Medicare Advantage in Ponce, Puerto Rico
31,137 people in Ponce, Puerto Rico were enrolled in Medicare Advantage in October 2026, 83.8% of 37,136 eligible beneficiaries (+0.5 pts since October 2025). MHH Healthcare, L.P. is the largest parent organization with 41% 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 23 to 24.
Parent organizations in Ponce
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| MHH Healthcare, L.P. | 12,728 | +1,160 | 40.9% |
| Guidewell Mutual Holding Corporation | 10,128 | +3,568 | 32.6% |
| Elevance Health, Inc. | 8,251 | −1,842 | 26.5% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 58 beneficiaries in Ponce were assigned to 27 Medicare Shared Savings Program ACOs, 6.5% 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.