TRYNYTYhealth:enablement
MA Enrollment Explorer / States / Texas

Medicare Advantage in Texas: enrollment, penetration and market share

2,777,138 people in Texas were enrolled in Medicare Advantage in October 2026. 54.8% of the state's 5,063,557 eligible Medicare beneficiaries are in Medicare Advantage, +0.2 pts since October 2025. UnitedHealth Group, Inc. is the largest parent organization with 48% of reported enrollment; 33 parent organizations have 11 or more members, and the market's HHI is 2,887 (highly concentrated). Through the 2026 Annual Election Period (December to February), reported MA enrollment in Texas changed by +37,707 (+1.4%).

54.8%MA penetration, October 2026
2.78MMA enrollees
33parent organizations (11+ members)
2,887HHI, highly concentrated
Open Texas on the market mapMSSP ACOs in Texas

Parent organizations in Texas

Parent organizationMembersChangeShareShare change
UnitedHealth Group, Inc.1,319,235−47,10047.7%−3.4 pts
Humana Inc.553,636+110,84020.0%+3.5 pts
Health Care Service Corporation309,097−9,27711.2%−0.7 pts
CVS Health Corporation202,485−11,4337.3%−0.7 pts
Centene Corporation106,842−23,5413.9%−1.0 pts
Elevance Health, Inc.72,172+7,4342.6%+0.2 pts
Devoted Health, Inc.58,523+31,1292.1%+1.1 pts
Baylor Scott & White Health47,860+8,7081.7%+0.3 pts
Universal Health Services, Inc.25,177+12,8280.9%+0.4 pts
Memorial Hermann Health System14,571+1,8160.5%+0.05 pts
Molina Healthcare, Inc.12,187−5710.4%−0.04 pts
Alignment Healthcare USA, LLC10,780+4,1410.4%+0.1 pts
CHRISTUS Health7,611+1,4480.3%+0.04 pts
SCAN Group4,984+4,3700.2%+0.2 pts
Verda Healthcare, Inc.3,880+6850.1%+0.02 pts
Regency ISNP Holdings LLC2,832+3110.1%+0.01 pts
Rifkin Managed Care Holding, LLC2,427−752under 0.1%−0.03 pts
El Paso County Hospital District2,118+1,204under 0.1%+0.04 pts
Blue Cross Blue Shield of Michigan Mutual Ins. Co.1,455−76under 0.1%−0.00 pts
Highmark Health1,254−21under 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
Harris County410,22761.4%UnitedHealth Group, Inc. 36%
Bexar County203,80259.0%UnitedHealth Group, Inc. 47%
Dallas County201,26354.9%UnitedHealth Group, Inc. 53%
Tarrant County184,01655.5%UnitedHealth Group, Inc. 60%
El Paso County116,71874.9%UnitedHealth Group, Inc. 38%
Hidalgo County99,02778.0%UnitedHealth Group, Inc. 30%
Travis County77,51446.9%UnitedHealth Group, Inc. 50%
Fort Bend County77,10755.6%UnitedHealth Group, Inc. 42%
Collin County70,77142.7%UnitedHealth Group, Inc. 58%
Montgomery County65,18952.1%UnitedHealth Group, Inc. 42%
Denton County62,26745.0%UnitedHealth Group, Inc. 59%
Cameron County55,64175.1%UnitedHealth Group, Inc. 35%
Williamson County50,16247.3%UnitedHealth Group, Inc. 47%
Nueces County44,26165.2%UnitedHealth Group, Inc. 60%
Galveston County39,87056.1%UnitedHealth Group, Inc. 35%
Brazoria County38,16157.2%UnitedHealth Group, Inc. 40%
Bell County34,28152.4%UnitedHealth Group, Inc. 44%
Lubbock County28,91052.4%UnitedHealth Group, Inc. 48%
Jefferson County27,84360.0%UnitedHealth Group, Inc. 27%
McLennan County27,40754.0%UnitedHealth Group, Inc. 59%
Smith County26,60950.0%UnitedHealth Group, Inc. 37%
Webb County25,84965.0%UnitedHealth Group, Inc. 52%
Johnson County22,96160.5%UnitedHealth Group, Inc. 66%
Comal County21,56844.9%UnitedHealth Group, Inc. 46%
Hays County21,41749.4%UnitedHealth Group, Inc. 50%
Ellis County20,57053.3%UnitedHealth Group, Inc. 64%
Guadalupe County16,83546.8%UnitedHealth Group, Inc. 47%
Grayson County15,80647.8%UnitedHealth Group, Inc. 63%
Parker County15,60044.5%UnitedHealth Group, Inc. 61%
Brazos County15,45650.5%UnitedHealth Group, Inc. 49%
Gregg County15,08455.2%UnitedHealth Group, Inc. 38%
Kaufman County14,83554.0%UnitedHealth Group, Inc. 65%
Henderson County12,62753.3%UnitedHealth Group, Inc. 42%
Taylor County12,12643.1%UnitedHealth Group, Inc. 82%
Tom Green County12,07248.6%UnitedHealth Group, Inc. 55%
Ector County11,93954.5%UnitedHealth Group, Inc. 60%
Randall County11,15240.6%UnitedHealth Group, Inc. 54%
Victoria County10,87154.2%UnitedHealth Group, Inc. 67%
Liberty County10,76464.5%UnitedHealth Group, Inc. 29%
Potter County10,53950.9%UnitedHealth Group, Inc. 45%
Bastrop County10,49354.4%UnitedHealth Group, Inc. 50%
Hunt County10,42447.5%UnitedHealth Group, Inc. 80%
Hood County10,29748.7%UnitedHealth Group, Inc. 64%
San Patricio County9,95067.6%UnitedHealth Group, Inc. 56%
Wichita County9,90236.8%UnitedHealth Group, Inc. 84%
Orange County9,65754.9%Humana Inc. 31%
Angelina County9,65550.6%UnitedHealth Group, Inc. 41%
Rockwall County9,38943.4%UnitedHealth Group, Inc. 63%
Midland County9,23040.8%UnitedHealth Group, Inc. 60%
Maverick County9,04377.2%UnitedHealth Group, Inc. 90%
Bowie County9,02543.7%Humana Inc. 56%
Starr County9,01384.5%UnitedHealth Group, Inc. 41%
Polk County8,93746.8%UnitedHealth Group, Inc. 36%
Wood County8,32349.9%UnitedHealth Group, Inc. 51%
Van Zandt County8,01753.8%UnitedHealth Group, Inc. 52%
Wise County7,95449.8%UnitedHealth Group, Inc. 53%
Harrison County7,77352.2%UnitedHealth Group, Inc. 42%
Walker County7,44558.6%UnitedHealth Group, Inc. 59%
Hardin County7,26754.9%UnitedHealth Group, Inc. 31%
Burnet County7,04344.8%UnitedHealth Group, Inc. 51%
Medina County6,88157.2%UnitedHealth Group, Inc. 46%
Atascosa County6,76564.1%UnitedHealth Group, Inc. 55%
Nacogdoches County6,61151.6%UnitedHealth Group, Inc. 49%
Coryell County6,37850.5%UnitedHealth Group, Inc. 53%
Kerr County6,37435.6%Humana Inc. 44%
Anderson County6,33254.4%UnitedHealth Group, Inc. 57%
Jim Wells County6,24671.1%UnitedHealth Group, Inc. 61%
Cherokee County6,21753.1%UnitedHealth Group, Inc. 61%
Rusk County6,06552.8%UnitedHealth Group, Inc. 42%
Wilson County6,03050.9%UnitedHealth Group, Inc. 46%
Navarro County6,01352.2%UnitedHealth Group, Inc. 56%
Kendall County5,72439.7%UnitedHealth Group, Inc. 46%
Val Verde County5,53360.3%UnitedHealth Group, Inc. 87%
Hill County5,53255.6%UnitedHealth Group, Inc. 61%
Upshur County5,51753.8%Humana Inc. 39%
Aransas County5,10957.4%UnitedHealth Group, Inc. 45%
Caldwell County4,96455.6%UnitedHealth Group, Inc. 54%
Waller County4,75651.2%UnitedHealth Group, Inc. 30%
Jasper County4,73051.6%UnitedHealth Group, Inc. 34%
Lamar County4,51437.4%UnitedHealth Group, Inc. 54%
Wharton County4,50248.1%UnitedHealth Group, Inc. 59%
Matagorda County4,46354.1%UnitedHealth Group, Inc. 50%
Chambers County4,41252.5%CVS Health Corporation 29%
Cass County4,33951.5%Humana Inc. 51%
Washington County4,32740.8%UnitedHealth Group, Inc. 44%
San Jacinto County4,32557.9%UnitedHealth Group, Inc. 38%
Cooke County4,17341.7%UnitedHealth Group, Inc. 68%
Bandera County4,06448.8%Humana Inc. 44%
Llano County4,05647.0%UnitedHealth Group, Inc. 55%
Brown County3,99739.7%UnitedHealth Group, Inc. 49%
Hopkins County3,97545.5%UnitedHealth Group, Inc. 68%
Milam County3,92459.5%UnitedHealth Group, Inc. 43%
Fannin County3,89646.2%UnitedHealth Group, Inc. 65%
Grimes County3,86050.7%UnitedHealth Group, Inc. 60%
Kleberg County3,83269.8%UnitedHealth Group, Inc. 64%
Austin County3,54144.6%UnitedHealth Group, Inc. 57%
Erath County3,53744.6%UnitedHealth Group, Inc. 67%
Bee County3,50967.5%UnitedHealth Group, Inc. 68%
Uvalde County3,38157.5%UnitedHealth Group, Inc. 87%
Palo Pinto County3,23245.1%UnitedHealth Group, Inc. 57%
Willacy County3,01479.9%UnitedHealth Group, Inc. 30%
Houston County3,00051.4%UnitedHealth Group, Inc. 82%
Hale County2,99451.2%UnitedHealth Group, Inc. 61%
Gillespie County2,98729.9%UnitedHealth Group, Inc. 46%
Bosque County2,97252.5%UnitedHealth Group, Inc. 56%
Limestone County2,94253.1%UnitedHealth Group, Inc. 54%
Titus County2,94249.7%Humana Inc. 46%
Shelby County2,87653.1%UnitedHealth Group, Inc. 72%
Tyler County2,87453.7%UnitedHealth Group, Inc. 41%
Lampasas County2,87043.6%UnitedHealth Group, Inc. 58%
Fayette County2,78634.6%Humana Inc. 42%
Panola County2,78548.8%UnitedHealth Group, Inc. 63%
Trinity County2,77456.9%UnitedHealth Group, Inc. 69%
Burleson County2,73250.3%UnitedHealth Group, Inc. 29%
Leon County2,70447.5%UnitedHealth Group, Inc. 53%
Calhoun County2,44351.5%UnitedHealth Group, Inc. 65%
Freestone County2,44049.9%UnitedHealth Group, Inc. 52%
Eastland County2,42147.5%UnitedHealth Group, Inc. 67%
Howard County2,40245.1%UnitedHealth Group, Inc. 58%
Colorado County2,32936.7%Humana Inc. 39%
Falls County2,32961.9%UnitedHealth Group, Inc. 61%
Hockley County2,32352.8%UnitedHealth Group, Inc. 45%
Robertson County2,31151.4%UnitedHealth Group, Inc. 54%
DeWitt County2,29746.3%UnitedHealth Group, Inc. 71%
Gonzales County2,21247.6%UnitedHealth Group, Inc. 52%
Montague County2,17037.0%UnitedHealth Group, Inc. 59%
Lavaca County2,12336.6%UnitedHealth Group, Inc. 46%
Frio County2,04470.9%UnitedHealth Group, Inc. 69%
Lee County1,98845.1%UnitedHealth Group, Inc. 40%
Morris County1,88748.6%UnitedHealth Group, Inc. 56%
Hutchinson County1,86042.6%UnitedHealth Group, Inc. 58%
Rains County1,76847.7%UnitedHealth Group, Inc. 75%
Blanco County1,74439.7%UnitedHealth Group, Inc. 55%
Marion County1,69852.1%UnitedHealth Group, Inc. 44%
Duval County1,69569.0%UnitedHealth Group, Inc. 74%
Jones County1,64243.5%UnitedHealth Group, Inc. 78%
Gray County1,64039.6%UnitedHealth Group, Inc. 49%
Zapata County1,63874.9%UnitedHealth Group, Inc. 52%
Red River County1,61544.4%Humana Inc. 46%
Zavala County1,61175.6%UnitedHealth Group, Inc. 91%
Callahan County1,61041.5%UnitedHealth Group, Inc. 45%
Jackson County1,58545.0%Humana Inc. 35%
Nolan County1,57148.2%UnitedHealth Group, Inc. 82%
Newton County1,52857.9%Humana Inc. 28%
Camp County1,49247.0%UnitedHealth Group, Inc. 62%
Karnes County1,47949.8%UnitedHealth Group, Inc. 57%
Madison County1,45353.3%UnitedHealth Group, Inc. 61%
Comanche County1,44238.2%UnitedHealth Group, Inc. 39%
Sabine County1,40838.2%UnitedHealth Group, Inc. 67%
Deaf Smith County1,40449.6%UnitedHealth Group, Inc. 70%
Live Oak County1,34554.7%UnitedHealth Group, Inc. 47%
Dimmit County1,33369.1%UnitedHealth Group, Inc. 77%
Hamilton County1,30450.6%UnitedHealth Group, Inc. 60%
Lamb County1,29347.9%UnitedHealth Group, Inc. 51%
Andrews County1,27550.5%UnitedHealth Group, Inc. 73%
Scurry County1,27340.7%UnitedHealth Group, Inc. 67%
Franklin County1,26144.8%UnitedHealth Group, Inc. 52%
Young County1,26127.0%UnitedHealth Group, Inc. 51%
San Augustine County1,24748.6%UnitedHealth Group, Inc. 79%
Somervell County1,23147.6%UnitedHealth Group, Inc. 62%
Terry County1,23059.5%UnitedHealth Group, Inc. 60%
Pecos County1,20548.5%UnitedHealth Group, Inc. 80%
Brooks County1,11871.2%UnitedHealth Group, Inc. 71%
Wilbarger County1,10538.4%UnitedHealth Group, Inc. 68%
Moore County1,09839.5%UnitedHealth Group, Inc. 74%
Refugio County1,08757.9%UnitedHealth Group, Inc. 75%
Dawson County1,08047.9%UnitedHealth Group, Inc. 67%
Goliad County98349.6%UnitedHealth Group, Inc. 74%
Brewster County92439.0%UnitedHealth Group, Inc. 62%
Stephens County92140.7%Humana Inc. 45%
McCulloch County90939.6%UnitedHealth Group, Inc. 45%
Clay County90131.1%UnitedHealth Group, Inc. 91%
Gaines County88237.8%UnitedHealth Group, Inc. 64%
Coleman County83131.0%UnitedHealth Group, Inc. 42%
Presidio County83145.7%UnitedHealth Group, Inc. 81%
Runnels County81430.9%UnitedHealth Group, Inc. 45%
Ward County77340.0%UnitedHealth Group, Inc. 61%
La Salle County74963.7%UnitedHealth Group, Inc. 69%
Reeves County74334.9%UnitedHealth Group, Inc. 55%
Crosby County74056.6%UnitedHealth Group, Inc. 68%
Jim Hogg County72071.0%UnitedHealth Group, Inc. 80%
San Saba County69042.3%UnitedHealth Group, Inc. 46%
Jack County68333.7%UnitedHealth Group, Inc. 85%
Delta County64947.5%UnitedHealth Group, Inc. 65%
Archer County63227.6%UnitedHealth Group, Inc. 94%
Mitchell County62039.7%UnitedHealth Group, Inc. 59%
Mills County61540.1%UnitedHealth Group, Inc. 62%
Swisher County60841.8%UnitedHealth Group, Inc. 69%
Lynn County56549.2%UnitedHealth Group, Inc. 63%
Childress County56442.6%UnitedHealth Group, Inc. 66%
Floyd County55745.2%UnitedHealth Group, Inc. 81%
Yoakum County54541.1%UnitedHealth Group, Inc. 55%
Carson County52239.8%UnitedHealth Group, Inc. 53%
Hudspeth County51953.7%Humana Inc. 36%
Real County51938.6%Humana Inc. 51%
Castro County51339.6%UnitedHealth Group, Inc. 72%
Mason County50235.0%UnitedHealth Group, Inc. 57%
Haskell County49333.5%UnitedHealth Group, Inc. 51%
Garza County46853.2%UnitedHealth Group, Inc. 72%
Winkler County44740.2%UnitedHealth Group, Inc. 70%
Coke County42541.1%Humana Inc. 51%
Bailey County40736.3%UnitedHealth Group, Inc. 70%
Kimble County39426.7%UnitedHealth Group, Inc. 63%
Kinney County38941.8%UnitedHealth Group, Inc. 60%
Parmer County38925.0%UnitedHealth Group, Inc. 76%
Concho County34443.9%Humana Inc. 42%
Fisher County33434.0%UnitedHealth Group, Inc. 62%
Hall County32943.6%Humana Inc. 49%
Shackelford County32538.1%Humana Inc. 47%
Donley County32333.5%UnitedHealth Group, Inc. 58%
Ochiltree County32222.1%UnitedHealth Group, Inc. 70%
Hardeman County31934.0%UnitedHealth Group, Inc. 79%
Wheeler County30526.4%UnitedHealth Group, Inc. 67%
Knox County30132.3%UnitedHealth Group, Inc. 72%
Martin County29738.2%Humana Inc. 47%
Baylor County29631.8%UnitedHealth Group, Inc. 71%
Crane County29440.7%UnitedHealth Group, Inc. 62%
Edwards County29144.9%Humana Inc. 68%
Menard County29141.8%UnitedHealth Group, Inc. 59%
Dallam County28130.4%UnitedHealth Group, Inc. 58%
Crockett County27636.0%UnitedHealth Group, Inc. 76%
Upton County26940.2%UnitedHealth Group, Inc. 61%
Cochran County26250.2%UnitedHealth Group, Inc. 61%
Jeff Davis County25435.5%UnitedHealth Group, Inc. 66%
Schleicher County22433.2%UnitedHealth Group, Inc. 56%
Dickens County22138.7%UnitedHealth Group, Inc. 62%
Hansford County21824.1%UnitedHealth Group, Inc. 74%
Sutton County21624.7%UnitedHealth Group, Inc. 77%
Hartley County20731.3%UnitedHealth Group, Inc. 62%
Armstrong County20038.8%UnitedHealth Group, Inc. 57%
Lipscomb County18326.3%UnitedHealth Group, Inc. 70%
Reagan County18035.0%UnitedHealth Group, Inc. 61%
Cottle County17842.8%UnitedHealth Group, Inc. 82%
Collingsworth County17125.3%UnitedHealth Group, Inc. 79%
Hemphill County16924.4%UnitedHealth Group, Inc. 67%
Culberson County15231.0%UnitedHealth Group, Inc. 86%
Briscoe County14834.9%UnitedHealth Group, Inc. 67%
Irion County13233.3%Humana Inc. 52%
Oldham County12829.5%UnitedHealth Group, Inc. 83%
Throckmorton County12832.6%UnitedHealth Group, Inc. 54%
Sherman County11829.5%UnitedHealth Group, Inc. 64%
Motley County11432.7%UnitedHealth Group, Inc. 70%
Foard County11236.1%UnitedHealth Group, Inc. 80%
Stonewall County10024.3%UnitedHealth Group, Inc. 74%
Terrell County9641.6%UnitedHealth Group, Inc. 76%
Kent County9441.4%UnitedHealth Group, Inc. 72%
McMullen County7739.5%UnitedHealth Group, Inc. 100%
Sterling County7227.7%UnitedHealth Group, Inc. 59%
Roberts County6028.6%UnitedHealth Group, Inc. 73%
Glasscock County4719.0%UnitedHealth Group, Inc. 69%
Borden County3024.0%UnitedHealth Group, Inc. 100%
Kenedy County2445.3%
King County0n/a
Loving County0n/a