Seven health system-affiliated insurers are among the 11 total health plans exiting the individual Medicare Advantage market for 2027, according to CMS data.
Several other payers will stay in MA next year only through special needs plans, including Molina Healthcare, Horizon BCBS New Jersey, New York City-based MJHS Health System’s Elderplan, and Albuquerque-based Presbyterian Health Plan. Three Blue Cross Blue Shield plans (Wellmark, Mississippi and North Dakota) will also discontinue individual MA coverage for 2027.
In addition, Braven Health, a New Jersey joint venture between Horizon, Edison-based Hackensack Meridian Health and West Orange-based RWJBarnabas Health, will not offer individual MA plans in 2027, while still offering some special needs plans.
Here are the seven health system-owned insurers exiting MA in 2027, listed by the number of counties they served in 2026:
- Irving, Texas-based Christus Health Plan offered plans in 36 Texas counties and eight New Mexico counties.
- Wausau, Wis.-based Aspirus Health Plan offered plans in 21 Wisconsin counties. In February, CMS suspended new MA enrollment into the health plan after its claims processor, UCare, was taken over by Minnesota regulators.
- Renton, Wash.-based Providence Health Plan offered plans across six Oregon counties, six Washington counties and Orange County, Calif. The MA exit is part of the wider shutdown of the health plan.
- WellSense Health Plan, part of Boston Medical Center, offered plans in all 10 New Hampshire counties.
- Houston-based Memorial Hermann Health Plan offered plans in six Texas counties. In July, the plan confirmed it would also shut down its commercial business.
- Mass Advantage, part of Worcester-based UMass Memorial Health, offered plans in Worcester County.
- San Diego-based Sharp Health Plan offered plans in San Diego County.
