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?
| Members whose 2027 Medicare Advantage plan ends in their county | Value |
|---|---|
| Hennepin, MN54% of the county's members | 67,032 |
| San Diego, CA11% of the county's members | 30,644 |
| Bernalillo, NM43% of the county's members | 29,805 |
| Ramsey, MN53% of the county's members | 27,873 |
| Los Angeles, CA3% of the county's members | 27,403 |
| Harris, TX8% of the county's members | 27,069 |
| Dakota, MN57% of the county's members | 26,753 |
| King, WA16% of the county's members | 26,293 |
| Cuyahoga, OH18% of the county's members | 25,008 |
| Hartford, CT25% of the county's members | 23,858 |
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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