Medicare Advantage in Juana Diaz, Puerto Rico
8,604 people in Juana Diaz, Puerto Rico were enrolled in Medicare Advantage in October 2026, 91.8% of 9,369 eligible beneficiaries (+0.4 pts since October 2025). Elevance Health, Inc. is the largest parent organization with 38% of reported enrollment; 3 parent organizations have 11 or more members and the HHI is 3,438 (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 Juana Diaz
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Elevance Health, Inc. | 3,263 | −582 | 38.0% |
| MHH Healthcare, L.P. | 3,179 | +264 | 37.0% |
| Guidewell Mutual Holding Corporation | 2,149 | +919 | 25.0% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 13 beneficiaries in Juana Diaz were assigned to 6 Medicare Shared Savings Program ACOs, 11.4% of assignable Original Medicare beneficiaries. Together, roughly 93% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.