Medicare Advantage in Coamo, Puerto Rico
7,176 people in Coamo, Puerto Rico were enrolled in Medicare Advantage in October 2026, 84.8% of 8,466 eligible beneficiaries (+0.8 pts since October 2025). Elevance Health, Inc. is the largest parent organization with 42% of reported enrollment; 3 parent organizations have 11 or more members and the HHI is 3,503 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 0 members here are in plans that terminate or leave the county. MA plans offered go from 21 to 22.
Parent organizations in Coamo
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Elevance Health, Inc. | 3,038 | −354 | 42.4% |
| MHH Healthcare, L.P. | 2,414 | −30 | 33.7% |
| Guidewell Mutual Holding Corporation | 1,717 | +905 | 24.0% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 4 beneficiaries in Coamo were assigned to 2 Medicare Shared Savings Program ACOs, 3.7% of assignable Original Medicare beneficiaries. Together, roughly 85% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.
