Medicare Advantage in Penuelas, Puerto Rico
4,484 people in Penuelas, Puerto Rico were enrolled in Medicare Advantage in October 2026, 88.0% of 5,097 eligible beneficiaries (+0.2 pts since October 2025). Guidewell Mutual Holding Corporation is the largest parent organization with 38% of reported enrollment; 3 parent organizations have 11 or more members and the HHI is 3,423 (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 23 to 24.
Parent organizations in Penuelas
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Guidewell Mutual Holding Corporation | 1,710 | +568 | 38.2% |
| MHH Healthcare, L.P. | 1,616 | +2 | 36.1% |
| Elevance Health, Inc. | 1,151 | −262 | 25.7% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 2 beneficiaries in Penuelas were assigned to 1 Medicare Shared Savings Program ACOs, 4.4% 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.