Medicare Advantage in Culebra, Puerto Rico
268 people in Culebra, Puerto Rico were enrolled in Medicare Advantage in October 2026, 76.6% of 350 eligible beneficiaries (−1.3 pts since October 2025). MHH Healthcare, L.P. is the largest parent organization with 64% of reported enrollment; 3 parent organizations have 11 or more members and the HHI is 4,698 (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 Culebra
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| MHH Healthcare, L.P. | 167 | +11 | 63.5% |
| Elevance Health, Inc. | 48 | +3 | 18.3% |
| Guidewell Mutual Holding Corporation | 48 | +10 | 18.3% |
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 Culebra were assigned to 4 Medicare Shared Savings Program ACOs, 41.5% 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.