MA Enrollment Explorer / Parent organizations / UPMC Health System
UPMC Health System: Medicare Advantage enrollment and market share
UPMC Health System had 227,458 Medicare Advantage members in October 2026, #20 nationally with 0.63% of all MA enrollment. It lost 2,330 members (−1.0%) since October 2025, and has enrollment in 2 states and 65 counties with 11 or more members, leading the market in 11 of them. In the 2026 Annual Election Period (December to February) it lost 1,525 members (−0.7%). For 2027, 8,644 of its members are in plans that terminate and 57,236 in plans leaving their county. Among members who stay, 10,962 lose a Part B giveback and 0 an OTC allowance.
227KMA members, October 2026
−1.0%change since October 2025 (−2,330)
0.63%national MA share, rank 20
5contracts with enrollment
Largest states
| State | Members | Share of state MA |
|---|---|---|
| Pennsylvania | 227,046 | 13.7% |
| Ohio | 82 | 0.0% |
Largest counties
| County | Members | Change since October 2025 | Share of county MA |
|---|---|---|---|
| Allegheny County, PA | 65,919 | −296 | 33.8% |
| Westmoreland County, PA | 21,332 | −184 | 28.9% |
| Cambria County, PA | 13,920 | −73 | 47.2% |
| Blair County, PA | 9,416 | +176 | 43.4% |
| Washington County, PA | 9,281 | +291 | 23.7% |
| Butler County, PA | 8,957 | +12 | 25.0% |
| Beaver County, PA | 7,633 | −199 | 23.3% |
| Fayette County, PA | 7,221 | −104 | 29.8% |
| Somerset County, PA | 7,135 | +47 | 47.7% |
| Erie County, PA | 6,380 | +103 | 14.7% |
| Indiana County, PA | 5,989 | +148 | 37.1% |
| Bedford County, PA | 5,374 | +298 | 58.0% |
| Mercer County, PA | 5,253 | +58 | 24.8% |
| Venango County, PA | 4,881 | +129 | 46.2% |
| Lawrence County, PA | 4,385 | −29 | 25.4% |
Contracts
| Contract | Plan type | Oct 2024 | Oct 2025 | Oct 2026 |
|---|---|---|---|---|
| H3907 UPMC for Life | HMO/HMOPOS | 135,879 | 125,044 | 129,123 |
| H5533 UPMC for Life | Local PPO | 44,249 | 64,351 | 58,459 |
| H4279 UPMC for Life Complete Care | HMO/HMOPOS | 38,824 | 38,135 | 37,526 |
| H7123 UPMC for Life Complete Care | HMO/HMOPOS | 1,269 | 1,440 | 1,541 |
| H3917 Community LIFE | National PACE | 795 | 818 | 809 |
Star ratings for these contracts are in the MA Quality Dashboard.