Alabama Medicare Advantage market share
In September 2026, 695,994 Alabama Medicare beneficiaries were enrolled in a Medicare Advantage plan across 80 parent carriers and 67 counties, led by Humana Inc. with 33.2% of counted enrollment.
Data month
September 2026
Advantage enrollees
695,994
+2.5% vs September 2025
Parent carriers
80
Advantage penetration
59.4%
CMS Medicare Monthly Enrollment, 2024
Carriers in Alabama
CMS Monthly Enrollment by Contract/Plan/State/County (CPSC) · September 2026
| # | Parent organisation | Enrollees | Share | Counties | vs September 2025 |
|---|---|---|---|---|---|
| 1 | Humana Inc. | 230,973 | 33.2% | 67 | +85.6% |
| 2 | UnitedHealth Group, Inc. | 160,635 | 23.1% | 67 | -37.0% |
| 3 | BlueCross BlueShield of Alabama | 113,931 | 16.4% | 67 | +1.6% |
| 4 | Health Care Service Corporation | 51,911 | 7.5% | 67 | -0.4% |
| 5 | Triton Health Systems, L.L.C. | 51,445 | 7.4% | 67 | -1.6% |
| 6 | CVS Health Corporation | 41,597 | 6.0% | 67 | -17.8% |
| 7 | Devoted Health, Inc. | 25,052 | 3.6% | 50 | +96.0% |
| 8 | Elevance Health, Inc. | 10,342 | 1.5% | 67 | +1.8% |
| 9 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 3,545 | 0.5% | 67 | -4.0% |
| 10 | Associated Care Ventures, Inc. | 3,368 | 0.5% | 67 | +20.5% |
| 11 | Highmark Health | 3,156 | 0.5% | 67 | -3.6% |
| 12 | BlueCross BlueShield of Tennessee | 14 | 0.0% | 67 | 0.0% |
| 13 | Louisiana Health Service & Indemnity Company | 13 | 0.0% | 67 | — |
| 14 | California Physicians' Service | 12 | 0.0% | 67 | — |
| 15 | Alignment Healthcare USA, LLC | 0 | 0.0% | 67 | — |
| 16 | Allina Health and Aetna Insurance Holding Company | 0 | 0.0% | 67 | — |
| 17 | Athena Healthcare Holdings, LLC | 0 | 0.0% | 4 | — |
| 18 | ATRIO Health Plans | 0 | 0.0% | 1 | — |
| 19 | Aultman Health Foundation | 0 | 0.0% | 67 | — |
| 20 | Aware Integrated, Inc. | 0 | 0.0% | 67 | — |
| 21 | BayCare Health System, Inc. | 0 | 0.0% | 3 | — |
| 22 | Baystate Health, Inc. | 0 | 0.0% | 67 | — |
| 23 | Bexar County Hospital District | 0 | 0.0% | 1 | — |
| 24 | Blue Cross & Blue Shield of Rhode Island | 0 | 0.0% | 67 | — |
| 25 | Blue Cross and Blue Shield of Massachusetts, Inc. | 0 | 0.0% | 67 | — |
| 26 | Blue Cross Blue Shield of Kansas | 0 | 0.0% | 67 | — |
| 27 | Blue Cross Blue Shield of Nebraska | 0 | 0.0% | 67 | — |
| 28 | BlueCross BlueShield of South Carolina (BCBSSC) | 0 | 0.0% | 67 | — |
| 29 | Cambia Health Solutions, Inc. | 0 | 0.0% | 67 | — |
| 30 | CAPITAL BLUE CROSS | 0 | 0.0% | 67 | — |
| 31 | CareFirst, Inc. | 0 | 0.0% | 67 | — |
| 32 | CareSource | 0 | 0.0% | 10 | — |
| 33 | Centene Corporation | 0 | 0.0% | 23 | — |
| 34 | Community Health Group | 0 | 0.0% | 2 | — |
| 35 | Corewell Health | 0 | 0.0% | 67 | — |
| 36 | CuraCor Solutions Corp. | 0 | 0.0% | 67 | — |
| 37 | Denver Health and Hospital Authority | 0 | 0.0% | 1 | — |
| 38 | Elderplan, Inc. | 0 | 0.0% | 1 | — |
| 39 | EmblemHealth, Inc. | 0 | 0.0% | 67 | — |
| 40 | Fallon Community Health Plan, Inc. | 0 | 0.0% | 67 | — |
| 41 | Fenyx Health Holdings, Inc. | 0 | 0.0% | 67 | — |
| 42 | General Catalyst Group Management Holdings LP | 0 | 0.0% | 67 | — |
| 43 | Gold Kidney Health Plan | 0 | 0.0% | 1 | — |
| 44 | Guidewell Mutual Holding Corporation | 0 | 0.0% | 67 | — |
| 45 | Hawaii Medical Service Association | 0 | 0.0% | 67 | — |
| 46 | Health First Shared Services, Inc. | 0 | 0.0% | 1 | — |
| 47 | Healthfirst, Inc. | 0 | 0.0% | 67 | — |
| 48 | HealthPartners, Inc. | 0 | 0.0% | 67 | — |
| 49 | Henry Ford Health System | 0 | 0.0% | 67 | — |
| 50 | Horizon Mutual Holdings, Inc | 0 | 0.0% | 67 | — |
| 51 | Independence Health Group, Inc. | 0 | 0.0% | 67 | — |
| 52 | Independent Health Association, Inc. | 0 | 0.0% | 67 | — |
| 53 | INLAND EMPIRE HEALTH PLAN | 0 | 0.0% | 1 | — |
| 54 | Intermountain Health Care, Inc. | 0 | 0.0% | 1 | — |
| 55 | Johns Hopkins Healthcare LLC | 0 | 0.0% | 1 | — |
| 56 | Kaiser Foundation Health Plan, Inc. | 0 | 0.0% | 15 | — |
| 57 | Lifetime Healthcare, Inc. | 0 | 0.0% | 67 | — |
| 58 | Lumeris Group Holdings Corporation | 0 | 0.0% | 1 | — |
| 59 | Martin's Point Health Care, Inc. | 0 | 0.0% | 67 | — |
| 60 | Medica Holding Company | 0 | 0.0% | 67 | — |
| 61 | MEDICAL MUTUAL OF OHIO | 0 | 0.0% | 67 | — |
| 62 | Memorial Hermann Health System | 0 | 0.0% | 1 | — |
| 63 | MHH Healthcare, L.P. | 0 | 0.0% | 4 | — |
| 64 | Mitchell Family Office | 0 | 0.0% | 1 | — |
| 65 | Molina Healthcare, Inc. | 0 | 0.0% | 5 | — |
| 66 | MVP Health Care, Inc. | 0 | 0.0% | 67 | — |
| 67 | Network Health, Inc. | 0 | 0.0% | 67 | — |
| 68 | New York City Health and Hospitals Corporation | 0 | 0.0% | 1 | — |
| 69 | Presbyterian Healthcare Services | 0 | 0.0% | 1 | — |
| 70 | Providence St Joseph Health | 0 | 0.0% | 1 | — |
| 71 | Risant Health, Inc. | 0 | 0.0% | 1 | — |
| 72 | SCAN Group | 0 | 0.0% | 4 | — |
| 73 | The Health Plan of West Virginia, Inc. | 0 | 0.0% | 67 | — |
| 74 | The Regents of the University of California | 0 | 0.0% | 1 | — |
| 75 | Trinity Health Corporation | 0 | 0.0% | 2 | — |
| 76 | Ultimate Healthcare Holdings, LLC | 0 | 0.0% | 2 | — |
| 77 | Universal Health Services, Inc. | 0 | 0.0% | 1 | — |
| 78 | UPMC Health System | 0 | 0.0% | 67 | — |
| 79 | USAble Mutual Insurance Company | 0 | 0.0% | 67 | — |
| 80 | Zing Health Consolidator, Inc | 0 | 0.0% | 2 | — |
County view
Leading carrier and Advantage enrollment in each Alabama county. Penetration is from CMS Medicare Monthly Enrollment, 2024.
| County | Advantage enrollees | Leading carrier | Leader share | Carriers | Penetration |
|---|---|---|---|---|---|
| Jefferson | 91,877 | Humana Inc. | 22.1% | 58 | 65.8% |
| Mobile | 64,232 | Humana Inc. | 32.7% | 58 | 68.7% |
| Baldwin | 38,799 | Humana Inc. | 33.0% | 56 | 56.7% |
| Madison | 37,628 | Humana Inc. | 32.9% | 58 | 44.7% |
| Montgomery | 29,212 | UnitedHealth Group, Inc. | 33.2% | 55 | 61.7% |
| Shelby | 27,903 | BlueCross BlueShield of Alabama | 30.8% | 52 | 60.2% |
| Tuscaloosa | 22,569 | Humana Inc. | 51.8% | 51 | 58.6% |
| Etowah | 17,483 | Humana Inc. | 29.4% | 50 | 63.0% |
| Lee | 17,100 | Humana Inc. | 61.0% | 55 | 55.5% |
| Houston | 16,034 | Humana Inc. | 40.2% | 54 | 58.9% |
| Calhoun | 15,832 | Humana Inc. | 28.0% | 53 | 54.0% |
| Morgan | 15,184 | Humana Inc. | 36.6% | 50 | 51.8% |
| St. Clair | 14,591 | Triton Health Systems, L.L.C. | 22.3% | 50 | 65.7% |
| Talladega | 13,999 | UnitedHealth Group, Inc. | 29.4% | 51 | 65.1% |
| Lauderdale | 12,929 | Humana Inc. | 42.9% | 51 | 52.5% |
| Cullman | 12,851 | Humana Inc. | 26.6% | 50 | 56.9% |
| Marshall | 12,493 | Humana Inc. | 31.7% | 53 | 53.4% |
| Elmore | 12,221 | Humana Inc. | 34.4% | 52 | 58.4% |
| Limestone | 11,560 | Humana Inc. | 38.1% | 52 | 50.0% |
| Walker | 11,108 | UnitedHealth Group, Inc. | 24.1% | 51 | 65.5% |
| DeKalb | 9,575 | Humana Inc. | 29.4% | 51 | 55.7% |
| Blount | 8,845 | UnitedHealth Group, Inc. | 21.9% | 50 | 66.1% |
| Colbert | 8,427 | Humana Inc. | 45.3% | 53 | 55.3% |
| Jackson | 7,792 | Humana Inc. | 33.8% | 50 | 52.8% |
| Autauga | 7,618 | Humana Inc. | 29.4% | 51 | 59.0% |
| Russell | 7,412 | Humana Inc. | 42.9% | 53 | 57.6% |
| Tallapoosa | 7,351 | Humana Inc. | 28.2% | 50 | 60.9% |
| Chilton | 7,324 | UnitedHealth Group, Inc. | 22.3% | 50 | 71.0% |
| Dallas | 7,117 | UnitedHealth Group, Inc. | 36.5% | 51 | 70.3% |
| Dale | 6,699 | Humana Inc. | 42.6% | 52 | 54.9% |
| Coffee | 6,384 | Humana Inc. | 45.1% | 51 | 51.0% |
| Covington | 6,087 | UnitedHealth Group, Inc. | 38.9% | 49 | 54.9% |
| Chambers | 6,043 | Humana Inc. | 64.9% | 51 | 63.0% |
| Escambia | 5,651 | UnitedHealth Group, Inc. | 47.8% | 51 | 60.5% |
| Cherokee | 4,815 | Humana Inc. | 28.7% | 52 | 59.0% |
| Lawrence | 4,703 | Humana Inc. | 37.7% | 50 | 57.2% |
| Pike | 4,528 | Humana Inc. | 37.5% | 50 | 63.9% |
| Geneva | 4,348 | Humana Inc. | 39.4% | 51 | 58.4% |
| Clarke | 4,312 | Humana Inc. | 52.4% | 50 | 66.9% |
| Barbour | 4,229 | UnitedHealth Group, Inc. | 45.9% | 50 | 66.0% |
| Marion | 3,736 | Humana Inc. | 39.4% | 50 | 47.5% |
| Randolph | 3,709 | Humana Inc. | 28.4% | 50 | 57.8% |
| Winston | 3,643 | Humana Inc. | 34.4% | 51 | 55.6% |
| Monroe | 3,586 | UnitedHealth Group, Inc. | 46.5% | 50 | 65.8% |
| Franklin | 3,517 | Humana Inc. | 50.0% | 50 | 50.7% |
| Marengo | 3,423 | Humana Inc. | 57.9% | 50 | 61.2% |
| Henry | 3,384 | Humana Inc. | 43.9% | 50 | 64.9% |
| Butler | 3,284 | UnitedHealth Group, Inc. | 40.3% | 50 | 63.1% |
| Bibb | 3,119 | Humana Inc. | 29.4% | 50 | 68.0% |
| Pickens | 3,004 | Humana Inc. | 52.3% | 50 | 57.0% |
| Macon | 2,999 | UnitedHealth Group, Inc. | 41.2% | 52 | 63.9% |
| Hale | 2,826 | Humana Inc. | 58.8% | 49 | 63.9% |
| Washington | 2,804 | Humana Inc. | 55.2% | 52 | 60.6% |
| Fayette | 2,346 | Humana Inc. | 45.2% | 50 | 52.0% |
| Crenshaw | 2,338 | Humana Inc. | 36.1% | 50 | 64.2% |
| Clay | 2,269 | UnitedHealth Group, Inc. | 35.6% | 50 | 61.7% |
| Wilcox | 2,240 | Humana Inc. | 41.1% | 50 | 69.3% |
| Conecuh | 2,234 | UnitedHealth Group, Inc. | 52.2% | 51 | 60.9% |
| Lowndes | 2,197 | UnitedHealth Group, Inc. | 48.7% | 50 | 72.7% |
| Choctaw | 2,172 | Humana Inc. | 58.6% | 49 | 56.0% |
| Sumter | 2,061 | Humana Inc. | 72.8% | 50 | 65.1% |
| Coosa | 1,936 | UnitedHealth Group, Inc. | 41.6% | 50 | 64.4% |
| Cleburne | 1,872 | Humana Inc. | 30.5% | 50 | 51.1% |
| Perry | 1,670 | UnitedHealth Group, Inc. | 50.5% | 49 | 69.0% |
| Greene | 1,627 | Humana Inc. | 61.7% | 49 | 69.8% |
| Lamar | 1,600 | Humana Inc. | 48.4% | 49 | 42.8% |
| Bullock | 1,533 | UnitedHealth Group, Inc. | 42.3% | 50 | 70.1% |
What is missing
CMS suppresses any plan-county cell with fewer than 11 enrollees. Those enrollees are missing from these counts, so every figure is a floor, not an exact total.
What is counted
Counts cover Medicare Advantage contracts only (Local CCP, Regional CCP, PFFS and MSA). Standalone Part D drug plans, cost plans, HCPP and PACE contracts are excluded.
Source: CMS Monthly Enrollment by Contract/Plan/State/County (CPSC).
