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

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Vlada / Medicare Advantage / Oregon / Multnomah County

Medicare Advantage plan exits 2027 in Multnomah County, OR

18,807 of the 79,246 Medicare Advantage members in Multnomah County (23.7%) are in a plan that is not sold in the county for 2027: 15 of the 55 plans sold there in September 2026 end, from the CMS 2027 Landscape and crosswalk. Oregon: 26.0%; 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
79,246
members, Sept 2026
must pick for 2027
18,807
must pick for 2027
share of members
23.7%
share of members
plans end
15 of 55
plans end

Medicare Advantage members in Multnomah 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. 45 plans are listed for the county for 2027 against 58 for 2026.

023k46k69k92k58%201558%59%201760%60%201962%64%202165%66%202367%67%202566%

The plans that end for 2027

Every plan sold in Multnomah 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
Providence Medicare Prime + Rx (HMO) H9047-037Providence St Joseph HealthRegular HMO9,3159,315009,315
Providence Medicare Extra + Rx (HMO) H9047-064Providence St Joseph HealthRegular HMO2,4352,435002,435
Providence Medicare Dual Plus (HMO D-SNP) H9047-043Providence St Joseph HealthD-SNP HMO2,0272,027002,027
Aetna Medicare Signature (PPO) H5521-492CVS Health CorporationRegular PPO1,7031,703000
AARP Medicare Advantage From UHC Or-0003 (HMO-POS) H3805-001UnitedHealth Group, Inc.Regular HMO1,2291,229000
Pacificsource Medicare Mycare Rx 40 (HMO) H3864-040PacificSourceRegular HMO1,0681,068001,068
Wellcare Simple Open (PPO) H5439-022Centene CorporationRegular PPO402040200
Healthspring Preferred (HMO) H4407-035Health Care Service CorporationRegular HMO17517500175
Providence Medicare Reverence (HMO-POS) H9047-035Providence St Joseph HealthRegular HMO15015000150
Wellcare Dual Access (HMO-POS D-SNP) H2174-013Centene CorporationD-SNP HMO122122000
Providence Medicare Focus Medical (HMO) H9047-033Providence St Joseph HealthRegular HMO47470047
Aetna Medicare Eagle (PPO) H5521-493CVS Health CorporationRegular PPO4040000
Wellcare Dual Reserve (HMO-POS D-SNP) H2174-012Centene CorporationD-SNP HMO3939000
Pacificsource Medicare Mycare Choice 30 (HMO-POS) H3864-030PacificSourceRegular HMO35350035
Healthspring True Choice (PPO) H7849-152Health Care Service CorporationRegular PPO20200020
15 plans18,80718,405402015,272

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 Multnomah County

CompanyMembers, Sept 2026PlansPlans endingMust pickShare of own membersOffered a new or renumbered planCompany gone
Providence St Joseph Health13,9745513,974100.0%013,974
CVS Health Corporation2,253321,74377.4%00
UnitedHealth Group, Inc.21,4221011,2295.7%00
PacificSource1,103221,103100.0%01,103
Centene Corporation2,81810356320.0%00
Health Care Service Corporation19522195100.0%0195
Kaiser Foundation Health Plan, Inc.18,0713000.0%00
CareOregon, Inc.6,7311000.0%00
Humana Inc.5,3897000.0%00
Cambia Health Solutions, Inc.4,6584000.0%00
Devoted Health, Inc.2,4185000.0%00
ATRIO Health Plans1101000.0%00
Marquis Companies I, Inc.1042000.0%00

Multnomah County against Oregon and the nation

MeasureCountyOregonUnited States
Must pick for 2027, share of members23.7%26.0%10.6%
Must pick for 202611.1%10.1%
Must pick for 2025, members1,878 of 77,228
Must pick for 2026, members8,754 of 78,890
Must pick for 2027, members18,807 of 79,246

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

Star Ratings 2027 in Multnomah County

Measure20272026Change
Members in contracts rated 4+ stars57.0%59.8%-2.8 pts
Member-weighted average star3.973.79+0.18
Rated contracts with members here2727

Members by star, 2027: 5.0: 456 · 4.5: 34,513 · 4.0: 7,563 · 3.5: 25,772 · 3.0: 5,441 · 2.5: 889; 15,974 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 Multnomah County, OR. https://www.vladahealth.com/medicare-advantage/or/multnomah. 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 Multnomah County must pick a new plan for 2027?
18,807 of 79,246 members (23.7%): their plan is not sold in the county for 2027 according to the CMS crosswalk and Landscape. Oregon as a whole: 26.0%; the nation: 10.6%.
Which plan in Multnomah County ends with the most members?
Providence Medicare Prime + Rx (HMO) (H9047-037, Providence St Joseph Health): 9,315 members in September 2026, terminated.
Which company ended the most plans in Multnomah County for 2027?
Providence St Joseph Health: 13,974 of its 13,974 members in the county (100.0%), 5 of its 5 plans.
What share of Multnomah County's Medicare eligibles are in Medicare Advantage?
65.8% in September 2026: 91,875 of 139,534 eligibles, from the CMS state-county penetration file.
How are Multnomah County's members rated for 2027?
57.0% of members are in contracts rated 4 stars or more for 2027 (59.8% the year before); the member-weighted average star is 3.97 over 27 rated contracts.
How does 2027 compare with 2026 in Multnomah County?
8,754 members (11.1%) had to pick a new plan for 2026; for 2027 it is 18,807 (23.7%), a change of +10,053 members.

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