Which plans exited for 2026 — and where did the members go?

Data through Plan year 2026 (announced fall 2025) · Updated January 20, 2026 static extract

148 MA plans were terminated for 2026, affecting 2.1M members — UnitedHealthcare alone announced 109 plan exits. Members who accepted the default crosswalk saw premiums rise 18.4% on average; 62% shopped instead.

148
Plans terminated for 2026
Plan year 2026 (announced fall 2025)
2.1M
Members affected
Plan year 2026 (announced fall 2025)
+18.4%
Avg crosswalk premium increase
Jan 2026 reconciliation
62%
Actively shopped vs auto-crosswalk
Jan 2026 reconciliation

Plan exits by carrier

UHC62· 930K membersCentene34· 520K membersElevance16· 300K membersAetna14· 200K membersBCBS11· 142K membersOther8· 68K members

Where exited members went

FromTo% of exitsMembers (K)Why (analyst note)
UHCHumana38%353$0-premium plan matching; Humana the most aggressive capturer in exited counties
UHCBCBS18%167Regional BCBS brand trust; PPO network preference
UHCRegional16%149UPMC, Devoted, Alignment, SCAN winning county-level share
UHCAetna12%112CVS pharmacy channel routing in retained markets
UHCOther/OM16%149Members reverting to Original Medicare or PDP-only
CenteneHumana41%213$0-premium D-SNP capture; formal CMS crosswalk assignment in several states
AetnaBCBS52%104Highmark/IBX absorbing Aetna exits in PA/NJ

Opportunity states — contestable orphaned membership

StateOrphaned (K)Top capturerOpportunity scoreNote
FL312Centene94Largest single market opportunity; UHC and Centene exits — Humana capturing
TX189Centene91DFW and Houston corridors; Humana and regionals winning displaced members
Ohio142UHC87Columbus and Cleveland suburban markets
Illinois98BCBS82Chicago suburban HMO market; HCSC absorbing
Missouri84Elevance78STL and KC corridor; Elevance Medicaid bridge
Washington76UHC76Centene exiting; Humana and regionals absorbing
Colorado48Kaiser71Denver metro; Kaiser strongest but geography-limited
Nebraska32BCBS63BCBS Nebraska taking both UHC and BCBS rationalized exits
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So what / Now what

2.1M displaced members is the largest forced-switching event in recent MA history, and 62% of them actively shopped rather than accepting the crosswalk — orphaned membership is winnable. The capture pattern (Humana 38%, regional BCBS 18%) shows brand plus $0-premium matching wins these members.

Provenance — 2026 plan exits and member migration
Source file
CMS 2026 non-renewal notices; carrier investor disclosures
Vintage
Plan year 2026 (announced fall 2025)
Last updated
January 20, 2026
Refresh cadence
Annual (non-renewals announced each fall)
Method
Terminated plan counts and affected membership from CMS crosswalk files; migration shares from January enrollment reconciliation.
Known limitations
Migration percentages are early-year estimates; 'active shopping' share is directional.