Medicare Advantage in Queens County, New York
261,102 people in Queens County, New York were enrolled in Medicare Advantage in October 2026, 61.1% of 426,987 eligible beneficiaries (+0.2 pts since October 2025). Healthfirst, Inc. is the largest parent organization with 36% of reported enrollment; 18 parent organizations have 11 or more members and the HHI is 1,929 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 14,799 members here are in plans that terminate or leave the county, and Health Care Service Corporation leaves. MA plans offered go from 37 to 30.
Parent organizations in Queens County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Healthfirst, Inc. | 93,848 | +4,502 | 36.1% |
| UnitedHealth Group, Inc. | 39,257 | −15,104 | 15.1% |
| CVS Health Corporation | 39,245 | +6,269 | 15.1% |
| Visiting Nurse Service of New York | 20,312 | +11,816 | 7.8% |
| Centene Corporation | 18,248 | −2,849 | 7.0% |
| Elevance Health, Inc. | 14,182 | +553 | 5.4% |
| Humana Inc. | 9,848 | +1,213 | 3.8% |
| Elderplan, Inc. | 7,346 | +1,751 | 2.8% |
| EmblemHealth, Inc. | 7,162 | −1,183 | 2.8% |
| Village Care of New York, Inc. | 3,282 | +789 | 1.3% |
| New York City Health and Hospitals Corporation | 3,256 | +360 | 1.3% |
| NY Hotel Trades Council&Hotel Assn of NYC | 1,665 | −9 | 0.6% |
| CenterLight Health System, Inc. | 1,005 | +248 | 0.4% |
| Hamaspik of Rockland County, Inc. | 529 | +254 | 0.2% |
| Health Care Service Corporation | 501 | −2,253 | 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, 29,633 beneficiaries in Queens County were assigned to 217 Medicare Shared Savings Program ACOs, 27.4% of assignable Original Medicare beneficiaries. Together, roughly 72% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.