MA Enrollment Explorer / States / Pennsylvania
Medicare Advantage in Pennsylvania: enrollment, penetration and market share
1,664,437 people in Pennsylvania were enrolled in Medicare Advantage in October 2026. 54.4% of the state's 3,056,975 eligible Medicare beneficiaries are in Medicare Advantage, −0.2 pts since October 2025. CVS Health Corporation is the largest parent organization with 27% of reported enrollment; 38 parent organizations have 11 or more members, and the market's HHI is 1,531 (moderately concentrated). Through the 2026 Annual Election Period (December to February), reported MA enrollment in Pennsylvania changed by +12,338 (+0.8%).
54.4%MA penetration, October 2026
1.66MMA enrollees
38parent organizations (11+ members)
1,531HHI, moderately concentrated
Parent organizations in Pennsylvania
| Parent organization | Members | Change | Share | Share change |
|---|---|---|---|---|
| CVS Health Corporation | 446,107 | +4,205 | 26.9% | −0.2 pts |
| Highmark Health | 323,940 | −14,151 | 19.5% | −1.2 pts |
| UPMC Health System | 227,046 | −2,380 | 13.7% | −0.4 pts |
| UnitedHealth Group, Inc. | 151,366 | −6,317 | 9.1% | −0.5 pts |
| Independence Health Group, Inc. | 134,994 | −8,178 | 8.1% | −0.6 pts |
| Humana Inc. | 101,400 | +16,340 | 6.1% | +0.9 pts |
| Risant Health, Inc. | 96,560 | +661 | 5.8% | −0.05 pts |
| CAPITAL BLUE CROSS | 50,364 | +15,422 | 3.0% | +0.9 pts |
| Health Care Service Corporation | 36,380 | −1,389 | 2.2% | −0.1 pts |
| Thomas Jefferson University | 28,259 | +11,792 | 1.7% | +0.7 pts |
| Devoted Health, Inc. | 17,051 | +11,123 | 1.0% | +0.7 pts |
| Elevance Health, Inc. | 16,658 | −620 | 1.0% | −0.1 pts |
| Centene Corporation | 14,430 | −2,588 | 0.9% | −0.2 pts |
| UMWA Health and Retirement Funds | 4,917 | −208 | 0.3% | −0.02 pts |
| Trinity Health Corporation | 1,234 | −38 | under 0.1% | −0.00 pts |
| Rifkin Managed Care Holding, LLC | 869 | +75 | under 0.1% | +0.00 pts |
| One Senior Care, Inc. | 773 | +76 | under 0.1% | +0.00 pts |
| Clover Health Holdings, Inc. | 694 | +130 | under 0.1% | +0.01 pts |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 637 | −25 | under 0.1% | −0.00 pts |
| Lutheran SeniorLife | 629 | +10 | under 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.