2026 MA Market Exits: Which Companies Are Out & What It Means for Key States

UCare, Vermont Blue Advantage, and Others Confirmed

This week’s newsletter is sponsored by: Spark

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Here is what you’ll find in this week’s newsletter!

  1. Important links 🔗 - the best articles we found this week about the Medicare Market along with links to Jared’s recent LinkedIn posts.

  2. Deep Dive 📚 - 2026 MA Market Exits: Which Companies Are Out & What It Means for Key States

  3. Sponsor Snapshot 🚀 - brought to you by Spark

It’s only a 6 minute read, but it will make you 10x smarter.

Here are IMPORTANT LINKS 🔗 for the week:

  1. Plan Cheatsheets (MA/MAPD benefit comparison tool) - (link)

  2. 6 key takeaways from the 2026 Medicare Advantage and prescription drug bids for life sciences companies - (link)

  3. Mayo Clinic will leave most Medicare Advantage networks at UnitedHealthcare, Humana - (link)

  4. Unfair Trade practices in marketing insurance products to Idahoans eligible for Medicare - (link)

  5. SCAN Health Plan, Costco team up to drive member cost savings - (link)

  6. Medicare Supplement 2026 Outlook by PSMBrokerage - (link)

  7. Medicare Supplement Rate Actions - 2025 Q4 - (link)

  8. State Scorecard on Medicare Performance - (link)

  9. Med Supp going $0 Comp - (link)

Jared’s recent LinkedIn posts:

  1. Elevance Health (ELV) reported Q3 2025 results this morning - (link)

  2. MAPD deductibles going up in 2026 - (link)

  3. Plan Cheatsheets by Spark - (link)

  4. Star Ratings 2026 - (link)

DEEP DIVE 📚

2026 MA Market Exits: Which Companies Are Out & What It Means for Key States

AEP is well on it’s way, and the Medicare Advantage market continues to reshape itself.

This week, we’re taking a closer look at which companies are exiting the MA/MAPD market, confirmed using the latest CMS Landscape data.

Many of these exits were predicted in our Tea Leaves deep dive earlier this year. Now the data confirms which carriers are pulling out entirely or shifting focus toward SNP-only offerings.

Note: This analysis focuses on company-level exits. It does not include plan-level terminations or service area reductions. We’ll validate those once CMS releases the Crosswalk file.

In the meantime, MMI+ subscribers can access a preliminary dataset identifying 2026 plan renewals and terminations. [Get it here → Preliminary MA/MAPD Plan Terminations - 2026]

Company Exits

For this analysis we developed 3 buckets of companies.

1) Exiting Entire Market — Had plans in 2025 but none in 2026.
2) Exiting Non-SNP — Had both SNP and non-SNP plans in 2025 but will only offer SNPs in 2026.
3) Exiting SNP — Had both SNP and non-SNP plans in 2025 but will only offer non-SNPs in 2026.

Below are the confirmed company exits from the 2026 Landscape data, organized by parent company, marketing name, and market scope:

Parent Organization Name

Marketing Name

Sept. '25 enrollment

Category

Markets

Blue Cross Blue Shield of Michigan Mutual

Vermont Blue Advantage

 26,034

Exiting Entire Market

VT

The Carle Foundation

Health Alliance Medicare

 24,897

Exiting Entire Market

IL, IN, IA

Avian Health Holdings LLC

Sonder Health

 23,211

Exiting Entire Market

GA

Sentara Health Care (SHC)

AvMed Medicare

 12,555

Exiting Entire Market

FL

University of Michigan Health

University of Michigan Health Plans

 8,612

Exiting Entire Market

MI

Cambia Health Solutions Inc.

Regence BlueShield of Idaho

 6,570

Exiting Entire Market

ID

Ochsner Clinic Foundation

Ochsner Health Plan

 5,769

Exiting Entire Market

LA

The Carle Foundation

FirstMedicare Direct

 5,620

Exiting Entire Market

NC

BlueCross BlueShield of Tennessee

Shared Health

 4,904

Exiting Entire Market

MS

Cambia Health Solutions Inc.

Asuris Northwest Health

 426

Exiting Entire Market

WA

Louisiana Health Service & Indemnity Company

Primewell Health Services

 204

Exiting Entire Market

AR, MS

UCare Minnesota

UCare

 152,417

Exiting Non-SNP

MN, WI

Sentara Health Care (SHC)

Sentara Medicare

 22,833

Exiting Non-SNP

VA

Samaritan Health Services Inc.

Samaritan Advantage Health Plans

 11,920

Exiting Non-SNP

OR

Community Health Plan of Washington

Community Health Plan of WA Medicare

 5,042

Exiting Non-SNP

WA

Gold Kidney Health Plan

Gold Kidney Health Plan

 991

Exiting Non-SNP

AZ, FL

BMC Health System Inc.

WellSense Health Plan

 1,032

Exiting SNP

MA

Total

313,037

While each of these impact the MA market in different ways, there are a few exits that have a outsized impact on their specific markets.

UCare

The UCare exit of all non-SNP plans is a major development in Minnesota.

As of September 2025, UCare held roughly 26% of the state’s non-SNP market (~152,000 of 585,000 members), including 31,900 members in Hennepin County alone.

All of whom will need to select a new plan during this AEP.

Source: MMI+ MA Web App

To make things even more complex, multiple carriers are not paying commissions on at least some of their 2026 offerings (including UnitedHealthcare, Humana, and Allina).

[UCare exit details → (link)]

Vermont Blue Advantage

The Vermont Blue Advantage exit (BCBS of Michigan Mutual) has an outsized impact on a small state.

As of September 2025, Vermont Blue Advantage controlled 71% of Vermont’s total MA market (~26,000 of 37,000 enrollees) after growing more than 170% during last year’s AEP.

Source: MMI+ MA Web App

Compounding the disruption, UnitedHealth Group (the #2 carrier) is also exiting Vermont, leaving Humana as the only carrier offering MA plans statewide.

Notably, at least one of Humana’s 2026 plans is non-commissionable.

[State of Vermont exit info → (link)]

Samaritan Advantage Plans

While Samaritan is a smaller player, its exit will ripple through three Oregon counties (Linn, Benton, Lincoln) where it controls ~40% of the non-SNP market (~12,000 of 30,000 members).

Source: MMI+ MA Web App

[Samaritan exit details → (link)]

Bottom Line

The 2026 exits open new doors for some carriers, but they also reveal how cautious others have become about chasing growth.

A growing number of plans are non-commissionable, signaling a desire to “not grow too much”.

For agents, this creates a difficult environment: in many markets, the available options are narrowing, and some of the remaining plans simply don’t pay.

For carriers willing to support distribution and expand where others have retreated, however, the opportunity has rarely been clearer.

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What MMI + Subscribers read this week…

  • Tea Leaves - AEP 2026 🍂- Repository of 2026 AEP changes / opportunities (link)

  • September '25 MA/MAPD and PDP enrollment data - September '25 enrollment data has been loaded. Here are a few observations. (link)

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