MA Enrollment Explorer / Parent organizations / EmblemHealth, Inc.
EmblemHealth, Inc.: Medicare Advantage enrollment and market share
EmblemHealth, Inc. had 37,927 Medicare Advantage members in October 2026, #68 nationally with 0.10% of all MA enrollment. It lost 1,651 members (−4.2%) since October 2025, and has enrollment in 5 states and 31 counties with 11 or more members. In the 2026 Annual Election Period (December to February) it lost 1,670 members (−4.2%). For 2027, 3,769 of its members are in plans that terminate and 188 in plans leaving their county, and it leaves 14 counties entirely.
38KMA members, October 2026
−4.2%change since October 2025 (−1,651)
0.10%national MA share, rank 68
3contracts with enrollment
Largest states
| State | Members | Share of state MA |
|---|---|---|
| New York | 37,422 | 1.7% |
| New Jersey | 69 | 0.0% |
| Pennsylvania | 13 | 0.0% |
| Delaware | 11 | 0.0% |
| Connecticut | 11 | 0.0% |
Largest counties
| County | Members | Change since October 2025 | Share of county MA |
|---|---|---|---|
| Kings County, NY | 7,251 | −74 | 3.0% |
| Queens County, NY | 7,162 | −1,183 | 2.8% |
| Nassau County, NY | 5,091 | −140 | 5.0% |
| Bronx County, NY | 5,086 | −574 | 3.0% |
| Suffolk County, NY | 3,718 | +34 | 3.7% |
| New York County, NY | 3,214 | −438 | 2.3% |
| Richmond County, NY | 2,630 | −114 | 5.6% |
| Westchester County, NY | 1,235 | −21 | 1.6% |
| Orange County, NY | 459 | +220 | 1.6% |
| Albany County, NY | 240 | +84 | 0.6% |
| Saratoga County, NY | 194 | +58 | 0.6% |
| Dutchess County, NY | 169 | +128 | 0.6% |
| Delaware County, NY | 163 | +134 | 2.7% |
| Rockland County, NY | 160 | +2 | 0.8% |
| Broome County, NY | 139 | +65 | 0.5% |
Contracts
| Contract | Plan type | Oct 2024 | Oct 2025 | Oct 2026 |
|---|---|---|---|---|
| H3330 EmblemHealth | HMO/HMOPOS | 38,451 | 37,243 | 35,566 |
| H5991 EmblemHealth | HMO/HMOPOS | 2,275 | 2,302 | 2,326 |
| H5528 EmblemHealth | Local PPO | 35 | 33 | 35 |
Star ratings for these contracts are in the MA Quality Dashboard.
