Medicare Advantage in Comal County, Texas
21,568 people in Comal County, Texas were enrolled in Medicare Advantage in October 2026, 44.9% of 48,047 eligible beneficiaries (+0.5 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 46% of reported enrollment; 12 parent organizations have 11 or more members and the HHI is 3,345 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 4,041 members here are in plans that terminate or leave the county, and CHRISTUS Health leaves. MA plans offered go from 52 to 41.
Parent organizations in Comal County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 9,888 | −434 | 46.1% |
| Humana Inc. | 7,061 | +1,417 | 32.9% |
| CVS Health Corporation | 1,990 | −179 | 9.3% |
| Health Care Service Corporation | 1,514 | +116 | 7.1% |
| Devoted Health, Inc. | 503 | +280 | 2.3% |
| Centene Corporation | 197 | −60 | 0.9% |
| Elevance Health, Inc. | 152 | +33 | 0.7% |
| CHRISTUS Health | 70 | +23 | 0.3% |
| Clover Health Holdings, Inc. | 40 | +2 | 0.2% |
| California Physicians' Service | 20 | −4 | under 0.1% |
| Molina Healthcare, Inc. | 19 | +5 | under 0.1% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 16 | −2 | under 0.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 8,532 beneficiaries in Comal County were assigned to 130 Medicare Shared Savings Program ACOs, 46.1% of assignable Original Medicare beneficiaries. Together, roughly 70% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.