2027 Medicare Advantage exits · CA county list
Medicare Advantage Plans Leaving California in 2027
138,212 Medicare Advantage members in California are in plans that CMS lists as non-renewed for 2027. The exits reach 38 counties and 49 contract-plan combinations. Check your county and your plan before December 7, 2026.
Check your California county
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What is changing in California
The 2026 Medicare Advantage market in California includes 390 contract-plan combinations across 57 counties, with 2,964,491 members in the October 2026 CPSC file. For 2027, 49 of those plans are marked as terminated or non-renewed. The affected population is 138,212 members, or 4.7% of the state’s county-level enrollment.
The largest local impact is in San Diego, where 28,746 members (10.2% of the county’s MA enrollment) are in 17 ending plans. The county still has 79 2027 plan options in the crosswalk, so most members should have alternatives in the same county — but the networks and drug lists can differ.
A plan marked continuing is not automatically unchanged. The 2027 crosswalk includes “Renewal Plan,” “Renewal Plan with SAR” (service area reduced), “Renewal Plan with SAE” (service area expanded), and “Consolidated Renewal Plan” (plan ID or plan structure changes). Check the plan detail on each county page, and confirm your doctors and drugs with the plan.
Counties with the largest affected populations
The table lists the 25 counties with the most affected members. Counties marked “County page” have a full plan-level page; the rest are covered by this state page and Medicare Plan Finder.
| County | Affected | 2026 MA | Ending plans | 2027 options | Detail |
|---|---|---|---|---|---|
| San Diego | 28,746 | 280,956 | 17 | 79 | County page |
| Los Angeles | 24,745 | 812,110 | 16 | 129 | County page |
| Orange | 16,222 | 296,150 | 14 | 108 | County page |
| Santa Clara | 8,847 | 129,588 | 9 | 41 | State page |
| Sacramento | 7,366 | 121,169 | 8 | 41 | State page |
| Riverside | 6,518 | 247,220 | 13 | 96 | State page |
| Alameda | 5,404 | 103,700 | 5 | 46 | State page |
| San Bernardino | 3,984 | 201,978 | 10 | 99 | State page |
| Contra Costa | 3,563 | 78,232 | 3 | 26 | State page |
| Imperial | 3,250 | 12,246 | 7 | 13 | State page |
| Santa Barbara | 2,755 | 12,227 | 2 | 6 | State page |
| San Mateo | 2,191 | 49,896 | 7 | 28 | State page |
| San Luis Obispo | 2,141 | 12,594 | 2 | 14 | State page |
| Solano | 2,111 | 31,639 | 5 | 19 | State page |
| San Joaquin | 2,003 | 57,898 | 6 | 47 | State page |
| Yolo | 1,953 | 11,112 | 7 | 24 | State page |
| Fresno | 1,768 | 63,070 | 5 | 38 | State page |
| Ventura | 1,709 | 55,980 | 4 | 42 | State page |
| Kern | 1,662 | 55,311 | 5 | 41 | State page |
| Butte | 1,591 | 2,878 | 1 | 4 | State page |
| San Francisco | 1,486 | 57,997 | 7 | 42 | State page |
| Sonoma | 1,486 | 48,314 | 2 | 10 | State page |
| Tulare | 1,223 | 23,957 | 5 | 17 | State page |
| Shasta | 1,007 | 1,824 | 1 | 3 | State page |
| El Dorado | 714 | 13,366 | 1 | 13 | State page |
Affected members are the October 2026 CPSC enrollment of plans the 2027 crosswalk marks as terminated or non-renewed. “2027 options” counts distinct 2027 contract-plan targets in the crosswalk.
Show all 38 counties with an exit
| County | Affected | 2026 MA | Ending plans | 2027 options |
|---|---|---|---|---|
| San Diego | 28,746 | 280,956 | 17 | 79 |
| Los Angeles | 24,745 | 812,110 | 16 | 129 |
| Orange | 16,222 | 296,150 | 14 | 108 |
| Santa Clara | 8,847 | 129,588 | 9 | 41 |
| Sacramento | 7,366 | 121,169 | 8 | 41 |
| Riverside | 6,518 | 247,220 | 13 | 96 |
| Alameda | 5,404 | 103,700 | 5 | 46 |
| San Bernardino | 3,984 | 201,978 | 10 | 99 |
| Contra Costa | 3,563 | 78,232 | 3 | 26 |
| Imperial | 3,250 | 12,246 | 7 | 13 |
| Santa Barbara | 2,755 | 12,227 | 2 | 6 |
| San Mateo | 2,191 | 49,896 | 7 | 28 |
| San Luis Obispo | 2,141 | 12,594 | 2 | 14 |
| Solano | 2,111 | 31,639 | 5 | 19 |
| San Joaquin | 2,003 | 57,898 | 6 | 47 |
| Yolo | 1,953 | 11,112 | 7 | 24 |
| Fresno | 1,768 | 63,070 | 5 | 38 |
| Ventura | 1,709 | 55,980 | 4 | 42 |
| Kern | 1,662 | 55,311 | 5 | 41 |
| Butte | 1,591 | 2,878 | 1 | 4 |
| San Francisco | 1,486 | 57,997 | 7 | 42 |
| Sonoma | 1,486 | 48,314 | 2 | 10 |
| Tulare | 1,223 | 23,957 | 5 | 17 |
| Shasta | 1,007 | 1,824 | 1 | 3 |
| El Dorado | 714 | 13,366 | 1 | 13 |
| Tehama | 616 | 969 | 1 | 2 |
| Yuba | 606 | 2,007 | 1 | 5 |
| Sutter | 555 | 737 | 1 | 3 |
| Amador | 473 | 2,145 | 2 | 10 |
| Kings | 389 | 6,349 | 4 | 20 |
| Napa | 309 | 9,793 | 1 | 8 |
| Placer | 233 | 38,855 | 4 | 28 |
| Tuolumne | 207 | 726 | 1 | 5 |
| Calaveras | 176 | 1,089 | 1 | 7 |
| Stanislaus | 75 | 49,442 | 3 | 36 |
| Madera | 65 | 10,997 | 2 | 33 |
| Inyo | 45 | 158 | 1 | 2 |
| Mono | 18 | 80 | 1 | 2 |
Carriers with the most affected members in California
The table groups ending plans by parent organization and counts the 2026 members behind them. It is not a ranking of plan quality or a recommendation.
| Organization | Affected members | Ending plans | Counties |
|---|---|---|---|
| Aetna Medicare | 41,938 | 34 | 13 |
| Central Health Medicare Plan | 31,700 | 93 | 23 |
| Sharp Health Plan | 17,328 | 5 | 2 |
| UnitedHealthcare | 8,949 | 3 | 3 |
| Anthem Blue Cross Life and Health Insurance Company | 7,686 | 14 | 14 |
| Wellcare | 6,853 | 6 | 6 |
| SCAN Health Plan | 4,545 | 8 | 4 |
| Anthem Blue Cross | 3,983 | 5 | 5 |
| Providence Medicare Advantage Plans | 3,926 | 1 | 1 |
| Humana | 3,186 | 1 | 1 |
Parent organization names come from the CMS CPSC Contract Info file. One organization can operate several contracts and plan names.
Counties with a published page
- San Diego 28,746 affected 17 ending plans · 79 2027 options
- Los Angeles 24,745 affected 16 ending plans · 129 2027 options
- Orange 16,222 affected 14 ending plans · 108 2027 options
California deadlines
| Event | Date |
|---|---|
| Annual Election Period (AEP) | October 15 – December 7, 2026 |
| Non-renewal Special Enrollment Period | December 8, 2026 – February 28, 2027 |
| 2027 plan year begins | January 1, 2027 |
| Medicare Advantage Open Enrollment Period | January 1 – March 31, 2027 |
What to do next
- Read your notice and confirm the plan ID Non-renewal notices for contracts ending December 31 must be sent by October 2, 2026.
- Compare the 2027 plans in your county Check networks, drug lists, premiums, and service areas. A continuing plan can still change benefits.
- Enroll by December 7, 2026 Coverage chosen during the Annual Election Period starts January 1, 2027.
- Use the non-renewal SEP if you need it December 8, 2026 through February 28, 2027, for people whose plan is leaving.
- Check Medigap if you return to Original Medicare The federal guaranteed-issue window is November 1, 2026 through March 4, 2027 for a December 31, 2026 plan ending.
California Medicare Advantage questions
How many Medicare Advantage plans are leaving California in 2027?
The 2027 CMS crosswalk marks 49 contract-plan combinations serving California as terminated or non-renewed. Those plans had 138,212 members in 38 counties where CPSC reports enrollment.
Which California county is most affected?
San Diego has the largest affected population: 28,746 members, or 10.2% of its 2026 Medicare Advantage enrollment. 17 of its 97 2026 plans are ending.
Can I get free help in California?
Yes. California Health Insurance Counseling and Advocacy Program (HICAP) provides free, unbiased Medicare counseling. Call 1-800-434-0222 or visit the state SHIP page.
Do I have to change plans if my plan is not on the exit list?
No. A plan marked continuing stays in the CMS crosswalk for 2027, but benefits, premiums, networks, and drug lists can still change. Review your Annual Notice of Change and confirm your doctors and drugs before the Annual Election Period ends December 7, 2026.
Sources and data notes
State totals are built from the October 2026 CMS CPSC files and the CMS 2027 Part C&D Plan Crosswalk. Star ratings are 2027 contract-level Part C ratings. Data version 2026-10-24; last updated October 24, 2026. Read the methodology and limitations.
- Monthly Enrollment by Contract/Plan/State/County (CPSC), October 2026 — Centers for Medicare & Medicaid Services.
- 2027 Part C&D Plan Crosswalk — Centers for Medicare & Medicaid Services.
- 2027 Star Ratings Data Tables — Centers for Medicare & Medicaid Services.
- MA Plan Directory — Centers for Medicare & Medicaid Services.
- Medicare Advantage in 2026: Enrollment Update and Key Trends — KFF.
- CNN: More than 3 million Medicare Advantage enrollees need to find new plans for 2027 — Better Medicare Alliance.
- Medicare Advantage insurer exits pile up for 2027 — Modern Healthcare.
- CMS Finalizes 2027 Medicare Advantage Rates: 1,471 Counties, 32 Carriers — SeniorWire.
This page is information only and is not insurance advice. Medicare Plan Exits is not affiliated with CMS, HHS, or Medicare.gov. Confirm plan details with the plan, your SHIP, or Medicare.gov before enrolling.