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Medicare Advantage plans changing or leaving California counties for 2027

74 Medicare Advantage plans are leaving California for 2027 and 158 are changing, each plan counted once. Across the state's 56 counties that is 316 county-level plan listings ending and 455 changing. Pick your county for its numbers.

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2027 PLAN ALERT

Medicare Advantage plans in your area are changing or leaving for 2027.

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Annual Enrollment: Oct 15 – Dec 7

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BEFORE YOU ENROLL

Found a plan you like online?

One free call confirms it's actually right for you — online directories are wrong more often than you'd think.

  • Your doctors — confirmed in-network for 2027
  • Your prescriptions — checked against the plan's 2027 drug tiers
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316Leavingoffered last year, not this year
455Changingoffered both years, listing differs
771Totalplans leaving or changing
MM
ED
AI
By MyMedicarePlans Data Desk · Plan Landscape & Data✓ Verified Team
✓ Reviewed for the 2027 plan year·● California
Medicare AdvantageCalifornia
Video: Mikhail Nilov on Pexels

California counties, most changes first

CountyLeavingChangingTotal
Los Angeles County233861
San Diego County262854
Orange County213253
Riverside County173249
San Bernardino County173249
San Francisco County122234
San Joaquin County141933
Santa Clara County151833
Stanislaus County101828
Alameda County101727
Sacramento County131427
Fresno County111526
Madera County111526
Yolo County131326
Ventura County81422
Placer County71421
San Mateo County12921
Kern County81018
Marin County21315
San Luis Obispo County5914
Kings County9413
Merced County21113
Tulare County9413
Imperial County8412
Solano County549
Amador County347
Contra Costa County257
El Dorado County156
Santa Barbara County246
Monterey County145
Sonoma County235
Santa Cruz County044
Yuba County134
Alpine County123
Calaveras County213
Mariposa County033
Mono County213
Sutter County123
Inyo County202
Napa County112
Tuolumne County202
Butte County101
Lake County101
Lassen County011
Mendocino County101
Nevada County011
Plumas County011
Shasta County101
Sierra County011
Tehama County101
Del Norte County000
Glenn County000
Humboldt County000
Modoc County000
San Benito County000
Siskiyou County000

Also for California: plans rated 4 stars or higher in the 2027 CMS Star Ratings, by California county · every state’s 2027 changes · California Medicare Advantage by city.

What to do before December 7

If you are in a Medicare Advantage plan today, your plan must send you an Annual Notice of Change by September 30 that spells out exactly what is different for 2027. Read it before the Annual Enrollment Period (Open Enrollment), which runs October 15 through December 7.

If your plan is leaving your county, you will get a separate notice and a Special Enrollment Period to choose new coverage. If you do nothing, you may be returned to Original Medicare without drug coverage, so it is worth acting during the window.

A licensed agent can check your doctors and prescriptions against the plans that will actually operate in your county next year. For unbiased help, contact Medicare.gov or 1-800-MEDICARE.

Watch

The Medicare Advantage changes for 2027 in California, in 30 seconds

Transcript. Good evening. Across the country Medicare Advantage Plans are changing or all together leaving some states in 2027. That's right, California has been hit hard with 74 plans leaving and 158 changing. But there is some good news as 66 new plans are entering the market with a fresh set of benefits to choose from. The bottom line: take a few minutes to compare Medicare Advantage plans in your area and see if your plan is affected.

Recorded live session

Medicare Annual/Open Enrollment, live: questions on the 2027 changes in California

Medicare Annual/Open Enrollment 2027 live, day 7, evening: Medicare Advantage changes by state. Recorded live Oct. 21, 2026, 6:59 p.m. ET; the recording plays here. Program-level information only; no plan is recommended.

Good to know

Frequently asked questions

Why do the numbers differ so much from county to county?
Medicare Advantage plans are approved county by county, so a plan can leave one county and stay in the next. Each county's count reflects only the plans approved for that county.
What does “changing” mean for 2027?
A plan offered in both 2026 and 2027 whose 2027 listing differs on premium, drug deductible, plan type, or plan name. The count is neutral: it does not say whether a change helps or hurts any particular member.
Do you list which plans are leaving?
No. We publish area-level counts only, never plan names, premiums or benefits. Your Annual Notice of Change, Medicare.gov, 1-800-MEDICARE, or a licensed agent can tell you about a specific plan.
These counts come from comparing the two official CMS Medicare Advantage Landscape files for 2026 and 2027. A plan counts as leaving when it was offered in the county for 2026 and is not offered there for 2027. A plan counts as changing when it is offered in both years but its 2027 listing differs on something a member would notice: the premium, the drug deductible, the plan type, or the plan name. Only the counts are shown here. This page does not name plans, list premiums or benefits, or recommend anything.
Sources & further reading

For personalized answers, contact Medicare.gov or 1-800-MEDICARE.

Medicare plans in your area changing for 2027 — check yoursCall