Medicare Advantage in Bayamon, Puerto Rico
38,764 people in Bayamon, Puerto Rico were enrolled in Medicare Advantage in October 2026, 85.2% of 45,518 eligible beneficiaries (−0.3 pts since October 2025). MHH Healthcare, L.P. is the largest parent organization with 47% of reported enrollment; 3 parent organizations have 11 or more members and the HHI is 3,683 (highly concentrated). For 2027, 16 members here are in plans that terminate or leave the county. MA plans offered go from 20 to 21.
Parent organizations in Bayamon
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| MHH Healthcare, L.P. | 18,055 | +827 | 46.6% |
| Elevance Health, Inc. | 12,866 | −461 | 33.2% |
| Guidewell Mutual Holding Corporation | 7,812 | +762 | 20.2% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 53 beneficiaries in Bayamon were assigned to 25 Medicare Shared Savings Program ACOs, 4.2% of assignable Original Medicare beneficiaries. Together, roughly 86% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.