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Medicare Advantage plan exits 2027 in Smith County, TX
3,051 of the 20,653 Medicare Advantage members in Smith County (14.8%) are in a plan that is not sold in the county for 2027: 10 of the 50 plans sold there in September 2026 end, from the CMS 2027 Landscape and crosswalk. Texas: 8.9%; 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
- 20,653
- members, Sept 2026
- must pick for 2027
- 3,051
- must pick for 2027
- share of members
- 14.8%
- share of members
- plans end
- 10 of 50
- plans end
Medicare Advantage members in Smith 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. 49 plans are listed for the county for 2027 against 56 for 2026.
The plans that end for 2027
Every plan sold in Smith 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 |
|---|---|---|---|---|---|---|---|
| Christus Health Medicare Plus (HMO) H1189-004 | CHRISTUS Health | Regular HMO | 1,804 | 1,804 | 0 | 0 | 1,804 |
| Christus Health Medicare Complete (HMO) H1189-003 | CHRISTUS Health | Regular HMO | 825 | 825 | 0 | 0 | 825 |
| Aetna Medicare Dual Care (HMO D-SNP) H8597-001 | CVS Health Corporation | D-SNP HMO | 164 | 0 | 164 | 0 | 0 |
| Christus Health Medicare Guardian (HMO) H1189-008 | CHRISTUS Health | Regular HMO | 83 | 83 | 0 | 0 | 83 |
| UHC Complete Care Support Tx-1a (regional PPO C-SNP) R6801-008 | UnitedHealth Group, Inc. | CSNP PPO | 46 | 46 | 0 | 0 | 0 |
| Aetna Medicare Full Dual Care (HMO D-SNP) H4523-034 | CVS Health Corporation | D-SNP HMO | 42 | 0 | 42 | 0 | 0 |
| Blue Cross Medicare Advantage Value (HMO) H9706-001 | Health Care Service Corporation | Regular HMO | 36 | 36 | 0 | 0 | 0 |
| Wellcare Dual Access (HMO D-SNP) H5294-015 | Centene Corporation | D-SNP HMO | 20 | 20 | 0 | 20 | 0 |
| Blue Cross Medicare Advantage Preferred (PPO) H8634-033 | Health Care Service Corporation | Regular PPO | 17 | 17 | 0 | 0 | 0 |
| Blue Cross Medicare Advantage Dental Value (HMO) H9706-007 | Health Care Service Corporation | Regular HMO | 14 | 14 | 0 | 0 | 0 |
| 10 plans | 3,051 | 2,845 | 206 | 20 | 2,712 |
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 Smith County
| Company | Members, Sept 2026 | Plans | Plans ending | Must pick | Share of own members | Offered a new or renumbered plan | Company gone |
|---|---|---|---|---|---|---|---|
| CHRISTUS Health | 2,712 | 3 | 3 | 2,712 | 100.0% | 0 | 2,712 |
| CVS Health Corporation | 945 | 5 | 2 | 206 | 21.8% | 0 | 0 |
| Health Care Service Corporation | 3,659 | 8 | 3 | 67 | 1.8% | 0 | 0 |
| UnitedHealth Group, Inc. | 6,048 | 10 | 1 | 46 | 0.8% | 0 | 0 |
| Centene Corporation | 68 | 2 | 1 | 20 | 29.4% | 20 | 0 |
| Humana Inc. | 6,738 | 18 | 0 | 0 | 0.0% | 0 | 0 |
| Elevance Health, Inc. | 372 | 2 | 0 | 0 | 0.0% | 0 | 0 |
| Molina Healthcare, Inc. | 71 | 1 | 0 | 0 | 0.0% | 0 | 0 |
| Rifkin Managed Care Holding, LLC | 40 | 1 | 0 | 0 | 0.0% | 0 | 0 |
Smith County against Texas and the nation
| Measure | County | Texas | United States |
|---|---|---|---|
| Must pick for 2027, share of members | 14.8% | 8.9% | 10.6% |
| Must pick for 2026 | 1.7% | 10.1% | |
| Must pick for 2025, members | 79 of 18,578 | ||
| Must pick for 2026, members | 326 of 19,580 | ||
| Must pick for 2027, members | 3,051 of 20,653 |
State and national figures: the Texas hub and the national report.
Star Ratings 2027 in Smith County
| Measure | 2027 | 2026 | Change |
|---|---|---|---|
| Members in contracts rated 4+ stars | 74.5% | 54.3% | +20.2 pts |
| Member-weighted average star | 4.04 | 4.00 | +0.04 |
| Rated contracts with members here | 29 | 27 |
Members by star, 2027: 4.5: 8,911 · 4.0: 8,678 · 3.5: 4,997 · 3.0: 1,022 · 2.5: 11; 2,712 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 Smith County, TX. https://www.vladahealth.com/medicare-advantage/tx/smith. 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 Smith County must pick a new plan for 2027?
- 3,051 of 20,653 members (14.8%): their plan is not sold in the county for 2027 according to the CMS crosswalk and Landscape. Texas as a whole: 8.9%; the nation: 10.6%.
- Which plan in Smith County ends with the most members?
- Christus Health Medicare Plus (HMO) (H1189-004, CHRISTUS Health): 1,804 members in September 2026, terminated.
- Which company ended the most plans in Smith County for 2027?
- CHRISTUS Health: 2,712 of its 2,712 members in the county (100.0%), 3 of its 3 plans.
- What share of Smith County's Medicare eligibles are in Medicare Advantage?
- 50.0% in September 2026: 26,534 of 53,026 eligibles, from the CMS state-county penetration file.
- How are Smith County's members rated for 2027?
- 74.5% of members are in contracts rated 4 stars or more for 2027 (54.3% the year before); the member-weighted average star is 4.04 over 29 rated contracts.
- How does 2027 compare with 2026 in Smith County?
- 326 members (1.7%) had to pick a new plan for 2026; for 2027 it is 3,051 (14.8%), a change of +2,725 members.
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Use Vlada. In Smith County, Texas, 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 TX, county Smith) and get_landscape_exits (group_by county).