Pennsylvania Medicare Advantage market share
In September 2026, 1,635,578 Pennsylvania Medicare beneficiaries were enrolled in a Medicare Advantage plan across 92 parent carriers and 67 counties, led by CVS Health Corporation with 27.2% of counted enrollment.
Data month
September 2026
Advantage enrollees
1,635,578
+1.6% vs September 2025
Parent carriers
92
Advantage penetration
52.9%
CMS Medicare Monthly Enrollment, 2024
Carriers in Pennsylvania
CMS Monthly Enrollment by Contract/Plan/State/County (CPSC) · September 2026
| # | Parent organisation | Enrollees | Share | Counties | vs September 2025 |
|---|---|---|---|---|---|
| 1 | CVS Health Corporation | 444,648 | 27.2% | 67 | +1.2% |
| 2 | Highmark Health | 322,239 | 19.7% | 67 | -4.0% |
| 3 | UPMC Health System | 225,678 | 13.8% | 67 | -1.0% |
| 4 | UnitedHealth Group, Inc. | 148,231 | 9.1% | 67 | -4.0% |
| 5 | Independence Health Group, Inc. | 134,898 | 8.2% | 67 | -5.6% |
| 6 | Humana Inc. | 99,889 | 6.1% | 67 | +19.3% |
| 7 | Risant Health, Inc. | 95,757 | 5.9% | 67 | +0.7% |
| 8 | CAPITAL BLUE CROSS | 50,151 | 3.1% | 67 | +44.8% |
| 9 | Health Care Service Corporation | 36,219 | 2.2% | 67 | -3.6% |
| 10 | Thomas Jefferson University | 27,958 | 1.7% | 42 | +72.0% |
| 11 | Elevance Health, Inc. | 16,414 | 1.0% | 67 | -3.3% |
| 12 | Devoted Health, Inc. | 15,960 | 1.0% | 58 | +170.7% |
| 13 | Centene Corporation | 14,028 | 0.9% | 66 | -12.8% |
| 14 | Rifkin Managed Care Holding, LLC | 840 | 0.1% | 19 | +8.8% |
| 15 | Clover Health Holdings, Inc. | 674 | 0.0% | 16 | +21.0% |
| 16 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 614 | 0.0% | 67 | -2.8% |
| 17 | Mitchell Family Office | 476 | 0.0% | 31 | +45.1% |
| 18 | West Virginia United Health System, Inc. | 412 | 0.0% | 4 | — |
| 19 | CareFirst, Inc. | 244 | 0.0% | 67 | +100.0% |
| 20 | Lifetime Healthcare, Inc. | 100 | 0.0% | 67 | -2.0% |
| 21 | Horizon Mutual Holdings, Inc | 97 | 0.0% | 67 | +38.6% |
| 22 | Perennial Consortium, LLC | 51 | 0.0% | 8 | — |
| 23 | Alignment Healthcare USA, LLC | 0 | 0.0% | 67 | — |
| 24 | Allina Health and Aetna Insurance Holding Company | 0 | 0.0% | 67 | — |
| 25 | Athena Healthcare Holdings, LLC | 0 | 0.0% | 4 | — |
| 26 | ATRIO Health Plans | 0 | 0.0% | 1 | — |
| 27 | Aultman Health Foundation | 0 | 0.0% | 67 | — |
| 28 | Aware Integrated, Inc. | 0 | 0.0% | 67 | — |
| 29 | BayCare Health System, Inc. | 0 | 0.0% | 1 | — |
| 30 | Baystate Health, Inc. | 0 | 0.0% | 67 | — |
| 31 | Blue Cross & Blue Shield of Rhode Island | 0 | 0.0% | 67 | — |
| 32 | Blue Cross and Blue Shield of Massachusetts, Inc. | 0 | 0.0% | 67 | — |
| 33 | Blue Cross Blue Shield of Arizona | 0 | 0.0% | 1 | — |
| 34 | Blue Cross Blue Shield of Kansas | 0 | 0.0% | 67 | — |
| 35 | Blue Cross Blue Shield of Nebraska | 0 | 0.0% | 67 | — |
| 36 | BlueCross BlueShield of Alabama | 0 | 0.0% | 67 | — |
| 37 | BlueCross BlueShield of South Carolina (BCBSSC) | 0 | 0.0% | 67 | — |
| 38 | BlueCross BlueShield of Tennessee | 0 | 0.0% | 67 | — |
| 39 | California Physicians' Service | 0 | 0.0% | 67 | — |
| 40 | Cambia Health Solutions, Inc. | 0 | 0.0% | 67 | — |
| 41 | CareSource | 0 | 0.0% | 13 | — |
| 42 | Champion Health Plans-USA, LLC. | 0 | 0.0% | 1 | — |
| 43 | Corewell Health | 0 | 0.0% | 67 | — |
| 44 | CoxHealth | 0 | 0.0% | 1 | — |
| 45 | CuraCor Solutions Corp. | 0 | 0.0% | 67 | — |
| 46 | Elderplan, Inc. | 0 | 0.0% | 9 | — |
| 47 | EmblemHealth, Inc. | 0 | 0.0% | 67 | — |
| 48 | Fallon Community Health Plan, Inc. | 0 | 0.0% | 67 | — |
| 49 | Fenyx Health Holdings, Inc. | 0 | 0.0% | 67 | — |
| 50 | General Catalyst Group Management Holdings LP | 0 | 0.0% | 67 | — |
| 51 | Gold Kidney Health Plan | 0 | 0.0% | 1 | — |
| 52 | Guidewell Mutual Holding Corporation | 0 | 0.0% | 67 | — |
| 53 | Hawaii Medical Service Association | 0 | 0.0% | 67 | — |
| 54 | Health Plan of San Mateo | 0 | 0.0% | 1 | — |
| 55 | Healthfirst, Inc. | 0 | 0.0% | 67 | — |
| 56 | HealthPartners, Inc. | 0 | 0.0% | 67 | — |
| 57 | Henry Ford Health System | 0 | 0.0% | 67 | — |
| 58 | Imperial Health Plan of California | 0 | 0.0% | 2 | — |
| 59 | Independent Health Association, Inc. | 0 | 0.0% | 67 | — |
| 60 | Intermountain Health Care, Inc. | 0 | 0.0% | 1 | — |
| 61 | Johns Hopkins Healthcare LLC | 0 | 0.0% | 67 | — |
| 62 | Kaiser Foundation Health Plan, Inc. | 0 | 0.0% | 22 | — |
| 63 | LifeBridge Health, Inc. | 0 | 0.0% | 3 | — |
| 64 | Longevity Health Founders, LLC | 0 | 0.0% | 4 | — |
| 65 | Louisiana Health Service & Indemnity Company | 0 | 0.0% | 67 | — |
| 66 | Lumeris Group Holdings Corporation | 0 | 0.0% | 1 | — |
| 67 | Martin's Point Health Care, Inc. | 0 | 0.0% | 67 | — |
| 68 | Mass General Brigham Incorporated | 0 | 0.0% | 3 | — |
| 69 | McLaren Health Care Corporation | 0 | 0.0% | 1 | — |
| 70 | Medica Holding Company | 0 | 0.0% | 67 | — |
| 71 | MEDICAL MUTUAL OF OHIO | 0 | 0.0% | 67 | — |
| 72 | Mercy Care | 0 | 0.0% | 2 | — |
| 73 | MHH Healthcare, L.P. | 0 | 0.0% | 11 | — |
| 74 | Molina Healthcare, Inc. | 0 | 0.0% | 8 | — |
| 75 | MVP Health Care, Inc. | 0 | 0.0% | 67 | — |
| 76 | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND | 0 | 0.0% | 1 | — |
| 77 | Network Health, Inc. | 0 | 0.0% | 67 | — |
| 78 | Point32Health, Inc. | 0 | 0.0% | 6 | — |
| 79 | Samaritan Health Services, Inc. | 0 | 0.0% | 1 | — |
| 80 | SCAN Group | 0 | 0.0% | 9 | — |
| 81 | Sentara Health Care (SHC) | 0 | 0.0% | 1 | — |
| 82 | Sharp Healthcare | 0 | 0.0% | 1 | — |
| 83 | The Health Plan of West Virginia, Inc. | 0 | 0.0% | 67 | — |
| 84 | Trinity Health Corporation | 0 | 0.0% | 7 | — |
| 85 | Triton Health Systems, L.L.C. | 0 | 0.0% | 1 | — |
| 86 | Ultimate Healthcare Holdings, LLC | 0 | 0.0% | 3 | — |
| 87 | UNICO Services, Inc. | 0 | 0.0% | 2 | — |
| 88 | Universal Health Services, Inc. | 0 | 0.0% | 4 | — |
| 89 | USAble Mutual Insurance Company | 0 | 0.0% | 67 | — |
| 90 | Village Care of New York, Inc. | 0 | 0.0% | 3 | — |
| 91 | VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK | 0 | 0.0% | 2 | — |
| 92 | Visiting Nurse Service of New York | 0 | 0.0% | 7 | — |
County view
Leading carrier and Advantage enrollment in each Pennsylvania county. Penetration is from CMS Medicare Monthly Enrollment, 2024.
| County | Advantage enrollees | Leading carrier | Leader share | Carriers | Penetration |
|---|---|---|---|---|---|
| Allegheny | 193,820 | UPMC Health System | 33.8% | 62 | 67.5% |
| Philadelphia | 160,957 | Independence Health Group, Inc. | 26.4% | 63 | 58.2% |
| Westmoreland | 73,042 | Highmark Health | 33.5% | 58 | 70.4% |
| Montgomery | 70,747 | Independence Health Group, Inc. | 39.4% | 63 | 36.3% |
| Lancaster | 65,590 | CVS Health Corporation | 33.3% | 59 | 50.4% |
| Bucks | 65,193 | Independence Health Group, Inc. | 41.9% | 58 | 40.7% |
| York | 56,223 | CVS Health Corporation | 42.3% | 63 | 51.1% |
| Delaware | 49,279 | Independence Health Group, Inc. | 35.2% | 62 | 38.5% |
| Berks | 44,158 | CVS Health Corporation | 26.7% | 60 | 45.0% |
| Erie | 42,895 | CVS Health Corporation | 44.4% | 54 | 62.2% |
| Lehigh | 39,236 | Highmark Health | 30.4% | 59 | 45.8% |
| Dauphin | 38,690 | CVS Health Corporation | 35.0% | 57 | 59.6% |
| Washington | 37,952 | Highmark Health | 35.3% | 59 | 67.7% |
| Chester | 36,882 | Independence Health Group, Inc. | 29.7% | 60 | 32.3% |
| Luzerne | 35,617 | Risant Health, Inc. | 44.1% | 58 | 42.9% |
| Butler | 35,429 | Highmark Health | 32.8% | 55 | 67.9% |
| Northampton | 35,026 | CVS Health Corporation | 22.2% | 58 | 42.6% |
| Cumberland | 33,365 | CVS Health Corporation | 33.0% | 54 | 51.0% |
| Beaver | 32,357 | Highmark Health | 37.3% | 57 | 70.3% |
| Cambria | 28,234 | UPMC Health System | 49.3% | 56 | 74.8% |
| Lackawanna | 24,127 | Risant Health, Inc. | 41.9% | 57 | 43.3% |
| Fayette | 22,838 | CVS Health Corporation | 36.0% | 54 | 65.2% |
| Blair | 21,211 | UPMC Health System | 44.4% | 52 | 63.2% |
| Mercer | 20,929 | CVS Health Corporation | 39.7% | 53 | 66.4% |
| Lebanon | 19,099 | Highmark Health | 38.5% | 56 | 52.6% |
| Monroe | 17,953 | CVS Health Corporation | 30.5% | 58 | 42.7% |
| Schuylkill | 17,687 | Risant Health, Inc. | 25.0% | 53 | 45.2% |
| Centre | 17,310 | Highmark Health | 37.4% | 52 | 59.8% |
| Lawrence | 17,053 | CVS Health Corporation | 37.6% | 56 | 69.9% |
| Franklin | 17,002 | CVS Health Corporation | 44.5% | 58 | 42.4% |
| Lycoming | 16,827 | Risant Health, Inc. | 33.6% | 54 | 54.4% |
| Indiana | 15,371 | UPMC Health System | 38.8% | 51 | 72.1% |
| Somerset | 14,642 | UPMC Health System | 48.3% | 54 | 68.5% |
| Northumberland | 14,251 | Risant Health, Inc. | 55.9% | 53 | 56.6% |
| Armstrong | 13,624 | Highmark Health | 44.0% | 54 | 73.7% |
| Crawford | 12,832 | CVS Health Corporation | 40.6% | 55 | 54.0% |
| Clearfield | 12,551 | UPMC Health System | 33.4% | 52 | 57.5% |
| Adams | 12,393 | CVS Health Corporation | 45.8% | 53 | 42.5% |
| Venango | 10,364 | UPMC Health System | 46.9% | 52 | 66.7% |
| Bedford | 9,019 | UPMC Health System | 58.1% | 55 | 64.0% |
| Columbia | 8,317 | Risant Health, Inc. | 61.7% | 52 | 48.2% |
| Bradford | 8,030 | Humana Inc. | 21.5% | 52 | 47.3% |
| Carbon | 7,551 | CVS Health Corporation | 26.8% | 52 | 40.0% |
| Jefferson | 7,112 | Highmark Health | 44.4% | 53 | 58.7% |
| Huntingdon | 7,003 | CVS Health Corporation | 36.0% | 52 | 59.7% |
| Mifflin | 6,994 | Risant Health, Inc. | 59.0% | 51 | 58.0% |
| Perry | 6,987 | CVS Health Corporation | 34.2% | 52 | 58.2% |
| Clinton | 6,012 | Risant Health, Inc. | 50.5% | 51 | 62.0% |
| Clarion | 5,919 | UPMC Health System | 39.8% | 54 | 57.0% |
| Tioga | 5,911 | CVS Health Corporation | 25.1% | 52 | 51.1% |
| Pike | 5,841 | CVS Health Corporation | 49.4% | 52 | 33.0% |
| Warren | 5,837 | CVS Health Corporation | 39.9% | 53 | 51.1% |
| McKean | 5,534 | UPMC Health System | 39.6% | 54 | 49.1% |
| Wayne | 5,462 | CVS Health Corporation | 34.8% | 53 | 36.1% |
| Snyder | 5,321 | Risant Health, Inc. | 50.2% | 52 | 57.0% |
| Susquehanna | 5,146 | Risant Health, Inc. | 26.4% | 53 | 43.4% |
| Greene | 5,044 | CVS Health Corporation | 39.5% | 54 | 68.3% |
| Union | 4,791 | Risant Health, Inc. | 46.8% | 51 | 52.2% |
| Elk | 4,032 | Highmark Health | 35.6% | 53 | 42.8% |
| Wyoming | 3,965 | Risant Health, Inc. | 45.7% | 52 | 52.1% |
| Juniata | 3,424 | Risant Health, Inc. | 47.8% | 51 | 60.3% |
| Montour | 2,766 | Risant Health, Inc. | 72.9% | 50 | 59.2% |
| Potter | 2,500 | CVS Health Corporation | 30.2% | 52 | 50.7% |
| Fulton | 1,655 | CVS Health Corporation | 37.8% | 52 | 44.9% |
| Forest | 1,055 | CVS Health Corporation | 44.1% | 53 | 63.8% |
| Sullivan | 886 | Risant Health, Inc. | 41.4% | 52 | 49.6% |
| Cameron | 708 | UPMC Health System | 45.8% | 51 | 55.2% |
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).
