Medicare Advantage in Hidalgo County, Texas
99,027 people in Hidalgo County, Texas were enrolled in Medicare Advantage in October 2026, 78.0% of 126,980 eligible beneficiaries (+1.0 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 30% of reported enrollment; 12 parent organizations have 11 or more members and the HHI is 2,120 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 14,814 members here are in plans that terminate or leave the county. MA plans offered go from 47 to 35.
Parent organizations in Hidalgo County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 29,350 | −2,849 | 29.7% |
| Health Care Service Corporation | 27,862 | −3,034 | 28.2% |
| Universal Health Services, Inc. | 14,071 | +6,759 | 14.2% |
| Humana Inc. | 12,075 | +4,469 | 12.2% |
| Centene Corporation | 8,367 | −1,172 | 8.5% |
| CVS Health Corporation | 3,852 | +8 | 3.9% |
| Molina Healthcare, Inc. | 2,218 | −11 | 2.2% |
| Regency ISNP Holdings LLC | 497 | +72 | 0.5% |
| Elevance Health, Inc. | 443 | +103 | 0.4% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 84 | −5 | under 0.1% |
| Highmark Health | 14 | −1 | under 0.1% |
| Aware Integrated, Inc. | 11 | new | 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, 2,164 beneficiaries in Hidalgo County were assigned to 149 Medicare Shared Savings Program ACOs, 12.8% of assignable Original Medicare beneficiaries. Together, roughly 81% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.