Medicare Advantage in Guayama, Puerto Rico
7,897 people in Guayama, Puerto Rico were enrolled in Medicare Advantage in October 2026, 102.6% of 7,696 eligible beneficiaries (+1.7 pts since October 2025). Elevance Health, Inc. is the largest parent organization with 49% of reported enrollment; 3 parent organizations have 11 or more members and the HHI is 3,811 (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 22 to 23.
Parent organizations in Guayama
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Elevance Health, Inc. | 3,859 | −226 | 48.9% |
| MHH Healthcare, L.P. | 2,603 | +719 | 33.0% |
| Guidewell Mutual Holding Corporation | 1,423 | +339 | 18.0% |
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 Guayama were assigned to 4 Medicare Shared Savings Program ACOs, 11.6% of assignable Original Medicare beneficiaries. Together, roughly 102% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.