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Vlada / Medicare Advantage / West Virginia / Ohio County

Medicare Advantage plan exits 2027 in Ohio County, WV

274 of the 4,467 Medicare Advantage members in Ohio County (6.1%) are in a plan that is not sold in the county for 2027: 3 of the 36 plans sold there in September 2026 end, from the CMS 2027 Landscape and crosswalk. West Virginia: 9.1%; 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
4,467
members, Sept 2026
must pick for 2027
274
must pick for 2027
share of members
6.1%
share of members
plans end
3 of 36
plans end

Medicare Advantage members in Ohio 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 47 for 2026.

02k3k5k7k41%201540%40%201742%44%201943%45%202148%50%202353%55%202555%

The plans that end for 2027

Every plan sold in Ohio 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
Humana Usaa Honor Giveback With Rx (PPO) H5216-391Humana Inc.Regular PPO152015200
Humanachoice Giveback H5216-328 (PPO) H5216-328Humana Inc.Regular PPO109010900
Complete Blue PPO Merit (PPO) H5106-037Highmark HealthRegular PPO1313000
3 plans2741326100

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 Ohio County

CompanyMembers, Sept 2026PlansPlans endingMust pickShare of own membersOffered a new or renumbered planCompany gone
Humana Inc.97011226126.9%00
Highmark Health82241131.6%00
The Health Plan of West Virginia, Inc.9136000.0%00
CVS Health Corporation6506000.0%00
UnitedHealth Group, Inc.5986000.0%00
West Virginia United Health System, Inc.5022000.0%00
Elevance Health, Inc.121000.0%00

Ohio County against West Virginia and the nation

MeasureCountyWest VirginiaUnited States
Must pick for 2027, share of members6.1%9.1%10.6%
Must pick for 202611.3%10.1%
Must pick for 2025, members413 of 4,044
Must pick for 2026, members487 of 4,293
Must pick for 2027, members274 of 4,467

State and national figures: the West Virginia hub and the national report.

Star Ratings 2027 in Ohio County

Measure20272026Change
Members in contracts rated 4+ stars58.2%23.3%+34.9 pts
Member-weighted average star3.923.69+0.23
Rated contracts with members here1413

Members by star, 2027: 5.0: 502 · 4.5: 1,172 · 4.0: 1,876 · 3.5: 1,961 · 3.0: 588; 12 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 Ohio County, WV. https://www.vladahealth.com/medicare-advantage/wv/ohio. 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 Ohio County must pick a new plan for 2027?
274 of 4,467 members (6.1%): their plan is not sold in the county for 2027 according to the CMS crosswalk and Landscape. West Virginia as a whole: 9.1%; the nation: 10.6%.
Which plan in Ohio County ends with the most members?
Humana Usaa Honor Giveback With Rx (PPO) (H5216-391, Humana Inc.): 152 members in September 2026, its service area reduced.
Which company ended the most plans in Ohio County for 2027?
Humana Inc.: 261 of its 970 members in the county (26.9%), 2 of its 11 plans.
What share of Ohio County's Medicare eligibles are in Medicare Advantage?
55.4% in September 2026: 6,459 of 11,663 eligibles, from the CMS state-county penetration file.
How are Ohio County's members rated for 2027?
58.2% of members are in contracts rated 4 stars or more for 2027 (23.3% the year before); the member-weighted average star is 3.92 over 14 rated contracts.
How does 2027 compare with 2026 in Ohio County?
487 members (11.3%) had to pick a new plan for 2026; for 2027 it is 274 (6.1%), a change of -213 members.

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Use Vlada. In Ohio County, West Virginia, 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.

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