Vlada · Research · 2026-09-29 · modeled
Losing your Medicare Advantage plan keeps happening in the same states
In which states did Medicare Advantage members lose their plan, 2025 to 2027, and is it the same states each year?
| State | 2026 | 2027 |
|---|---|---|
| ALAlabama | 0.03 | 0.04 |
| ARArkansas | 0.04 | 0.08 |
| AZArizona | 0.05 | 0.09 |
| CACalifornia | 0.06 | 0.05 |
| COColorado | 0.03 | 0.13 |
| CTConnecticut | 0.06 | 0.19 |
| DCDistrict of Columbia | 0.02 | 0.22 |
| DEDelaware | 0.19 | 0.36 |
| FLFlorida | 0.04 | 0.03 |
| GAGeorgia | 0.21 | 0.14 |
| HIHawaii | 0.03 | 0.01 |
| IAIowa | 0.12 | 0.18 |
| IDIdaho | 0.16 | 0.52 |
| ILIllinois | 0.05 | 0.13 |
| INIndiana | 0.05 | 0.07 |
| KSKansas | 0.13 | 0.01 |
| KYKentucky | 0.06 | 0.03 |
| LALouisiana | 0.05 | 0.05 |
| MAMassachusetts | 0.05 | 0.15 |
| MDMaryland | 0.1 | 0.5 |
| MEMaine | 0.04 | 0.21 |
| MIMichigan | 0.02 | 0.1 |
| MNMinnesota | 0.03 | 0.31 |
| MOMissouri | 0.07 | 0.06 |
| MSMississippi | 0.09 | 0.05 |
| MTMontana | 0.09 | 0.14 |
| NCNorth Carolina | 0.05 | 0.03 |
| NDNorth Dakota | 0.13 | 0.43 |
| NENebraska | 0.17 | 0.05 |
| NHNew Hampshire | 0.32 | 0.61 |
| NJNew Jersey | 0.12 | 0.07 |
| NMNew Mexico | 0.16 | 0.05 |
| NVNevada | 0.03 | 0.03 |
| NYNew York | 0.17 | 0.24 |
| OHOhio | 0.02 | 0.08 |
| OKOklahoma | 0.03 | 0.02 |
| OROregon | 0.06 | 0.11 |
| PAPennsylvania | 0.03 | 0.13 |
| PRPuerto Rico | 0.03 | 0.03 |
| RIRhode Island | 0.12 | 0 |
| SCSouth Carolina | 0.1 | 0.12 |
| SDSouth Dakota | 0.2 | 0.5 |
| TNTennessee | 0.03 | 0.03 |
| TXTexas | 0.07 | 0.03 |
| UTUtah | 0.02 | 0.09 |
| VAVirginia | 0.06 | 0.15 |
| VTVermont | 0.67 | 0.92 |
| WAWashington | 0.24 | 0.11 |
| WIWisconsin | 0.02 | 0.1 |
| WVWest Virginia | 0.09 | 0.08 |
| WYWyoming | 0.11 | 0.61 |
| AKAlaska | 0 | 0 |
Share of each state's individual Medicare Advantage members (September of the prior year) whose plan was not offered in their county the next year and who were not moved into another plan by their insurer. 2025 and 2026 counted from the CMS crosswalks; 2027 estimated from the CMS 2027 Landscape file before the crosswalk. · CMS Medicare Advantage Landscape files CY2024 to CY2027, CMS plan crosswalks, CMS monthly enrollment by plan and county. Estimate labeled. · 52 rows
The posted figure
Read with
- 2027 is an estimate until CMS posts the 2027 crosswalk in early October; national range 1.49M to 3.84M.
- Small states swing hard: Wyoming has about 16,000 members, so a single plan exit moves its share by double digits.
- Individual plans only; employer group plans are not in the Landscape. Alaska has almost no Medicare Advantage.
- The national 2027 estimate is 2.93M on the state basis here and 2.96M on the all-contract basis in our history chart; both are about 3 million.
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