Medicare Advantage in Bergen County, New Jersey
71,869 people in Bergen County, New Jersey were enrolled in Medicare Advantage in October 2026, 36.6% of 196,580 eligible beneficiaries (+0.2 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 33% of reported enrollment; 14 parent organizations have 11 or more members and the HHI is 2,403 (highly concentrated). For 2027, 2,431 members here are in plans that terminate or leave the county, and Health Care Service Corporation, Healthfirst, Inc. leave. MA plans offered go from 39 to 34.
Parent organizations in Bergen County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 23,840 | −2,471 | 33.3% |
| Clover Health Holdings, Inc. | 18,510 | +5,189 | 25.8% |
| CVS Health Corporation | 16,795 | +412 | 23.4% |
| Humana Inc. | 4,465 | +1,625 | 6.2% |
| Horizon Mutual Holdings, Inc | 3,582 | −2,297 | 5.0% |
| Centene Corporation | 2,600 | −32 | 3.6% |
| Elevance Health, Inc. | 1,470 | −59 | 2.1% |
| Health Care Service Corporation | 173 | −123 | 0.2% |
| Longevity Health Founders, LLC | 99 | −28 | 0.1% |
| NY Hotel Trades Council&Hotel Assn of NYC | 87 | +1 | 0.1% |
| Healthfirst, Inc. | 20 | −7 | under 0.1% |
| EmblemHealth, Inc. | 20 | −5 | under 0.1% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 12 | −1 | under 0.1% |
| Highmark Health | 12 | new | 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, 46,281 beneficiaries in Bergen County were assigned to 169 Medicare Shared Savings Program ACOs, 53.0% of assignable Original Medicare beneficiaries. Together, roughly 70% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.
