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Vlada / Medicare Advantage / Pennsylvania / Cambria County

Medicare Advantage plan exits 2027 in Cambria County, PA

11,586 of the 23,455 Medicare Advantage members in Cambria County (49.4%) are in a plan that is not sold in the county for 2027: 13 of the 63 plans sold there in September 2026 end, from the CMS 2027 Landscape and crosswalk. Pennsylvania: 6.9%; 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
23,455
members, Sept 2026
must pick for 2027
11,586
must pick for 2027
share of members
49.4%
share of members
plans end
13 of 63
plans end

Medicare Advantage members in Cambria 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. 71 plans are listed for the county for 2027 against 80 for 2026.

07k15k22k29k61%201561%63%201764%65%201968%70%202171%74%202375%76%202577%

The plans that end for 2027

Every plan sold in Cambria 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
Upmc For Life HMO Rx Choice (HMO) H3907-057UPMC Health SystemRegular HMO4,63204,63200
Upmc For Life HMO Premier Rx (HMO) H3907-059UPMC Health SystemRegular HMO2,19702,19700
Upmc For Life HMO Rx (HMO) H3907-058UPMC Health SystemRegular HMO2,12902,12900
Upmc For Life HMO Deductible Rx (HMO) H3907-037UPMC Health SystemRegular HMO934093400
Complete Blue PPO Distinct (PPO) H3916-059Highmark HealthRegular PPO67667606760
Upmc For Life PPO Premier Rx (PPO) H5533-013UPMC Health SystemRegular PPO640064000
Upmc For Life PPO Essential Care Rx (PPO) H5533-017UPMC Health SystemRegular PPO119011900
Wellcare Simple (HMO-POS) H2915-003Centene CorporationRegular HMO8508500
Upmc For Life PPO High Deductible Rx (PPO) H5533-003UPMC Health SystemRegular PPO5205200
Complete Blue PPO Merit (PPO) H3916-057Highmark HealthRegular PPO4504500
Upmc For Life PPO Rx Enhanced (PPO) H5533-005UPMC Health SystemRegular PPO4004000
Upmc For Life HMO Rx Enhanced (HMO) H3907-006UPMC Health SystemRegular HMO2602600
Wellcare Assist (HMO-POS) H2915-011Centene CorporationRegular HMO1101100
13 plans11,58667610,9106760

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 Cambria County

CompanyMembers, Sept 2026PlansPlans endingMust pickShare of own membersOffered a new or renumbered planCompany gone
UPMC Health System13,19312910,76981.6%00
Highmark Health5,45315272113.2%6760
Centene Corporation225329642.7%00
CVS Health Corporation2,5557000.0%00
UnitedHealth Group, Inc.1,43010000.0%00
Humana Inc.2904000.0%00
Risant Health, Inc.1275000.0%00
Devoted Health, Inc.1075000.0%00
Independence Health Group, Inc.561000.0%00
Rifkin Managed Care Holding, LLC191000.0%00

Cambria County against Pennsylvania and the nation

MeasureCountyPennsylvaniaUnited States
Must pick for 2027, share of members49.4%6.9%10.6%
Must pick for 202621.9%10.1%
Must pick for 2025, members0 of 22,407
Must pick for 2026, members5,062 of 23,141
Must pick for 2027, members11,586 of 23,455

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

Star Ratings 2027 in Cambria County

Measure20272026Change
Members in contracts rated 4+ stars82.3%95.3%-13.0 pts
Member-weighted average star4.294.37-0.08
Rated contracts with members here2825

Members by star, 2027: 5.0: 78 · 4.5: 21,767 · 4.0: 1,405 · 3.5: 4,351 · 3.0: 633; 0 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 Cambria County, PA. https://www.vladahealth.com/medicare-advantage/pa/cambria. 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 Cambria County must pick a new plan for 2027?
11,586 of 23,455 members (49.4%): their plan is not sold in the county for 2027 according to the CMS crosswalk and Landscape. Pennsylvania as a whole: 6.9%; the nation: 10.6%.
Which plan in Cambria County ends with the most members?
Upmc For Life HMO Rx Choice (HMO) (H3907-057, UPMC Health System): 4,632 members in September 2026, its service area reduced.
Which company ended the most plans in Cambria County for 2027?
UPMC Health System: 10,769 of its 13,193 members in the county (81.6%), 9 of its 12 plans.
What share of Cambria County's Medicare eligibles are in Medicare Advantage?
76.5% in September 2026: 29,464 of 38,539 eligibles, from the CMS state-county penetration file.
How are Cambria County's members rated for 2027?
82.3% of members are in contracts rated 4 stars or more for 2027 (95.3% the year before); the member-weighted average star is 4.29 over 28 rated contracts.
How does 2027 compare with 2026 in Cambria County?
5,062 members (21.9%) had to pick a new plan for 2026; for 2027 it is 11,586 (49.4%), a change of +6,524 members.

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