Medicare Advantage in Lehigh County, Pennsylvania
39,801 people in Lehigh County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 47.3% of 84,177 eligible beneficiaries (−0.1 pts since October 2025). Highmark Health is the largest parent organization with 30% of reported enrollment; 14 parent organizations have 11 or more members and the HHI is 1,755 (moderately concentrated). For 2027, 236 members here are in plans that terminate or leave the county. MA plans offered go from 76 to 74.
Parent organizations in Lehigh County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Highmark Health | 11,950 | −384 | 30.1% |
| CVS Health Corporation | 7,551 | +98 | 19.0% |
| CAPITAL BLUE CROSS | 5,659 | +1,698 | 14.3% |
| UnitedHealth Group, Inc. | 5,022 | −2,785 | 12.7% |
| Humana Inc. | 3,696 | +743 | 9.3% |
| Risant Health, Inc. | 1,492 | −89 | 3.8% |
| Thomas Jefferson University | 1,038 | +787 | 2.6% |
| Independence Health Group, Inc. | 1,032 | +45 | 2.6% |
| Devoted Health, Inc. | 687 | +393 | 1.7% |
| Elevance Health, Inc. | 497 | −39 | 1.3% |
| UPMC Health System | 303 | +32 | 0.8% |
| Health Care Service Corporation | 299 | +124 | 0.8% |
| Centene Corporation | 243 | −66 | 0.6% |
| Senior LIFE Lehigh Valley, Inc. | 197 | −1 | 0.5% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 27,150 beneficiaries in Lehigh County were assigned to 127 Medicare Shared Savings Program ACOs, 80.0% of assignable Original Medicare beneficiaries. Together, roughly 89% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.