Medicare Advantage in Cape May County, New Jersey
10,549 people in Cape May County, New Jersey were enrolled in Medicare Advantage in October 2026, 33.3% of 31,694 eligible beneficiaries (+0.1 pts since October 2025). CVS Health Corporation is the largest parent organization with 47% of reported enrollment; 12 parent organizations have 11 or more members and the HHI is 2,765 (highly concentrated). For 2027, 1,488 members here are in plans that terminate or leave the county, and Health Care Service Corporation leaves. MA plans offered go from 37 to 33.
Parent organizations in Cape May County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 4,905 | −64 | 46.8% |
| Horizon Mutual Holdings, Inc | 1,756 | +174 | 16.7% |
| UnitedHealth Group, Inc. | 1,201 | −374 | 11.5% |
| Humana Inc. | 966 | +311 | 9.2% |
| Clover Health Holdings, Inc. | 761 | +342 | 7.3% |
| Elevance Health, Inc. | 537 | −139 | 5.1% |
| Thomas Jefferson University | 97 | new | 0.9% |
| Centene Corporation | 88 | −20 | 0.8% |
| Health Care Service Corporation | 76 | −123 | 0.7% |
| Independence Health Group, Inc. | 51 | +36 | 0.5% |
| Highmark Health | 33 | 0 | 0.3% |
| AtlantiCare Health Services, Inc. | 17 | +3 | 0.2% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 3,491 beneficiaries in Cape May County were assigned to 103 Medicare Shared Savings Program ACOs, 21.1% of assignable Original Medicare beneficiaries. Together, roughly 47% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.
