3.2M Medicare Advantage members forced to shop
CMS released the 2027 plan crosswalk on Oct 1. Most members whose plan is going away have no plan to land in.
By Mike Zehrer · Plan years 2026–2027 · AEP 2027 · CMS plan crosswalk
3.2M forced to shop2.1M crosswalked
Each figure = 100K MA members whose 2027 plan is going away
3.2 million MA members have to pick a new plan for 2027.
Plan going away in their county
5.3M
Sept 2026 enrollment
Moved into another plan
2.1M
40%, by CMS crosswalk
Have to pick a plan
3.2M
60%, no plan to land in
| Whole plan ending | 2,512K | 1,930K | 4,442K |
|---|---|---|---|
| Plan leaving their county | 649K | 187K | 836K |
| Plan terminated, no crosswalk plan | 2,357K | 45% | Forced to shop |
|---|---|---|---|
| Crosswalk plan not offered in their county | 804K | 15% | Forced to shop |
| Consolidated Renewal Plan | 1,264K | 24% | Crosswalked |
| Renewal Plan | 628K | 12% | Crosswalked |
| Renewal Plan with service area reduction | 225K | 4% | Crosswalked |
MA members (Sept 2026 CPSC) in 2026 plans or counties not offered in 2027; PDPs excluded. Source: CMS 2027 Plan Crosswalk, MA Landscape, CPSC.
3.2M of 5.3M weren't crosswalked. Humana left the most: 601K.
| UnitedHealthcare | 1,372,989 | 862,232 | 510,757 | 37% |
|---|---|---|---|---|
| Humana | 1,042,766 | 442,145 | 600,621 | 58% |
| Centene (Wellcare) | 369,654 | 201,414 | 168,240 | 46% |
| Aetna (CVS) | 326,804 | 23,166 | 303,638 | 93% |
| Blue Cross MN | 258,219 | 0 | 258,219 | 100% |
| Elevance (Anthem) | 167,888 | 106,304 | 61,584 | 37% |
| HCSC | 158,288 | 36,009 | 122,279 | 77% |
| UPMC | 121,198 | 55,415 | 65,783 | 54% |
| Molina | 99,750 | 12,901 | 86,849 | 87% |
| Medica | 97,091 | 46,015 | 51,076 | 53% |
| Lifetime Healthcare, Inc. | 94,582 | 14,282 | 80,300 | 85% |
| Kaiser | 87,820 | 56,721 | 31,099 | 35% |
| Point32Health | 74,848 | 49,856 | 24,992 | 33% |
| Corewell Health | 74,377 | 0 | 74,377 | 100% |
| MEDICAL MUTUAL OF OHIO | 62,944 | 56,059 | 6,885 | 11% |
| Martin's Point Health Care, Inc. | 54,707 | 13,179 | 41,528 | 76% |
| Providence St Joseph Health | 52,989 | 0 | 52,989 | 100% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 50,917 | 1,115 | 49,802 | 98% |
| Blue Cross and Blue Shield of Massachusetts, Inc. | 47,049 | 26,710 | 20,339 | 43% |
| HealthPartners, Inc. | 42,900 | 18,433 | 24,467 | 57% |
| PacificSource | 42,427 | 0 | 42,427 | 100% |
| Horizon Mutual Holdings, Inc | 42,349 | 0 | 42,349 | 100% |
| Sanford Health | 36,896 | 1,907 | 34,989 | 95% |
| Presbyterian Healthcare Services | 29,916 | 932 | 28,984 | 97% |
| Highmark | 29,044 | 11,069 | 17,975 | 62% |
| Intermountain Health Care, Inc. | 26,808 | 0 | 26,808 | 100% |
| Alignment | 25,749 | 12,040 | 13,709 | 53% |
| Trinity Health Corporation | 25,142 | 115 | 25,027 | 100% |
| MHH Healthcare, L.P. | 23,734 | 23,734 | 0 | 0% |
| Devoted | 22,453 | 13,552 | 8,901 | 40% |
| Cambia Health Solutions, Inc. | 22,420 | 0 | 22,420 | 100% |
| Blue Cross Blue Shield of Nebraska | 19,804 | 0 | 19,804 | 100% |
| Mass General Brigham Incorporated | 18,081 | 0 | 18,081 | 100% |
| Sharp Healthcare | 17,247 | 0 | 17,247 | 100% |
| Hawaii Medical Service Association | 15,836 | 0 | 15,836 | 100% |
| Memorial Hermann Health System | 14,553 | 0 | 14,553 | 100% |
| DOCTORS HEALTHCARE PLANS, INC. | 13,581 | 383 | 13,198 | 97% |
| MVP Health Care, Inc. | 13,488 | 0 | 13,488 | 100% |
| BlueCross BlueShield of Alabama | 12,034 | 0 | 12,034 | 100% |
| SCAN | 9,968 | 4,634 | 5,334 | 54% |
| CAPITAL BLUE CROSS | 9,911 | 1,274 | 8,637 | 87% |
| Louisiana Health Service & Indemnity Company | 9,821 | 1,233 | 8,588 | 87% |
| Network Health, Inc. | 9,276 | 9,276 | 0 | 0% |
| Independence | 9,164 | 0 | 9,164 | 100% |
| CHRISTUS Health | 8,728 | 0 | 8,728 | 100% |
| BlueCross BlueShield of Tennessee | 8,095 | 0 | 8,095 | 100% |
| Central Mass Health Holding LLC | 7,758 | 0 | 7,758 | 100% |
| Fallon Community Health Plan, Inc. | 7,433 | 5,619 | 1,814 | 24% |
| Blue Cross Blue Shield of Kansas | 7,420 | 0 | 7,420 | 100% |
| Elderplan, Inc. | 6,778 | 0 | 6,778 | 100% |
| Aspirus, Inc. | 5,938 | 0 | 5,938 | 100% |
| BlueCross BlueShield of South Carolina (BCBSSC) | 5,277 | 0 | 5,277 | 100% |
| BMC Health System, Inc. | 5,107 | 0 | 5,107 | 100% |
| CuraCor Solutions Corp. | 4,949 | 1,945 | 3,004 | 61% |
| CareFirst, Inc. | 4,413 | 0 | 4,413 | 100% |
| Clover | 4,387 | 0 | 4,387 | 100% |
| EmblemHealth, Inc. | 3,973 | 0 | 3,973 | 100% |
| Thomas Jefferson University | 3,945 | 0 | 3,945 | 100% |
| Risant Health, Inc. | 3,654 | 0 | 3,654 | 100% |
| General Catalyst Group Management Holdings LP | 3,630 | 261 | 3,369 | 93% |
| Baystate Health, Inc. | 2,809 | 0 | 2,809 | 100% |
| Independent Health Association, Inc. | 2,651 | 0 | 2,651 | 100% |
| Aultman Health Foundation | 2,496 | 0 | 2,496 | 100% |
| Baylor Scott & White Health | 2,429 | 1,185 | 1,244 | 51% |
| Allina Health and Aetna Insurance Holding Company | 2,125 | 0 | 2,125 | 100% |
| USAble Mutual Insurance Company | 2,113 | 2,113 | 0 | 0% |
| Health First Shared Services, Inc. | 1,933 | 0 | 1,933 | 100% |
| BayCare Health System, Inc. | 1,761 | 1,761 | 0 | 0% |
| Johns Hopkins Healthcare LLC | 1,678 | 0 | 1,678 | 100% |
| Astiva Health Holdings Incorporated | 1,480 | 0 | 1,480 | 100% |
| Florida Blue | 1,348 | 281 | 1,067 | 79% |
| Ultimate Healthcare Holdings, LLC | 1,346 | 0 | 1,346 | 100% |
| Harris County Hospital District | 924 | 924 | 0 | 0% |
| CareSource | 624 | 0 | 624 | 100% |
| Curana Health Holdings, LLC | 429 | 413 | 16 | 4% |
| LifeBridge Health, Inc. | 424 | 0 | 424 | 100% |
| The Health Plan of West Virginia, Inc. | 418 | 345 | 73 | 17% |
| Athena Healthcare Holdings, LLC | 415 | 415 | 0 | 0% |
| Mitchell Family Office | 397 | 0 | 397 | 100% |
| SNP Holdings, LLC | 332 | 0 | 332 | 100% |
| Eternal Health of Delaware, Inc. | 284 | 0 | 284 | 100% |
| ATRIO Health Plans | 197 | 0 | 197 | 100% |
| Perennial Consortium, LLC | 174 | 0 | 174 | 100% |
| Rifkin Managed Care Holding, LLC | 137 | 0 | 137 | 100% |
| Medical Associates Clinic, P.C. | 90 | 0 | 90 | 100% |
| Gold Kidney Health Plan | 48 | 0 | 48 | 100% |
| Universal Health Services, Inc. | 43 | 43 | 0 | 0% |
| AlohaCare | 27 | 27 | 0 | 0% |
| Chinese Hospital Association | 22 | 22 | 0 | 0% |
| McLaren Health Care Corporation | 11 | 0 | 11 | 100% |
Largest 7 parents by affected members; the table lists every parent organization with reported members (CPSC suppresses cells under 11). MA members (Sept 2026 CPSC) in 2026 plans or counties not offered in 2027; PDPs excluded. Source: CMS 2027 Plan Crosswalk, MA Landscape, CPSC.
Minnesota has the most forced shoppers: 345K, 87% of those affected.
| Minnesota | 395,770 | 50,684 | 345,086 | 87% |
|---|---|---|---|---|
| Florida | 442,925 | 122,336 | 320,589 | 72% |
| New York | 354,252 | 111,776 | 242,476 | 68% |
| Texas | 442,163 | 240,890 | 201,273 | 46% |
| Ohio | 323,053 | 130,335 | 192,718 | 60% |
| California | 275,437 | 113,326 | 162,111 | 59% |
| Washington | 169,283 | 12,492 | 156,791 | 93% |
| Oregon | 182,933 | 61,813 | 121,120 | 66% |
| Pennsylvania | 164,965 | 68,598 | 96,367 | 58% |
| Michigan | 136,320 | 40,763 | 95,557 | 70% |
| Connecticut | 87,708 | 3,085 | 84,623 | 96% |
| Georgia | 106,218 | 21,933 | 84,285 | 79% |
| Maine | 89,370 | 21,482 | 67,888 | 76% |
| Idaho | 63,225 | 0 | 63,225 | 100% |
| Illinois | 81,060 | 18,560 | 62,500 | 77% |
| Wisconsin | 117,145 | 54,855 | 62,290 | 53% |
| New Mexico | 72,748 | 10,993 | 61,755 | 85% |
| New Jersey | 63,857 | 2,403 | 61,454 | 96% |
| Massachusetts | 138,083 | 82,185 | 55,898 | 40% |
| Iowa | 59,828 | 8,782 | 51,046 | 85% |
| Indiana | 147,728 | 104,407 | 43,321 | 29% |
| Nebraska | 52,290 | 11,732 | 40,558 | 78% |
| North Carolina | 181,149 | 146,703 | 34,446 | 19% |
| Colorado | 53,234 | 21,392 | 31,842 | 60% |
| Maryland | 35,907 | 4,072 | 31,835 | 89% |
| Louisiana | 106,306 | 75,543 | 30,763 | 29% |
| Utah | 49,525 | 19,282 | 30,243 | 61% |
| Nevada | 47,379 | 20,320 | 27,059 | 57% |
| Arizona | 67,840 | 41,496 | 26,344 | 39% |
| Missouri | 73,933 | 48,414 | 25,519 | 35% |
| New Hampshire | 24,500 | 0 | 24,500 | 100% |
| Tennessee | 202,226 | 180,371 | 21,855 | 11% |
| Virginia | 55,565 | 34,277 | 21,288 | 38% |
| Hawaii | 23,343 | 3,758 | 19,585 | 84% |
| South Dakota | 32,858 | 13,764 | 19,094 | 58% |
| Montana | 18,554 | 0 | 18,554 | 100% |
| Oklahoma | 45,050 | 28,813 | 16,237 | 36% |
| West Virginia | 26,909 | 11,008 | 15,901 | 59% |
| Alabama | 26,730 | 11,458 | 15,272 | 57% |
| Arkansas | 17,174 | 2,126 | 15,048 | 88% |
| North Dakota | 12,904 | 233 | 12,671 | 98% |
| Kansas | 25,899 | 15,252 | 10,647 | 41% |
| South Carolina | 9,651 | 158 | 9,493 | 98% |
| Kentucky | 95,426 | 86,128 | 9,298 | 10% |
| Mississippi | 41,646 | 33,344 | 8,302 | 20% |
| Wyoming | 7,206 | 0 | 7,206 | 100% |
| District of Columbia | 2,190 | 0 | 2,190 | 100% |
| Delaware | 3,409 | 1,252 | 2,157 | 63% |
| Rhode Island | 300 | 0 | 300 | 100% |
| Vermont | 93 | 0 | 93 | 100% |
| Puerto Rico | 24,865 | 24,865 | 0 | 0% |
10 states with the most members not crosswalked; the table lists every state. A member counts in the state they live in. MA members (Sept 2026 CPSC) in 2026 plans or counties not offered in 2027; PDPs excluded. Source: CMS 2027 Plan Crosswalk, MA Landscape, CPSC.
D‑SNP members mostly get moved: 82% vs 25% for MAPD.
| MAPD (non-SNP) (3.7M affected) | 24.8% |
|---|---|
| D-SNP (1.4M affected) | 82% |
| MA-only (0.1M affected) | 15.1% |
| C-SNP (0.1M affected) | 26.9% |
I-SNP (2,551 members) not shown. MA members (Sept 2026 CPSC) in 2026 plans or counties not offered in 2027; PDPs excluded. Source: CMS 2027 Plan Crosswalk, MA Landscape, CPSC.
Every state, ranked.
Members not crosswalked (forced to shop), AEP 2027. MA members in 2026 plans or counties not offered in 2027, by state of residence. Select a state to see it on the map.
Gray: no reported value
Highest
Minnesota
345K
Lowest: Puerto Rico, 0
51 states and territories with a reported value
No state matches that search.
No reported value: Alaska. Puerto Rico appears in this list; the map projection omits it. CMS 2027 Plan Crosswalk, MA Landscape, CPSC (Sept 2026). No value means no affected members were reported.
So what?
This AEP, 3.2M people have to act.
These members get a non-renewal letter, not a new plan. Anyone who doesn't pick one lands in Original Medicare on Jan 1, with no drug coverage unless they add a Part D plan. A special enrollment period runs through February, but the gap is real.
What we’re watching: how many end up in Original Medicare in January.
For agents: check your book against the crosswalk before Oct 15. These clients need a call, not a mailer.
Source: CMS 2027 Plan Crosswalk (Oct 1, 2026). Non-renewal rules per CMS MA enrollment guidance.