Medicare Advantage in Luquillo, Puerto Rico
3,480 people in Luquillo, Puerto Rico were enrolled in Medicare Advantage in October 2026, 83.0% of 4,191 eligible beneficiaries (−1.8 pts since October 2025). MHH Healthcare, L.P. is the largest parent organization with 54% of reported enrollment; 3 parent organizations have 11 or more members and the HHI is 4,034 (highly concentrated). 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 Luquillo
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| MHH Healthcare, L.P. | 1,871 | +52 | 53.9% |
| Elevance Health, Inc. | 1,000 | −87 | 28.8% |
| Guidewell Mutual Holding Corporation | 600 | +75 | 17.3% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 11 beneficiaries in Luquillo were assigned to 5 Medicare Shared Savings Program ACOs, 9.5% 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.
