Medicare Advantage in Fajardo, Puerto Rico
6,455 people in Fajardo, Puerto Rico were enrolled in Medicare Advantage in October 2026, 87.2% of 7,402 eligible beneficiaries (+0.7 pts since October 2025). MHH Healthcare, L.P. is the largest parent organization with 52% of reported enrollment; 3 parent organizations have 11 or more members and the HHI is 3,873 (highly concentrated). 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 Fajardo
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| MHH Healthcare, L.P. | 3,362 | +367 | 52.3% |
| Guidewell Mutual Holding Corporation | 1,609 | +159 | 25.0% |
| Elevance Health, Inc. | 1,463 | −236 | 22.7% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 23 beneficiaries in Fajardo were assigned to 11 Medicare Shared Savings Program ACOs, 13.5% of assignable Original Medicare beneficiaries. Together, roughly 89% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.