11 Health Plans Will Exit Medicare Advantage in 2027
A total of 11 insurers plan to discontinue individual coverage in the Medicare Advantage market by 2027.
Updated on Oct. 1, 2026 in Healthcare
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Eleven health plans are set to withdraw from the individual Medicare Advantage market for the 2027 plan year. This total includes seven health system-owned insurers that are exiting the market entirely.
Why it matters
The shifts reflect ongoing adjustments to Medicare Advantage participation as insurers re-evaluate their service offerings. Affected beneficiaries will need to navigate new coverage options due to these market changes.
The withdrawal includes 11 health plans in total, with seven of those being health system-owned insurers. Additionally, three distinct Blue Cross Blue Shield plans are discontinuing individual coverage.
The players
Molina Healthcare
This managed care company provides government-sponsored health care programs to low-income individuals and families.
Horizon Blue Cross Blue Shield of New Jersey
The company serves as a major health insurance provider in New Jersey and operates various health-related joint ventures.
Presbyterian Health Plan
Based in Albuquerque, this entity is a significant health care provider and insurer within New Mexico.
MJHS Health System
This New York City-based health system operates Elderplan and provides various medical and social support services.
Wellmark Blue Cross Blue Shield
This independent licensee of the Blue Cross Blue Shield Association provides health insurance coverage in Iowa and South Dakota.
The details
Several prominent organizations are pivoting their strategy to focus exclusively on special needs plans rather than individual Medicare Advantage offerings. This transition impacts providers across various states, including shifts in coverage availability for New Jersey, Mississippi, and North Dakota.
Timeline
The insurer departures will take effect for the 2027 plan year.
The figure for the number of counties served by insurers was tracked in 2026.
Market Landscape
The exit of these insurers represents a consolidation of market participation within the broader framework of the Medicare Advantage program. Companies are increasingly prioritizing special needs plans over traditional individual coverage as part of a wider strategic shift in managed care.
Beneficiaries currently enrolled in the departing plans must prepare to transition to new coverage options before the 2027 plan year. Customers should watch for official notices regarding plan discontinuation to ensure uninterrupted health care access.
The takeaway
Medicare Advantage participants should regularly review their plan status during annual enrollment windows to identify potential coverage shifts. This change highlights the importance of evaluating long-term provider stability when selecting a health insurance plan.
Further reading
Learn more about the latest developments in the Healthcare sector.
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