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Open enrollment 2027

Medicare Advantage plan exits for 2027, by state and county.

3,159,876 Medicare Advantage members have a 2026 plan that will not be offered in their county in 2027. That is 10.6% of the 29,931,760 people in individual Medicare Advantage plans in October 2026.

  • 3,159,876members whose plan ends in their county
  • 2,522of 3,176 counties have at least one
  • 51states and territories: 49 states, D.C. and Puerto Rico
  • Dec 7open enrollment closes; it opened Oct 15

Sources: CMS CY2027 and CY2026 plan files, CMS CPSC enrollment October 2026, CMS 2027 Plan Crosswalk (October 1, 2026). Employer plans are not counted. CMS hides counts of 10 or fewer, so every count is a floor. By Grant Whitaker, updated Oct 30, 2026.

States with the most members losing their plan

StateMembers whose plan endsIndividual MA membersShareCounties with an exit
Minnesota344,313551,83362.4%84 of 87
Florida320,4302,818,97411.4%66 of 67
New York242,4311,837,34513.2%62 of 62
Texas200,8982,268,3108.9%214 of 254
Ohio190,3661,220,97615.6%88 of 88
California169,1762,964,4915.7%47 of 58
Washington157,232667,27123.6%39 of 39
Oregon120,890466,50725.9%20 of 35
Pennsylvania97,1651,399,3266.9%63 of 67
Michigan96,105968,1439.9%78 of 83
Georgia84,574913,1829.3%109 of 159
Connecticut84,449338,18225.0%8 of 8
Maine67,883199,83234.0%16 of 16
Idaho63,275178,46335.5%40 of 44
Illinois62,567809,1287.7%90 of 102
Every other state with an exit (36)
StateMembers whose plan endsIndividual MA membersShareCounties with an exit
New Jersey61,351527,44711.6%21 of 21
New Mexico61,330205,69929.8%30 of 33
Wisconsin58,284653,8798.9%69 of 72
Massachusetts56,139484,46711.6%14 of 14
Iowa50,890225,57622.6%98 of 99
Indiana43,055619,2007.0%75 of 92
Nebraska40,492118,77434.1%76 of 93
North Carolina34,4781,096,7943.1%94 of 100
Colorado32,305465,4796.9%47 of 64
Maryland31,803212,40015.0%24 of 24
Louisiana30,714490,0356.3%63 of 64
Utah30,276259,20411.7%19 of 29
Nevada27,351307,3898.9%8 of 16
Arizona26,506708,1833.7%14 of 15
Missouri25,371644,4223.9%86 of 115
New Hampshire24,54883,78829.3%10 of 10
Tennessee21,847749,9942.9%89 of 95
Virginia21,426598,3693.6%95 of 133
Hawaii19,563136,88914.3%4 of 5
Montana18,52273,18125.3%38 of 50
South Dakota18,07044,15940.9%46 of 54
Oklahoma16,179316,0005.1%65 of 77
West Virginia15,883174,3079.1%49 of 55
Alabama15,218559,1172.7%64 of 67
Arkansas14,834290,3255.1%67 of 75
North Dakota11,73829,59139.7%51 of 52
Kansas10,624180,2305.9%46 of 104
South Carolina9,563551,2571.7%24 of 46
Kentucky9,244407,8692.3%59 of 120
Mississippi8,415282,4403.0%34 of 82
Wyoming7,17515,65445.8%3 of 23
District of Columbia2,21129,3017.5%1 of 1
Delaware2,14866,8473.2%3 of 3
Rhode Island314140,7970.2%4 of 5
Puerto Rico162572,9290.0%6 of 78
Vermont937,8051.2%2 of 14

What the count means

A member is counted when their 2026 plan ends or leaves their county and CMS does not move them into a 2027 plan there. Their plan ends Dec 31. They can pick a new plan in open enrollment, which closes Dec 7. Members who don't pick a plan by Dec 7 go to Original Medicare on Jan 1, and they can still join a Medicare Advantage or drug plan through Feb 28, 2027 (Medicare.gov). Their insurer can still sell them a different plan.

KFF counted about 3.1 million people in Medicare Advantage drug plans that end this year (Oct 27, 2026). We wrote it up in 4.3 million on Medicare will lose their plan Dec. 31. KFF counts plans that end. Our count also includes plans that leave a county but keep running elsewhere.

Find your county

Every county has its 2027 plans, the plans that end and who must pick a new plan. Start with Medicare Advantage 2027 by state and county or search the free county lookup.

Agents and plans can get the members to call first, county by county, from the Data Desk. We post one state a day in our Plan Exit Watch series on LinkedIn and X.

Facts and analysis, not plan enrollment advice.