Medicare Advantage in Montgomery County, Pennsylvania
71,353 people in Montgomery County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 36.7% of 194,307 eligible beneficiaries (−0.4 pts since October 2025). Independence Health Group, Inc. is the largest parent organization with 39% of reported enrollment; 17 parent organizations have 11 or more members and the HHI is 2,305 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 3,055 members here are in plans that terminate or leave the county. MA plans offered go from 61 to 58.
Parent organizations in Montgomery County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Independence Health Group, Inc. | 27,888 | −1,596 | 39.2% |
| CVS Health Corporation | 15,067 | +103 | 21.2% |
| UnitedHealth Group, Inc. | 8,800 | −776 | 12.4% |
| Humana Inc. | 7,504 | +1,032 | 10.5% |
| Health Care Service Corporation | 4,199 | −151 | 5.9% |
| Thomas Jefferson University | 2,590 | +1,759 | 3.6% |
| Elevance Health, Inc. | 1,928 | −3 | 2.7% |
| Devoted Health, Inc. | 1,347 | +819 | 1.9% |
| Highmark Health | 649 | −145 | 0.9% |
| Centene Corporation | 507 | −74 | 0.7% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 237 | −5 | 0.3% |
| Trinity Health Corporation | 177 | −23 | 0.2% |
| UPMC Health System | 112 | −6 | 0.2% |
| Rifkin Managed Care Holding, LLC | 98 | +9 | 0.1% |
| CAPITAL BLUE CROSS | 59 | +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, 59,517 beneficiaries in Montgomery County were assigned to 202 Medicare Shared Savings Program ACOs, 65.7% of assignable Original Medicare beneficiaries. Together, roughly 78% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.