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UnitedHealth Scales Back 2026 Medicare Advantage, Closing 100+ Plans and Exiting 16 Counties

The retrenchment reflects lower federal payments, heavier medical use by seniors, plus a potential $4 billion hit from 2026 payment changes.

The corporate logo of UnitedHealthcare, the insurance unit of UnitedHealth Group, appears on the side of one of their office buildings in Santa Ana, California, U.S., April 13, 2020. REUTERS/Mike Blake   REFILE - CORRECTING COMPANY NAME FROM "UNITEDHEALTH GROUP" TO "UNITEDHEALTHCARE, THE INSURANCE UNIT OF UNITEDHEALTH GROUP".

Overview

  • UnitedHealth will discontinue more than 100 Medicare Advantage plans representing about 600,000 members, largely PPO offerings that could push enrollees toward HMO products.
  • The insurer will also stop offering plans in 16 U.S. counties, affecting roughly 180,000 members, as part of its 2026 lineup changes.
  • The company’s individual Medicare Advantage footprint will contract by 109 counties, moving from 2,896 in 2025 to 2,787 in 2026.
  • Executives cite lower CMS funding versus 2023, higher utilization, and regulatory adjustments that pose about a $4 billion risk to 2026 profits.
  • Despite the pullback, UnitedHealth remains the largest MA carrier with offerings across 48 states and Washington, D.C., as other big insurers also trim presence and analysts forecast a slight enrollment decline in 2026.