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

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Vlada / Medicare Advantage / South Dakota / Haakon County

Medicare Advantage plan exits 2027 in Haakon County, SD

31 of the 31 Medicare Advantage members in Haakon County (100.0%) are in a plan that is not sold in the county for 2027: 2 of the 2 plans sold there in September 2026 end, from the CMS 2027 Landscape and crosswalk. South Dakota: 41.0%; 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
31
members, Sept 2026
must pick for 2027
31
must pick for 2027
share of members
100.0%
share of members
plans end
2 of 2
plans end

Medicare Advantage members in Haakon 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. 7 plans are listed for the county for 2027 against 6 for 2026.

02040709013%201514%11%201710%9%20199%10%202112%14%202314%17%202517%

The plans that end for 2027

Every plan sold in Haakon 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
Blue Medicare Advantage Enhanced PPO (PPO) H5900-004Blue Cross Blue Shield of Michigan Mutual Ins. Co.Regular PPO16160016
Blue Medicare Advantage Classic PPO (PPO) H5900-008Blue Cross Blue Shield of Michigan Mutual Ins. Co.Regular PPO15150015
2 plans31310031

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 Haakon County

CompanyMembers, Sept 2026PlansPlans endingMust pickShare of own membersOffered a new or renumbered planCompany gone
Blue Cross Blue Shield of Michigan Mutual Ins. Co.312231100.0%031

Haakon County against South Dakota and the nation

MeasureCountySouth DakotaUnited States
Must pick for 2027, share of members100.0%41.0%10.6%
Must pick for 202664.5%10.1%
Must pick for 2025, members13 of 13
Must pick for 2026, members20 of 31
Must pick for 2027, members31 of 31

State and national figures: the South Dakota hub and the national report.

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 Haakon County, SD. https://www.vladahealth.com/medicare-advantage/sd/haakon. 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 Haakon County must pick a new plan for 2027?
31 of 31 members (100.0%): their plan is not sold in the county for 2027 according to the CMS crosswalk and Landscape. South Dakota as a whole: 41.0%; the nation: 10.6%.
Which plan in Haakon County ends with the most members?
Blue Medicare Advantage Enhanced PPO (PPO) (H5900-004, Blue Cross Blue Shield of Michigan Mutual Ins. Co.): 16 members in September 2026, terminated.
Which company ended the most plans in Haakon County for 2027?
Blue Cross Blue Shield of Michigan Mutual Ins. Co.: 31 of its 31 members in the county (100.0%), 2 of its 2 plans.
What share of Haakon County's Medicare eligibles are in Medicare Advantage?
16.6% in September 2026: 89 of 537 eligibles, from the CMS state-county penetration file.
How does 2027 compare with 2026 in Haakon County?
20 members (64.5%) had to pick a new plan for 2026; for 2027 it is 31 (100.0%), a change of +11 members.

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Use Vlada. In Haakon County, South Dakota, 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 SD, county Haakon) and get_landscape_exits (group_by county).