HMO-POS) H3931-109CVS Health CorporationRegular HMO339339000
Humana Dual Select H5525-046 (PPO D-SNP) H5525-046Humana Inc.D-SNP PPO306306000
Aetna Medicare Partial Dual (HMO D-SNP) H0628-041CVS Health CorporationD-SNP HMO306306000
UHC Dual Complete Oh-d1 (PPO D-SNP) H2001-058UnitedHealth Group, Inc.D-SNP PPO294294000
UHC Dual Complete Oh-v001 (HMO D-SNP) H5253-122UnitedHealth Group, Inc.D-SNP HMO238238000
Wellcare Assist (HMO-POS) H0908-004Centene CorporationRegular HMO8282000
Wellcare Dual Access (HMO-POS D-SNP) H0908-001Centene CorporationD-SNP HMO82820820
Humana Gold Choice H8145-032 (PFFS) H8145-032Humana Inc.REGULAR OTHER7676000
Wellcare Dual Reserve (HMO-POS D-SNP) H0908-006Centene CorporationD-SNP HMO75750750
Devoted Dual 011 Oh (HMO D-SNP) H2697-011Devoted Health, Inc.D-SNP HMO7171000
Mount Carmel Medigold Premium Choice (PPO) H1846-005Trinity Health CorporationRegular PPO4242000
Aetna Medicare Enhanced (HMO-POS) H0628-027CVS Health CorporationRegular HMO1212000
Healthspring Totalcare Plus (HMO D-SNP) H0672-018Health Care Service CorporationD-SNP HMO1111000
20 plans12,49512,49501570

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 Hamilton County

CompanyMembers, Sept 2026PlansPlans endingMust pickShare of own membersOffered a new or renumbered planCompany gone
UnitedHealth Group, Inc.17,4321446,65538.2%00
Humana Inc.21,5872142,91513.5%00
CVS Health Corporation9,3791041,76418.8%00
Centene Corporation7315468093.0%1570
Devoted Health, Inc.2,44710242817.5%00
Trinity Health Corporation1,87061422.2%00
Health Care Service Corporation3,41141110.3%00
Elevance Health, Inc.13,2519000.0%00
Molina Healthcare, Inc.2,9521000.0%00
MEDICAL MUTUAL OF OHIO1,7466000.0%00
CareSource1,3441000.0%00
SNP Holdings, LLC5311000.0%00
The Schroer Group, Inc.1521000.0%00
Perennial Consortium, LLC832000.0%00

Hamilton County against Ohio and the nation

MeasureCountyOhioUnited States
Must pick for 2027, share of members16.2%15.8%10.6%
Must pick for 20266.8%10.1%
Must pick for 2025, members695 of 68,524
Must pick for 2026, members4,850 of 71,454
Must pick for 2027, members12,495 of 76,916

State and national figures: the Ohio hub and the national report.

Star Ratings 2027 in Hamilton County

Measure20272026Change
Members in contracts rated 4+ stars70.2%73.2%-3.0 pts
Member-weighted average star3.923.96-0.04
Rated contracts with members here3134

Members by star, 2027: 5.0: 364 · 4.5: 21,522 · 4.0: 39,047 · 3.5: 19,489 · 3.0: 3,042 · 2.5: 3,363; 6,421 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 Hamilton County, OH. https://www.vladahealth.com/medicare-advantage/oh/hamilton. 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 Hamilton County must pick a new plan for 2027?
12,495 of 76,916 members (16.2%): their plan is not sold in the county for 2027 according to the CMS crosswalk and Landscape. Ohio as a whole: 15.8%; the nation: 10.6%.
Which plan in Hamilton County ends with the most members?
UHC Dual Complete Oh-d001 (HMO D-SNP) (H5253-059, UnitedHealth Group, Inc.): 3,307 members in September 2026, terminated.
Which company ended the most plans in Hamilton County for 2027?
UnitedHealth Group, Inc.: 6,655 of its 17,432 members in the county (38.2%), 4 of its 14 plans.
What share of Hamilton County's Medicare eligibles are in Medicare Advantage?
56.8% in September 2026: 93,599 of 164,883 eligibles, from the CMS state-county penetration file.
How are Hamilton County's members rated for 2027?
70.2% of members are in contracts rated 4 stars or more for 2027 (73.2% the year before); the member-weighted average star is 3.92 over 31 rated contracts.
How does 2027 compare with 2026 in Hamilton County?
4,850 members (6.8%) had to pick a new plan for 2026; for 2027 it is 12,495 (16.2%), a change of +7,645 members.

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