Medicare Advantage in Cayey, Puerto Rico
10,552 people in Cayey, Puerto Rico were enrolled in Medicare Advantage in October 2026, 83.9% of 12,581 eligible beneficiaries (−0.4 pts since October 2025). MHH Healthcare, L.P. is the largest parent organization with 42% of reported enrollment; 3 parent organizations have 11 or more members and the HHI is 3,742 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 0 members here are in plans that terminate or leave the county. MA plans offered go from 20 to 21.
Parent organizations in Cayey
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| MHH Healthcare, L.P. | 4,455 | +515 | 42.3% |
| Elevance Health, Inc. | 4,310 | −291 | 40.9% |
| Guidewell Mutual Holding Corporation | 1,775 | +284 | 16.8% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 9 beneficiaries in Cayey were assigned to 4 Medicare Shared Savings Program ACOs, 3.3% of assignable Original Medicare beneficiaries. Together, roughly 84% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.
