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Vlada / Medicare Advantage / Washington / Spokane County

Medicare Advantage plan exits 2027 in Spokane County, WA

9,863 of the 63,216 Medicare Advantage members in Spokane County (15.6%) are in a plan that is not sold in the county for 2027: 14 of the 54 plans sold there in September 2026 end, from the CMS 2027 Landscape and crosswalk. Washington: 23.5%; 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
63,216
members, Sept 2026
must pick for 2027
9,863
must pick for 2027
share of members
15.6%
share of members
plans end
14 of 54
plans end

Medicare Advantage members in Spokane 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. 47 plans are listed for the county for 2027 against 59 for 2026.

018k36k53k71k35%201535%37%201739%42%201945%48%202151%54%202357%58%202558%

The plans that end for 2027

Every plan sold in Spokane 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
AARP Medicare Advantage From UHC Wa-0009 (HMO-POS) H3805-034UnitedHealth Group, Inc.Regular HMO4,2524,252000
UHC Complete Care Wa-13 (HMO-POS C-SNP) H3805-043UnitedHealth Group, Inc.CSNP HMO94894809480
Providence Medicare Pine + Rx (HMO) H9047-063Providence St Joseph HealthRegular HMO82282200822
AARP Medicare Advantage From UHC Wa-17 (PPO) H2001-137UnitedHealth Group, Inc.Regular PPO82082008200
AARP Medicare Advantage From UHC Wa-0001 (PPO) H1278-028UnitedHealth Group, Inc.Regular PPO79779707970
Humanachoice H7617-019 (PPO) H7617-019Humana Inc.Regular PPO634634000
Humana Gold Plus Snp-de H1036-326 (HMO D-SNP) H1036-326Humana Inc.D-SNP HMO633633000
Wellcare Simple (HMO-POS) H0029-011Centene CorporationRegular HMO338338000
Humanachoice H5216-426 (PPO) H5216-426Humana Inc.Regular PPO266266000
Wellcare Giveback (HMO-POS) H0029-009Centene CorporationRegular HMO178178000
Molina Medicare Complete Care Select (HMO D-SNP) H5823-010Molina Healthcare, Inc.D-SNP HMO10010001000
Wellcare Dual Reserve (HMO-POS D-SNP) H0029-010Centene CorporationD-SNP HMO3333000
Wellcare Dual Liberty Sync Open (PPO D-SNP) H5965-004Centene CorporationD-SNP PPO2222000
Humana Gold Plus Snp-de H1036-324 (HMO D-SNP) H1036-324Humana Inc.D-SNP HMO2020000
14 plans9,8639,86302,665822

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 Spokane County

CompanyMembers, Sept 2026PlansPlans endingMust pickShare of own membersOffered a new or renumbered planCompany gone
UnitedHealth Group, Inc.39,9691546,81717.1%2,5650
Humana Inc.6,8801641,55322.6%00
Providence St Joseph Health82211822100.0%0822
Centene Corporation8626457166.2%00
Molina Healthcare, Inc.1,422211007.0%1000
Kaiser Foundation Health Plan, Inc.7,4393000.0%00
CVS Health Corporation2,4864000.0%00
SCAN Group1,7532000.0%00
Community Health Plan of Washington8002000.0%00
Health Care Service Corporation5141000.0%00
Elevance Health, Inc.2692000.0%00

Spokane County against Washington and the nation

MeasureCountyWashingtonUnited States
Must pick for 2027, share of members15.6%23.5%10.6%
Must pick for 20262.9%10.1%
Must pick for 2025, members16,312 of 59,548
Must pick for 2026, members1,788 of 61,856
Must pick for 2027, members9,863 of 63,216

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

Star Ratings 2027 in Spokane County

Measure20272026Change
Members in contracts rated 4+ stars43.4%34.9%+8.5 pts
Member-weighted average star3.853.72+0.13
Rated contracts with members here2524

Members by star, 2027: 5.0: 867 · 4.5: 20,336 · 4.0: 8,213 · 3.5: 35,263 · 3.0: 2,219 · 2.5: 881; 2,866 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 Spokane County, WA. https://www.vladahealth.com/medicare-advantage/wa/spokane. 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 Spokane County must pick a new plan for 2027?
9,863 of 63,216 members (15.6%): their plan is not sold in the county for 2027 according to the CMS crosswalk and Landscape. Washington as a whole: 23.5%; the nation: 10.6%.
Which plan in Spokane County ends with the most members?
AARP Medicare Advantage From UHC Wa-0009 (HMO-POS) (H3805-034, UnitedHealth Group, Inc.): 4,252 members in September 2026, terminated.
Which company ended the most plans in Spokane County for 2027?
UnitedHealth Group, Inc.: 6,817 of its 39,969 members in the county (17.1%), 4 of its 15 plans.
What share of Spokane County's Medicare eligibles are in Medicare Advantage?
57.8% in September 2026: 71,079 of 123,058 eligibles, from the CMS state-county penetration file.
How are Spokane County's members rated for 2027?
43.4% of members are in contracts rated 4 stars or more for 2027 (34.9% the year before); the member-weighted average star is 3.85 over 25 rated contracts.
How does 2027 compare with 2026 in Spokane County?
1,788 members (2.9%) had to pick a new plan for 2026; for 2027 it is 9,863 (15.6%), a change of +8,075 members.

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