Medicare Advantage in Lee County, Florida
115,345 people in Lee County, Florida were enrolled in Medicare Advantage in October 2026, 50.5% of 228,579 eligible beneficiaries (+0.3 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 39% of reported enrollment; 24 parent organizations have 11 or more members and the HHI is 2,931 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 30,270 members here are in plans that terminate or leave the county, and Health Care Service Corporation, Athena Healthcare Holdings, LLC leave. MA plans offered go from 41 to 34.
Parent organizations in Lee County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 44,957 | −1,287 | 39.1% |
| Humana Inc. | 38,146 | +10,455 | 33.2% |
| CVS Health Corporation | 18,944 | −2,361 | 16.5% |
| Guidewell Mutual Holding Corporation | 5,149 | −1,424 | 4.5% |
| Elevance Health, Inc. | 3,096 | +469 | 2.7% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 1,866 | −81 | 1.6% |
| Centene Corporation | 1,231 | −493 | 1.1% |
| Health Care Service Corporation | 525 | −1,350 | 0.5% |
| Chapters Health System, Inc. | 459 | +69 | 0.4% |
| Highmark Health | 221 | −8 | 0.2% |
| Aware Integrated, Inc. | 64 | +39 | under 0.1% |
| Lifetime Healthcare, Inc. | 58 | 0 | under 0.1% |
| Horizon Mutual Holdings, Inc | 58 | +24 | under 0.1% |
| Athena Healthcare Holdings, LLC | 38 | +24 | under 0.1% |
| CareFirst, Inc. | 29 | +4 | under 0.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 30,595 beneficiaries in Lee County were assigned to 382 Medicare Shared Savings Program ACOs, 34.2% of assignable Original Medicare beneficiaries. Together, roughly 67% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.