Independent guide. Not affiliated with CMS, HHS, or Medicare.gov. Data updated October 24, 2026
Medicare Plan Exits County-level 2027 plan exit tracker

2027 Medicare Advantage exits · TX county list

Medicare Advantage Plans Leaving Texas in 2027

155,901 Medicare Advantage members in Texas are in plans that CMS lists as non-renewed for 2027. The exits reach 177 counties and 65 contract-plan combinations. Check your county and your plan before December 7, 2026.

155,901 Affected members in non-renewed plans.
177 Counties with at least one exit and affected members.
65 2026 plans ending in Texas.
7.0% Share of the state’s 2026 county-level MA enrollment.

Check your Texas county

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What is changing in Texas

The 2026 Medicare Advantage market in Texas includes 386 contract-plan combinations across 225 counties, with 2,222,272 members in the October 2026 CPSC file. For 2027, 65 of those plans are marked as terminated or non-renewed. The affected population is 155,901 members, or 7.0% of the state’s county-level enrollment.

The largest local impact is in Harris, where 26,548 members (7.6% of the county’s MA enrollment) are in 22 ending plans. The county still has 100 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.

Texas counties with a 2027 Medicare Advantage exit
County Affected 2026 MA Ending plans 2027 options Detail
Harris 26,548 347,885 22 100 County page
Bexar 14,282 176,387 16 91 County page
Dallas 12,633 175,363 18 79 State page
Tarrant 11,356 157,231 15 80 State page
Collin 8,866 57,581 22 77 State page
Fort Bend 6,619 61,439 13 88 State page
Denton 5,510 48,725 10 70 State page
Montgomery 5,125 49,912 12 79 State page
Comal 3,694 15,936 12 66 State page
Hidalgo 3,659 91,225 11 60 State page
Galveston 3,060 27,792 12 64 State page
Smith 2,794 20,431 7 56 State page
Brazoria 2,426 27,472 10 64 State page
Kerr 2,390 4,058 3 22 State page
Guadalupe 2,135 13,816 10 64 State page
Nueces 2,132 38,733 10 56 State page
El Paso 2,024 106,316 9 90 State page
Lubbock 1,659 21,065 7 48 State page
Cameron 1,648 50,984 10 66 State page
Jefferson 1,412 21,935 11 73 State page
Wichita 1,366 6,669 2 11 State page
Parker 1,274 12,293 6 62 State page
Johnson 1,255 19,621 9 64 State page
Grayson 1,137 12,662 5 58 State page
Brazos 1,100 8,521 7 27 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 177 counties with an exit
All Texas counties with affected enrollment
County Affected 2026 MA Ending plans 2027 options
Harris 26,548 347,885 22 100
Bexar 14,282 176,387 16 91
Dallas 12,633 175,363 18 79
Tarrant 11,356 157,231 15 80
Collin 8,866 57,581 22 77
Fort Bend 6,619 61,439 13 88
Denton 5,510 48,725 10 70
Montgomery 5,125 49,912 12 79
Comal 3,694 15,936 12 66
Hidalgo 3,659 91,225 11 60
Galveston 3,060 27,792 12 64
Smith 2,794 20,431 7 56
Brazoria 2,426 27,472 10 64
Kerr 2,390 4,058 3 22
Guadalupe 2,135 13,816 10 64
Nueces 2,132 38,733 10 56
El Paso 2,024 106,316 9 90
Lubbock 1,659 21,065 7 48
Cameron 1,648 50,984 10 66
Jefferson 1,412 21,935 11 73
Wichita 1,366 6,669 2 11
Parker 1,274 12,293 6 62
Johnson 1,255 19,621 9 64
Grayson 1,137 12,662 5 58
Brazos 1,100 8,521 7 27
Travis 1,035 47,340 5 63
Ellis 1,021 16,852 5 60
Kendall 1,011 3,839 6 37
Williamson 931 33,410 5 57
Hunt 913 8,442 5 45
Starr 900 8,492 3 36
Wood 887 6,584 4 34
Kaufman 813 12,166 7 52
Hood 792 7,835 3 52
Rockwall 789 7,046 7 51
Wilson 714 4,737 5 46
Cherokee 670 4,469 4 34
Medina 670 5,532 6 60
Bandera 648 3,021 4 43
Liberty 620 9,038 8 64
Van Zandt 612 6,483 6 58
Gregg 598 12,496 6 51
Orange 555 7,838 8 55
Aransas 510 4,116 4 44
Matagorda 483 3,268 6 34
Webb 476 23,035 7 53
Hays 450 13,408 7 45
Taylor 432 8,568 2 20
Wise 405 6,492 3 51
Wharton 387 3,279 5 40
Hardin 384 5,407 9 53
Henderson 361 10,168 6 48
Cooke 347 3,062 3 39
Ector 307 9,926 5 33
Jim Wells 307 5,420 5 45
Grimes 299 2,536 5 44
Bosque 283 2,223 4 32
Austin 282 2,356 5 34
Bell 271 29,403 4 33
Zapata 258 1,353 3 25
Upshur 255 4,448 4 46
Fannin 245 3,009 2 33
Hopkins 238 3,047 3 29
Bowie 226 7,246 4 27
Atascosa 218 5,790 5 63
Bastrop 210 7,024 5 32
Lee 198 899 4 16
Palo Pinto 197 2,453 2 35
Coryell 196 4,734 3 31
Harrison 191 6,353 3 35
Rusk 190 4,714 4 43
Real 187 231 2 2
Hockley 178 1,516 4 26
Midland 166 7,143 5 25
Burnet 162 4,676 5 33
Cass 158 3,327 3 25
Carson 156 306 2 8
Newton 151 1,003 2 18
Eastland 150 1,717 1 20
Tom Green 149 7,679 4 28
McCulloch 146 369 4 13
Anderson 145 4,411 4 37
Chambers 143 2,732 5 45
Edwards 138 163 2 1
Blanco 137 968 4 19
Refugio 136 765 2 14
Montague 134 1,502 1 35
Caldwell 131 3,445 4 34
Potter 131 8,825 6 40
Walker 131 4,147 4 49
Brewster 130 166 2 3
Randall 127 7,594 6 40
Burleson 125 1,525 2 18
San Patricio 124 8,769 5 44
Lampasas 122 1,955 2 31
Kleberg 121 3,153 3 40
Lamb 118 953 4 30
Polk 110 6,737 4 45
Morris 106 1,400 3 14
Shackelford 106 126 2 1
Waller 104 3,288 5 48
Young 97 403 3 7
Martin 91 135 2 2
Willacy 88 2,628 4 43
Marion 82 1,313 2 15
Somervell 81 759 1 15
Coleman 79 385 2 8
Jack 79 418 1 23
Terry 77 885 2 23
Runnels 69 315 3 8
Camp 68 1,079 4 22
Hamilton 64 841 1 21
San Jacinto 62 3,288 2 51
Yoakum 61 84 3 3
Nacogdoches 59 4,622 3 46
Titus 59 2,147 3 34
Colorado 58 1,390 2 24
Frio 58 1,631 2 24
Reeves 58 268 3 6
Hill 57 4,376 3 33
Franklin 56 832 2 21
Panola 56 2,064 3 19
Trinity 51 1,965 3 15
Karnes 48 846 2 23
Crosby 47 548 2 23
Hale 47 2,393 1 37
Armstrong 45 95 2 2
Gonzales 44 1,560 2 29
McLennan 44 21,854 2 38
Fayette 43 1,504 2 18
Houston 41 1,963 2 17
Lynn 41 368 2 11
Duval 40 1,314 1 21
Maverick 40 8,309 2 30
Howard 39 1,777 3 19
Llano 38 2,682 2 29
Milam 37 2,904 2 37
Lavaca 36 987 2 13
Crane 35 35 2 0
Swisher 34 405 2 11
Mills 29 319 1 13
Washington 29 2,397 1 24
Bee 28 2,607 2 39
Jasper 28 3,431 1 37
Brooks 27 852 1 28
Hutchinson 27 1,197 2 14
Kimble 27 27 2 0
Navarro 27 4,623 1 50
Erath 25 2,222 2 26
Shelby 25 2,298 2 16
Jackson 24 894 2 12
Falls 20 1,827 1 24
Nolan 19 1,183 1 23
Winkler 19 37 1 3
Callahan 17 788 1 12
Jim Hogg 17 479 1 13
Mitchell 17 64 1 10
Bailey 16 243 1 6
Garza 16 286 1 12
Mason 16 58 1 3
Donley 15 26 1 3
Lamar 15 3,246 1 24
Pecos 15 713 1 7
Upton 15 29 1 3
DeWitt 14 1,499 1 19
Freestone 14 1,440 1 19
Jones 14 1,101 1 13
Menard 14 32 1 3
Stephens 14 413 1 7
Childress 13 59 1 3
Tyler 13 2,112 1 31
Victoria 13 8,295 1 36
Zavala 13 1,277 1 23
Rains 12 1,286 1 25
Wheeler 12 26 1 3
Dallam 11 34 1 3
Moore 11 668 1 11

Carriers with the most affected members in Texas

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.

Texas parent organizations with affected members
Organization Affected members Ending plans Counties
UnitedHealthcare 62,810 98 50
Humana 23,668 79 54
Wellcare 21,587 155 89
Memorial Hermann Health Plan 14,552 14 7
Blue Cross and Blue Shield of Texas 7,901 105 64
CHRISTUS Health Advantage 7,521 59 31
Blue Cross and Blue Shield of NM, TX 6,948 66 39
Blue Cross and Blue Shield of IL, NM, OK, TX 4,736 102 65
HealthSpring 2,099 5 5
Aetna Medicare 1,734 5 3

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

Texas deadlines

2027 Medicare Advantage dates for Texas
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

  1. Read your notice and confirm the plan ID Non-renewal notices for contracts ending December 31 must be sent by October 2, 2026.
  2. Compare the 2027 plans in your county Check networks, drug lists, premiums, and service areas. A continuing plan can still change benefits.
  3. Enroll by December 7, 2026 Coverage chosen during the Annual Election Period starts January 1, 2027.
  4. Use the non-renewal SEP if you need it December 8, 2026 through February 28, 2027, for people whose plan is leaving.
  5. 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.

Texas Medicare Advantage questions

How many Medicare Advantage plans are leaving Texas in 2027?

The 2027 CMS crosswalk marks 65 contract-plan combinations serving Texas as terminated or non-renewed. Those plans had 155,901 members in 177 counties where CPSC reports enrollment.

Which Texas county is most affected?

Harris has the largest affected population: 26,548 members, or 7.6% of its 2026 Medicare Advantage enrollment. 22 of its 107 2026 plans are ending.

Can I get free help in Texas?

Yes. Health Information, Counseling, and Advocacy Program (HICAP) provides free, unbiased Medicare counseling. Call 1-800-252-9240 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.

  1. Monthly Enrollment by Contract/Plan/State/County (CPSC), October 2026 — Centers for Medicare & Medicaid Services.
  2. 2027 Part C&D Plan Crosswalk — Centers for Medicare & Medicaid Services.
  3. 2027 Star Ratings Data Tables — Centers for Medicare & Medicaid Services.
  4. MA Plan Directory — Centers for Medicare & Medicaid Services.
  5. Medicare Advantage in 2026: Enrollment Update and Key Trends — KFF.
  6. CNN: More than 3 million Medicare Advantage enrollees need to find new plans for 2027 — Better Medicare Alliance.
  7. Medicare Advantage insurer exits pile up for 2027 — Modern Healthcare.
  8. 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.