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Vlada · Research · 2026-10-08 · derived

3.2 million must choose.

Where do the most Medicare Advantage members have to pick a new plan for 2027?

Top 10 counties, and the share of each county's members
Members whose 2027 Medicare Advantage plan ends in their countyValue
Hennepin, MN54% of the county's members67,032
San Diego, CA11% of the county's members30,644
Bernalillo, NM43% of the county's members29,805
Ramsey, MN53% of the county's members27,873
Los Angeles, CA3% of the county's members27,403
Harris, TX8% of the county's members27,069
Dakota, MN57% of the county's members26,753
King, WA16% of the county's members26,293
Cuyahoga, OH18% of the county's members25,008
Hartford, CT25% of the county's members23,858

Members in individual Medicare Advantage plans not offered in their county in 2027, CMS enrollment for September 2026. Like-for-like: same plan type, drug coverage and network, every benefit kept, same or better on premium, out-of-pocket max, deductibles and copays. · CMS 2027 plan filings, Landscape and crosswalk; CMS monthly enrollment by county. Every county: vladahealth.com/aep · 10 rows

The posted figure

Read with

  • Counts individual-market Medicare Advantage plans; employer group plans are not included.
  • CMS hides plan-county cells under 11 members, so counts are slight undercounts.
  • Like-for-like compares filed benefits only; doctors, pharmacies and drug lists are not in the comparison.
  • A plan's members are split evenly across its segments within a county; CMS does not publish enrollment by segment.

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