Michigan Medicare

Medicare Advantage Plans in Michigan for 2027: What's Ending and What's Available

34 Michigan Medicare plans end or leave counties for 2027, per CMS; 95,727 people must choose a new plan. Another 9 were merged or renumbered, so those members move automatically. If yours is on the list, a licensed agent can help at no cost to you.

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You can enroll in a 2027 Medicare plan from October 15 through December 7.

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We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. Not connected with or endorsed by the United States government or the federal Medicare program. Calls are recorded, as Medicare requires.

Which Michigan Medicare plans are ending in 2027?

Checked October 6, 2026 against CMS's 2026 and 2027 plan lists and September 2026 enrollment.

The biggest plans ending: PriorityMedicare (74,377 members), Cigna HealthSpring (8,251 members), Wellcare / Ambetter (4,679 members). CMS's 2027 Plan Crosswalk says 34 Michigan Medicare Advantage and Part D plans end or leave counties for 2027, with at least 95,727 people enrolled who must choose a new plan. Another 9 plans (104,513 people) were merged into other plans or given new plan numbers; CMS moves those members automatically, and their letter names the new plan. A plan that ends stops on December 31, 2026. It does not mean you lose Medicare. Your plan's own letter is the final word.

PriorityMedicare (Corewell Health): 6 plans end or leave counties (74,377 members) county detail
Cigna HealthSpring: 1 plan ends or leaves counties (8,251 members); 1 merged or renumbered (55,669 members) county detail
Wellcare / Ambetter: 4 plans end or leave counties (4,679 members) county detail
Aetna: 5 plans end or leave counties (4,511 members) county detail
Paramount (MEDICAL MUTUAL OF OHIO): 4 plans end or leave counties (2,818 members) county detail
Erickson (UnitedHealthcare): 9 plans end or leave counties (724 members); 1 merged or renumbered (17,610 members) county detail
Humana: 1 plan ends or leaves counties (356 members); 6 merged or renumbered (30,119 members) county detail
McLaren Health Care: 3 plans end or leave counties (11 members) county detail

43 Michigan plans on CMS's 2026 list but not its 2027 list: plans that end come first, then plans CMS merged or renumbered
Plan	Plan ID	Counties	Members	What CMS says for 2027
PriorityMedicare Key (HMO-POS) PriorityMedicare (Corewell Health)	H2320-022	Alcona, Alpena, Antrim, Arenac and 32 more	29,195	Leaves these counties for 2027. Members here must choose a new plan.
PriorityMedicare Vital (PPO) PriorityMedicare (Corewell Health)	H4875-022	Allegan, Arenac, Barry, Bay and 34 more	23,622	Ends December 31, 2026. Members must choose a new plan.
PriorityMedicare Thrive (PPO) PriorityMedicare (Corewell Health)	H4875-024	Alcona, Alpena, Antrim, Arenac and 32 more	9,618	Leaves these counties for 2027. Members here must choose a new plan.
HealthSpring Extra Rx (PDP) Cigna HealthSpring	S5617-363	Statewide (Part D drug plan)	8,251+	Ends December 31, 2026. Members must choose a new plan.
PriorityMedicare Edge (PPO) PriorityMedicare (Corewell Health)	H4875-020	Arenac, Bay, Huron, Isabella and 10 more	4,539	Leaves these counties for 2027. Members here must choose a new plan.
PriorityMedicare Thrive Plus (PPO) PriorityMedicare (Corewell Health)	H4875-018	Alcona, Alpena, Antrim, Arenac and 32 more	4,013	Leaves these counties for 2027. Members here must choose a new plan.
PriorityMedicare Vintage (HMO-POS) PriorityMedicare (Corewell Health)	H2320-031	Allegan, Arenac, Barry, Bay and 34 more	3,390+	Ends December 31, 2026. Members must choose a new plan.
Wellcare Simple Open (PPO) Wellcare / Ambetter	H2117-001	Allegan, Arenac, Barry, Bay and 44 more	2,853+	Ends December 31, 2026. Members must choose a new plan.
Aetna Medicare Full Dual Care (HMO D-SNP) Aetna	H3192-007	Antrim, Arenac, Bay, Benzie and 15 more	2,651	Leaves these counties for 2027. Members here must choose a new plan.
Aetna Medicare Signature (PPO) Aetna	H5521-285	Alger, Antrim, Baraga, Charlevoix and 7 more	1,283	Leaves these counties for 2027. Members here must choose a new plan.
Found your plan on this list?A licensed agent reads your letter with you and goes over your options. No cost, 8 AM to midnight ET. Call 855-367-1095
Paramount Elite Standard (HMO-POS) Paramount (MEDICAL MUTUAL OF OHIO)	H3653-015	Branch, Hillsdale, Lenawee, Monroe and 1 more	1,181+	Leaves these counties for 2027. Members here must choose a new plan. 1,181 of them are in counties where this company has no 2027 plan at all.
Wellcare Dual Access Open (PPO D-SNP) Wellcare / Ambetter	H2117-002	Allegan, Arenac, Bay, Genesee and 24 more	1,005+	Ends December 31, 2026. Members must choose a new plan.
Wellcare Patriot Giveback Open (PPO) Wellcare / Ambetter	H2117-003	Allegan, Arenac, Barry, Bay and 44 more	821+	Ends December 31, 2026. Members must choose a new plan.
Paramount Elite Enhanced (HMO-POS) Paramount (MEDICAL MUTUAL OF OHIO)	H3653-004	Branch, Hillsdale, Lenawee, Monroe and 1 more	731+	Leaves these counties for 2027. Members here must choose a new plan. 731 of them are in counties where this company has no 2027 plan at all.
Paramount Elite Prime (HMO-POS) Paramount (MEDICAL MUTUAL OF OHIO)	H3653-022	Branch, Hillsdale, Lenawee, Monroe and 1 more	560+	Leaves these counties for 2027. Members here must choose a new plan. 560 of them are in counties where this company has no 2027 plan at all.
Aetna Medicare Prime Care (HMO-POS) Aetna	H3192-021	Genesee, Macomb, Oakland, Wayne	427	Ends December 31, 2026. Members must choose a new plan.
Humana Gold Plus Chronic Kidney Disease (HMO C-SNP) Humana	H8908-006	Genesee, Ingham, Lapeer, Livingston and 7 more	356+	Ends December 31, 2026. Members must choose a new plan.
Paramount Elite Preferred (PPO) Paramount (MEDICAL MUTUAL OF OHIO)	H5232-001	Branch, Hillsdale, Lenawee, Monroe and 1 more	346+	Leaves these counties for 2027. Members here must choose a new plan. 346 of them are in counties where this company has no 2027 plan at all.
Erickson Advantage Signature (HMO-POS) Erickson (UnitedHealthcare)	H5652-001	Oakland	219	Ends December 31, 2026. Members must choose a new plan.
UHC Dual Complete MI-S3 (HMO D-SNP) Erickson (UnitedHealthcare)	H2247-004	Alcona, Alpena, Presque Isle	174	Leaves these counties for 2027. Members here must choose a new plan.
Found your plan on this list?A licensed agent reads your letter with you and goes over your options. No cost, 8 AM to midnight ET. Call 855-367-1095
UHC Dual Complete MI-S002 (HMO-POS D-SNP) Erickson (UnitedHealthcare)	H2247-001	Alcona, Alpena, Presque Isle	165	CMS lists different outcomes by plan segment. Your letter says which applies to you.
Aetna Medicare Eagle (PPO) Aetna	H5521-286	Alger, Antrim, Baraga, Charlevoix and 7 more	101+	Leaves these counties for 2027. Members here must choose a new plan.
UHC Dual Complete MI-V001 (HMO-POS D-SNP) Erickson (UnitedHealthcare)	H2247-003	Alcona, Alpena, Presque Isle	72+	CMS lists different outcomes by plan segment. Your letter says which applies to you.
Aetna Medicare Enhanced (PPO) Aetna	H5521-607	Barry, Branch, Calhoun, Clinton and 25 more	49+	Ends December 31, 2026. Members must choose a new plan.
Erickson Advantage Liberty (HMO-POS) Erickson (UnitedHealthcare)	H5652-008	Oakland	47	Ends December 31, 2026. Members must choose a new plan.
Erickson Advantage Champion (HMO-POS C-SNP) Erickson (UnitedHealthcare)	H5652-004	Oakland	20	Ends December 31, 2026. Members must choose a new plan.
Erickson Advantage Freedom (HMO-POS) Erickson (UnitedHealthcare)	H5652-006	Oakland	16	Ends December 31, 2026. Members must choose a new plan.
Erickson Advantage Liberty no Rx (HMO-POS) Erickson (UnitedHealthcare)	H5652-002	Oakland	11	Ends December 31, 2026. Members must choose a new plan.
McLaren Medicare Inspire (HMO) McLaren Health Care	H6322-001	Alcona, Alpena, Presque Isle	11+	Leaves these counties for 2027. Members here must choose a new plan. 11 of them are in counties where this company has no 2027 plan at all.
Erickson Advantage Guardian (HMO-POS I-SNP) Erickson (UnitedHealthcare)	H5652-003	Oakland	10 or fewer	Ends December 31, 2026. Members must choose a new plan.
Found your plan on this list?A licensed agent reads your letter with you and goes over your options. No cost, 8 AM to midnight ET. Call 855-367-1095
McLaren Medicare Inspire Plus (HMO) McLaren Health Care	H6322-002	Alcona, Alpena, Presque Isle	10 or fewer	Leaves these counties for 2027. Members here must choose a new plan.
McLaren Medicare Inspire Select (HMO) McLaren Health Care	H6322-008	Alcona, Alpena, Presque Isle	10 or fewer	Leaves these counties for 2027. Members here must choose a new plan.
Molina Dual MI Coordinated Health (HMO D-SNP) Molina Healthcare	H5926-009	Berrien, Cass	10 or fewer	Leaves these counties for 2027. Members here must choose a new plan.
Wellcare Dual Reserve (HMO-POS D-SNP) Wellcare / Ambetter	H5475-039	Allegan, Arenac, Bay, Genesee and 24 more	10 or fewer	Ends December 31, 2026. Members must choose a new plan.
HealthSpring Assurance Rx (PDP) Cigna HealthSpring	S5617-221	Statewide (Part D drug plan)	55,669	Continues for 2027 as HealthSpring Assurance Rx (PDP) (S5715-034). Members keep their plan.
UHC Dual Complete MI-Y1 (HMO D-SNP) Erickson (UnitedHealthcare)	H2247-005	Barry, Berrien, Branch, Calhoun and 6 more	17,610	Continues for 2027 as UHC Dual Complete MI-Y1 (HMO D-SNP) (H2247-006). Members keep their plan.
Humana Full Access H7617-055 (PPO) Humana	H7617-055	Macomb, Oakland, Wayne	7,640	Merged into Humana Full Access (PPO) (H7617-052) for 2027. Members are moved automatically and can still switch.
Humana Full Access H5216-287 (PPO) Humana	H5216-287	Macomb, Oakland, Wayne	6,985	Merged into Humana Full Access (PPO) (H5216-384) for 2027. Members are moved automatically and can still switch.
Humana Full Access Giveback H5216-306 (PPO) Humana	H5216-306	Alcona, Alger, Alpena, Antrim and 24 more	5,774	Merged into Humana Full Access Giveback (PPO) (H5216-306) for 2027. Members are moved automatically and can still switch.
Humana USAA Honor Giveback with Rx (PPO) Humana	H5216-305	Alcona, Alger, Allegan, Alpena and 79 more	5,554+	Merged into Humana Full Access Giveback (PPO) (H5216-306) for 2027. Members are moved automatically and can still switch.
Found your plan on this list?A licensed agent reads your letter with you and goes over your options. No cost, 8 AM to midnight ET. Call 855-367-1095
Humana USAA Honor Giveback with Rx (PPO) Humana	H7617-071	Alcona, Alger, Allegan, Antrim and 69 more	3,631+	Merged into Humana Full Access Giveback (PPO) (H7617-058) for 2027. Members are moved automatically and can still switch.
BCN Advantage Elements (HMO-POS) BCN (Blue Cross Blue Shield of Michigan Mutual Ins.)	H5883-001	Alcona, Allegan, Alpena, Antrim and 66 more	1,115+	Continues for 2027 as BCN Advantage Elements (HMO-POS) (H5883-017). Members keep their plan.
Humana Gold Plus H8908-001 (HMO-POS) Humana	H8908-001	Genesee, Ingham, Lapeer, Livingston and 5 more	535+	Merged into Humana Gold Plus H8908-004 (HMO-POS) (H8908-004) for 2027. Members are moved automatically and can still switch.

Full detail by company and county: Michigan Medicare plan changes for 2027. CMS hides county counts of 10 or fewer, so totals are at least the number shown.

Medicare Advantage plans available in Michigan for 2027

Checked 2026-10-17 against CMS's 2027 plan benefit and county files.

181 Medicare Advantage plans are offered in Michigan for 2027 by 19 companies. 97 are HMO plans and 83 are PPO plans, with 1 private fee-for-service. 50 are special needs plans, which only people who qualify (for example, people who also have Medicaid or a chronic condition) can join, so 131 are open to most people with Medicare. Depending on the county, you can choose from between 10 and 93 plans.

Compared with 2026: 206 plans were offered in Michigan in 2026, so the count is down by 25 for 2027. New to Michigan for 2027: Devoted Health (12 plans). Listed in CMS's 2026 files but not its 2027 files: HAP Senior Plus (8 plans in 2026), HAP Senior Plus (PPO) (5 plans in 2026), Paramount Elite Medicare Plans (4 plans in 2026), Wellcare By Meridian (1 plan in 2026). A company can also appear to leave because it changed its name, so check your own plan's letter.

Plans by company, 2026 and 2027

Company	Plans in 2026	Plans in 2027	Change
Priority Health Medicare	42	40	−2
Blue Cross Blue Shield of Michigan	27	24	−3
Humana	24	18	−6
Blue Care Network	20	16	−4
Health Alliance Plan by Henry Ford Health	13	13	no change
UnitedHealthcare	15	13	−2
Aetna Medicare	14	12	−2
Devoted Health	0	12	new
Zing Health	8	9	+1
Wellcare	9	6	−3
Trinity Health Plan of Michigan	3	4	+1
McLaren Medicare	3	3	no change
Molina Healthcare of Michigan	3	3	no change
Align Senior Care	2	2	no change
AmeriHealth Caritas VIP Care	1	2	+1
Aetna Medicare HIDE	1	1	no change
HAP CareSource MI Coordinated Health	1	1	no change
Longevity Health Plan	1	1	no change
Upper Peninsula Health Plan (UPHP) MI Coordinated Health	1	1	no change
HAP Senior Plus	8	0	not listed
HAP Senior Plus (PPO)	5	0	not listed
Paramount Elite Medicare Plans	4	0	not listed
Wellcare By Meridian	1	0	not listed

Plans offered by county, 2026 and 2027

County	Plans in 2026	Plans in 2027	Change
Alcona	34	24	−10
Alger	16	11	−5
Allegan	71	69	−2
Alpena	33	23	−10
Antrim	53	50	−3
Arenac	69	61	−8
Baraga	13	10	−3
Barry	60	55	−5
Bay	72	66	−6
Benzie	44	51	+7
Berrien	51	48	−3
Branch	68	68	no change
Calhoun	62	61	−1
Cass	51	55	+4
Charlevoix	50	47	−3
Cheboygan	32	38	+6
Chippewa	13	12	−1
Clare	46	45	−1
Clinton	63	62	−1
Crawford	57	54	−3
Delta	17	19	+2
Dickinson	20	18	−2
Eaton	64	64	no change
Emmet	43	40	−3
Genesee	94	89	−5
Gladwin	59	50	−9
Gogebic	12	11	−1
Grand Traverse	54	53	−1
Gratiot	73	73	no change
Hillsdale	78	80	+2
Houghton	18	13	−5
Huron	65	59	−6
Ingham	77	74	−3
Ionia	60	57	−3
Iosco	52	50	−2
Iron	16	11	−5
Isabella	48	43	−5
Jackson	72	76	+4
Kalamazoo	62	61	−1
Kalkaska	56	53	−3
Kent	80	89	+9
Keweenaw	17	12	−5
Lake	68	64	−4
Lapeer	77	79	+2
Leelanau	52	49	−3
Lenawee	62	55	−7
Livingston	92	87	−5
Luce	16	13	−3
Mackinac	12	11	−1
Macomb	86	79	−7
Manistee	47	48	+1
Marquette	21	19	−2
Mason	54	50	−4
Mecosta	65	59	−6
Menominee	19	18	−1
Midland	54	48	−6
Missaukee	62	56	−6
Monroe	74	76	+2
Montcalm	80	77	−3
Montmorency	40	48	+8
Muskegon	72	71	−1
Newaygo	75	69	−6
Oakland	103	93	−10
Oceana	62	60	−2
Ogemaw	62	56	−6
Ontonagon	14	11	−3
Osceola	68	65	−3
Oscoda	45	38	−7
Otsego	60	52	−8
Ottawa	76	75	−1
Presque Isle	34	24	−10
Roscommon	58	55	−3
Saginaw	71	69	−2
Sanilac	70	66	−4
Schoolcraft	14	13	−1
Shiawassee	66	64	−2
St. Clair	74	64	−10
St. Joseph	44	45	+1
Tuscola	74	67	−7
Van Buren	65	63	−2
Washtenaw	96	93	−3
Wayne	90	86	−4
Wexford	55	57	+2

Counts include special needs plans. A plan can be offered in only part of a state, so the plans you can choose depend on your county. Which plans keep your doctors and cover your medicines is not in the CMS files; a licensed agent checks that for you.

Ready to enroll in a Michigan plan?

Call 855-367-1095 to enroll

No cost. No obligation. Not the government. Speak with a licensed insurance agent (TTY 711).

Will a 2027 plan keep your doctors and cover your prescriptions?

The public plan sites can't tell you that without a lot of clicking, and some 2027 plans aren't on them until October 15. Give us your doctors and your prescriptions and a licensed agent checks every 2027 plan in your county against your list, then calls you with the two or three that fit. No cost, no obligation.

Got a letter saying your Medicare plan is leaving or won't renew?

A non-renewal letter means your specific plan won't continue in your county after December 31, 2026. It doesn't mean you lose Medicare, and it usually doesn't mean your insurance company is leaving Medicare altogether. You can choose a new Medicare Advantage plan, or move to Original Medicare with a Medigap plan and a Part D drug plan.

Medicare Advantage in Michigan today

At least 965,551 Michigan residents are in an individual Medicare Advantage plan (128 plans from 18 companies across 83 counties in 2026).
Largest carriers by members: Priority Health Medicare (256,692), Humana (215,774), Blue Cross Blue Shield of Michigan (125,727), Health Alliance Plan by Henry Ford Health (102,702), Aetna (88,044), UnitedHealthcare (63,035).
Last year, 54 Michigan Medicare Advantage plans ended or dropped counties for 2026, affecting about 93,965 members, most from Blue Cross Blue Shield of Michigan, Blue Care Network, Aetna.

My Medicare Advantage plan is ending. What are my deadlines?

Your current plan keeps working through December 31, 2026. Doctors, prescriptions and benefits work as usual until then.
Open Enrollment, October 15, 2026 to December 7, 2026: pick a new plan now and it starts January 1, 2027, with no gap.
Your extra window, December 8, 2026 to February 28, 2027: because your plan is being discontinued, you get a Special Enrollment Period on top of Open Enrollment. An enrollment request received December 8-31 is effective January 1; received in January, effective February 1; received in February, effective March 1.
Medigap guaranteed issue: apply as early as November 1, 2026, and no later than March 4, 2027 (63 days after your coverage ends).

What happens if I do nothing when my plan is cancelled?

You don't lose Medicare. If you don't choose a new plan, you're moved to Original Medicare (Parts A and B) on January 1, 2027. Original Medicare doesn't include prescription drug coverage, so you'd need to join a separate Part D plan. Going 63 days or more without creditable drug coverage can mean a permanent late-enrollment penalty.

Can I switch to a Medicare Supplement (Medigap) plan without health questions?

Usually yes. When a Medicare Advantage plan leaves your area or stops offering coverage, federal law gives you a guaranteed issue right: a Medigap company must sell you Plan A, B, D or G (or C or F if you were eligible for Medicare before January 1, 2020), can't charge more for past or present health problems, and can't refuse you, as long as you switch to Original Medicare. Some states add more rights than this. Keep your non-renewal letter; it can serve as proof.

How Medigap guaranteed issue works when your plan ends

Losing your Advantage plan this year? Moving to Medigap | Medigap or another Advantage plan? | Moving to Medigap, step by step

What to check before choosing a replacement plan

Are your doctors, specialists and hospitals in the new plan's network?
Are your prescriptions on its drug list, and is your pharmacy covered?
Premium, deductible, copays and maximum out-of-pocket
HMO or PPO, and any extra benefits (dental, vision, hearing) that matter to you
Medicare Advantage vs. Original Medicare with Medigap and a Part D plan

Free Medicare tools

Questions about Michigan Medicare plans ending

Which Medicare Advantage plans are ending in Michigan for 2027?

The list on this page comes straight from CMS's 2027 plan files: every plan that won't renew, or won't be offered in a county, in Michigan. It covers several carriers.

Is my Medicare Advantage plan being cancelled in Michigan?

If your plan won't continue, you'll get a non-renewal letter by October 2, 2026. Your Annual Notice of Change (ANOC) lists what's changing if your plan does continue. Your plan stays in force through December 31, 2026 either way.

How many people in Michigan lost their Medicare Advantage plan last year?

For 2026, CMS's files show 54 Medicare Advantage plans ended or dropped counties in Michigan, affecting about 93,965 members across 83 counties.

What happens if I don't pick a new plan after my Medicare Advantage plan ends?

You don't lose Medicare. If you don't choose anything, you're moved to Original Medicare (Parts A and B) on January 1, 2027. Original Medicare doesn't include drug coverage, so you'd need to join a separate Part D plan, and going 63 days or more without creditable drug coverage can mean a late-enrollment penalty.

How long do I have to switch after my Medicare Advantage plan is discontinued?

You can switch during Open Enrollment, October 15, 2026 to December 7, 2026, for coverage starting January 1. Because your plan is ending, you also get a Special Enrollment Period from December 8, 2026 through February 28, 2027. An enrollment request received December 8-31 is effective January 1; received in January, effective February 1; received in February, effective March 1. Choosing by December 7, 2026 avoids any gap.

Can I get a Medicare Supplement (Medigap) plan without health questions if my plan is ending?

Usually yes. When a Medicare Advantage plan leaves your area or stops offering coverage, you have a guaranteed issue right to buy Medigap Plan A, B, D or G (and C or F if you were eligible for Medicare before January 1, 2020) without medical underwriting, as long as you move to Original Medicare. You can apply as early as 60 days before your coverage ends and no later than 63 days after (March 4, 2027). Some states give more rights than this.

Why did I get a letter saying my Medicare plan won't renew?

Plans that won't continue next year must mail members a non-renewal notice by October 2, 2026. It means your current plan ends December 31, 2026, not that you lose Medicare. Keep the letter: it shows which plan is ending and helps prove your enrollment rights.

Will my doctors still be covered on a new plan in Michigan?

It depends on the plan you choose. Before switching, check that your doctors, specialists and hospitals are in the new plan's network, your prescriptions are on its drug list, and your pharmacy is covered. With Original Medicare plus Medigap, you can see any provider that accepts Medicare.

Which Medicare Advantage plans are available in Michigan for 2027?

CMS's 2027 files list 181 Medicare Advantage plans offered in Michigan by 19 companies: Priority Health Medicare (40 plans), Blue Cross Blue Shield of Michigan (24 plans), Humana (18 plans), Blue Care Network (16 plans), Health Alliance Plan by Henry Ford Health (13 plans), and others. 50 of them are special needs plans, which only people who qualify can join. Which plans you can actually choose depends on your county.

I just found out my plan is ending. Do I need to decide right away?

No. Your plan works through December 31, 2026. You can choose a new plan from October 15 to December 7, and because your plan is ending you also get a Special Enrollment Period from December 8 through February 28, 2027. Deciding earlier just means your new plan is settled before January 1.

Will I get pressured into a sales call if I ask for help?

No. A licensed agent looks at the plans available where you live in Michigan, explains what changes for you, and you decide. There is no cost to you and no obligation to enroll in anything. Calls are recorded, as Medicare requires.

How do I know my plan is on this list?

Type your plan name or the plan ID from your member card into the box above the table. The list comes from CMS's own 2026 and 2027 plan files. Your plan's written notice is the final word; if the two disagree, trust the letter and have a licensed agent check it with you.

Is your Michigan Medicare plan ending?

Call to check your plan and compare what's available where you live, with licensed Medicare help.

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Sources

Last updated 2026-10-06. Plan counts come from CMS files; CMS doesn't publish county counts of 10 or fewer members, so totals are at least the number shown.