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Medicare Advantage plan exits 2027 in Potter County, PA
455 of the 2,217 Medicare Advantage members in Potter County (20.5%) are in a plan that is not sold in the county for 2027: 7 of the 42 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
- 2,217
- members, Sept 2026
- must pick for 2027
- 455
- must pick for 2027
- share of members
- 20.5%
- share of members
- plans end
- 7 of 42
- plans end
Medicare Advantage members in Potter 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 75 for 2026.
The plans that end for 2027
Every plan sold in Potter 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 |
|---|---|---|---|---|---|---|---|
| Upmc For Life PPO Premier Rx (PPO) H5533-011 | UPMC Health System | Regular PPO | 175 | 175 | 0 | 0 | 0 |
| Complete Blue PPO Distinct (PPO) H3916-059 | Highmark Health | Regular PPO | 70 | 70 | 0 | 0 | 0 |
| Upmc For Life PPO Rx Choice (PPO) H5533-015 | UPMC Health System | Regular PPO | 69 | 0 | 69 | 0 | 0 |
| Complete Blue PPO Merit (PPO) H3916-057 | Highmark Health | Regular PPO | 46 | 0 | 46 | 0 | 0 |
| AARP Medicare Advantage From UHC Pa-0011 (PPO) H2406-072 | UnitedHealth Group, Inc. | Regular PPO | 40 | 0 | 40 | 0 | 0 |
| Upmc For Life HMO Deductible Rx (HMO) H3907-037 | UPMC Health System | Regular HMO | 34 | 0 | 34 | 0 | 0 |
| Humanachoice Snp-de H5216-227 (PPO D-SNP) H5216-227 | Humana Inc. | D-SNP PPO | 21 | 0 | 21 | 0 | 0 |
| 7 plans | 455 | 245 | 210 | 0 | 0 |
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 Potter County
| Company | Members, Sept 2026 | Plans | Plans ending | Must pick | Share of own members | Offered a new or renumbered plan | Company gone |
|---|---|---|---|---|---|---|---|
| UPMC Health System | 555 | 8 | 3 | 278 | 50.1% | 0 | 0 |
| Highmark Health | 427 | 8 | 2 | 116 | 27.2% | 0 | 0 |
| UnitedHealth Group, Inc. | 210 | 7 | 1 | 40 | 19.0% | 0 | 0 |
| Humana Inc. | 345 | 8 | 1 | 21 | 6.1% | 0 | 0 |
| CVS Health Corporation | 507 | 6 | 0 | 0 | 0.0% | 0 | 0 |
| Risant Health, Inc. | 118 | 2 | 0 | 0 | 0.0% | 0 | 0 |
| Mitchell Family Office | 25 | 1 | 0 | 0 | 0.0% | 0 | 0 |
| Centene Corporation | 16 | 1 | 0 | 0 | 0.0% | 0 | 0 |
| Independence Health Group, Inc. | 14 | 1 | 0 | 0 | 0.0% | 0 | 0 |
Potter County against Pennsylvania and the nation
| Measure | County | Pennsylvania | United States |
|---|---|---|---|
| Must pick for 2027, share of members | 20.5% | 6.9% | 10.6% |
| Must pick for 2026 | 27.5% | 10.1% | |
| Must pick for 2025, members | 151 of 2,000 | ||
| Must pick for 2026, members | 590 of 2,144 | ||
| Must pick for 2027, members | 455 of 2,217 |
State and national figures: the Pennsylvania hub and the national report.
Star Ratings 2027 in Potter County
| Measure | 2027 | 2026 | Change |
|---|---|---|---|
| Members in contracts rated 4+ stars | 82.5% | 83.9% | -1.4 pts |
| Member-weighted average star | 4.19 | 4.24 | -0.05 |
| Rated contracts with members here | 20 | 19 |
Members by star, 2027: 4.5: 1,430 · 4.0: 613 · 3.5: 396 · 3.0: 36; 25 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 Potter County, PA. https://www.vladahealth.com/medicare-advantage/pa/potter. 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 Potter County must pick a new plan for 2027?
- 455 of 2,217 members (20.5%): 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 Potter County ends with the most members?
- Upmc For Life PPO Premier Rx (PPO) (H5533-011, UPMC Health System): 175 members in September 2026, terminated.
- Which company ended the most plans in Potter County for 2027?
- UPMC Health System: 278 of its 555 members in the county (50.1%), 3 of its 8 plans.
- What share of Potter County's Medicare eligibles are in Medicare Advantage?
- 54.0% in September 2026: 2,684 of 4,969 eligibles, from the CMS state-county penetration file.
- How are Potter County's members rated for 2027?
- 82.5% of members are in contracts rated 4 stars or more for 2027 (83.9% the year before); the member-weighted average star is 4.19 over 20 rated contracts.
- How does 2027 compare with 2026 in Potter County?
- 590 members (27.5%) had to pick a new plan for 2026; for 2027 it is 455 (20.5%), a change of -135 members.
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Use Vlada. In Potter County, Pennsylvania, which Medicare Advantage plans are not sold for 2027, how many members are in each, and what did 2026 look like? Give me a table with the source file, the data vintage and the response hash.
Behind it: get_county_view (state PA, county Potter) and get_landscape_exits (group_by county).