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MA Enrollment Explorer / States / Montana

Medicare Advantage in Montana: enrollment, penetration and market share

81,059 people in Montana were enrolled in Medicare Advantage in October 2026. 29.5% of the state's 274,432 eligible Medicare beneficiaries are in Medicare Advantage, −0.4 pts since October 2025. Humana Inc. is the largest parent organization with 69% of reported enrollment; 11 parent organizations have 11 or more members, and the market's HHI is 5,204 (highly concentrated). Through the 2026 Annual Election Period (December to February), reported MA enrollment in Montana changed by −109 (−0.1%).

29.5%MA penetration, October 2026
81KMA enrollees
11parent organizations (11+ members)
5,204HHI, highly concentrated
Open Montana on the market mapMSSP ACOs in Montana

Parent organizations in Montana

Parent organizationMembersChangeShareShare change
Humana Inc.55,451+12,06169.4%+14.6 pts
Health Care Service Corporation13,764−4,26817.2%−5.5 pts
UnitedHealth Group, Inc.7,690−7,1869.6%−9.2 pts
CVS Health Corporation1,443+91.8%−0.00 pts
PacificSource1,099+1251.4%+0.1 pts
Elevance Health, Inc.309−70.4%−0.01 pts
California Physicians' Service70+12under 0.1%+0.01 pts
Blue Cross Blue Shield of Michigan Mutual Ins. Co.46−9under 0.1%−0.01 pts
Cambia Health Solutions, Inc.35−20under 0.1%−0.03 pts
UMWA Health and Retirement Funds32−1under 0.1%−0.00 pts
Aware Integrated, Inc.190under 0.1%−0.00 pts

Change and share change are since October 2025. Shares are of reported enrollment in the CMS State/County/Contract file.

Counties

CountyMA enrolleesPenetrationLeading parent
Yellowstone County14,65338.4%Humana Inc. 63%
Flathead County10,14234.5%Humana Inc. 65%
Cascade County7,62438.3%Humana Inc. 78%
Missoula County6,84025.8%Humana Inc. 71%
Lewis and Clark County5,53529.5%Humana Inc. 81%
Gallatin County5,48226.6%Humana Inc. 51%
Ravalli County4,98431.9%Humana Inc. 59%
Lincoln County3,49641.4%Humana Inc. 78%
Silver Bow County2,62029.4%Humana Inc. 89%
Lake County2,51928.1%Humana Inc. 64%
Sanders County1,71533.5%Humana Inc. 82%
Fergus County1,20734.6%Humana Inc. 70%
Carbon County1,10631.1%Humana Inc. 86%
Jefferson County1,09928.4%Humana Inc. 91%
Stillwater County98533.9%Humana Inc. 89%
Park County93819.2%Humana Inc. 78%
Deer Lodge County75825.6%Humana Inc. 87%
Teton County66037.6%Humana Inc. 66%
Big Horn County64230.3%Humana Inc. 71%
Madison County62820.9%Humana Inc. 67%
Musselshell County62136.5%Humana Inc. 89%
Beaverhead County61722.6%Humana Inc. 66%
Mineral County59233.4%Humana Inc. 72%
Broadwater County57831.3%Humana Inc. 86%
Glacier County49121.1%Humana Inc. 62%
Rosebud County46423.3%Humana Inc. 80%
Pondera County43928.1%Humana Inc. 89%
Custer County40814.2%Health Care Service Corporation 95%
Chouteau County39727.6%Humana Inc. 87%
Powell County39421.4%Humana Inc. 69%
Sweet Grass County30827.1%Humana Inc. 61%
Hill County2607.4%Health Care Service Corporation 100%
Judith Basin County25935.9%Humana Inc. 78%
Granite County24221.3%Humana Inc. 83%
Wheatland County22835.2%Humana Inc. 77%
Toole County19317.6%Humana Inc. 77%
Golden Valley County13737.1%Humana Inc. 78%
Valley County1206.0%UnitedHealth Group, Inc. 100%
Meagher County10115.7%Humana Inc. 71%
Liberty County10019.2%Humana Inc. 82%
Phillips County847.4%UnitedHealth Group, Inc. 100%
Roosevelt County844.7%UnitedHealth Group, Inc. 100%
Treasure County8033.9%Humana Inc. 100%
Fallon County355.3%UnitedHealth Group, Inc. 100%
Powder River County356.9%UnitedHealth Group, Inc. 100%
McCone County318.1%UnitedHealth Group, Inc. 100%
Prairie County306.7%UnitedHealth Group, Inc. 100%
Dawson County251.1%UnitedHealth Group, Inc. 100%
Richland County200.9%
Daniels County194.0%UnitedHealth Group, Inc. 100%
Blaine County181.4%
Petroleum County1612.7%UnitedHealth Group, Inc. 100%
Carter County0n/a
Garfield County0n/a
Sheridan County0n/a
Wibaux County0n/a