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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 organisationEnrolleesShareCountiesvs September 2025
1CVS Health Corporation444,64827.2%67+1.2%
2Highmark Health322,23919.7%67-4.0%
3UPMC Health System225,67813.8%67-1.0%
4UnitedHealth Group, Inc.148,2319.1%67-4.0%
5Independence Health Group, Inc.134,8988.2%67-5.6%
6Humana Inc.99,8896.1%67+19.3%
7Risant Health, Inc.95,7575.9%67+0.7%
8CAPITAL BLUE CROSS50,1513.1%67+44.8%
9Health Care Service Corporation36,2192.2%67-3.6%
10Thomas Jefferson University27,9581.7%42+72.0%
11Elevance Health, Inc.16,4141.0%67-3.3%
12Devoted Health, Inc.15,9601.0%58+170.7%
13Centene Corporation14,0280.9%66-12.8%
14Rifkin Managed Care Holding, LLC8400.1%19+8.8%
15Clover Health Holdings, Inc.6740.0%16+21.0%
16Blue Cross Blue Shield of Michigan Mutual Ins. Co.6140.0%67-2.8%
17Mitchell Family Office4760.0%31+45.1%
18West Virginia United Health System, Inc.4120.0%4—
19CareFirst, Inc.2440.0%67+100.0%
20Lifetime Healthcare, Inc.1000.0%67-2.0%
21Horizon Mutual Holdings, Inc970.0%67+38.6%
22Perennial Consortium, LLC510.0%8—
23Alignment Healthcare USA, LLC00.0%67—
24Allina Health and Aetna Insurance Holding Company00.0%67—
25Athena Healthcare Holdings, LLC00.0%4—
26ATRIO Health Plans00.0%1—
27Aultman Health Foundation00.0%67—
28Aware Integrated, Inc.00.0%67—
29BayCare Health System, Inc.00.0%1—
30Baystate Health, Inc.00.0%67—
31Blue Cross & Blue Shield of Rhode Island00.0%67—
32Blue Cross and Blue Shield of Massachusetts, Inc.00.0%67—
33Blue Cross Blue Shield of Arizona00.0%1—
34Blue Cross Blue Shield of Kansas00.0%67—
35Blue Cross Blue Shield of Nebraska00.0%67—
36BlueCross BlueShield of Alabama00.0%67—
37BlueCross BlueShield of South Carolina (BCBSSC)00.0%67—
38BlueCross BlueShield of Tennessee00.0%67—
39California Physicians' Service00.0%67—
40Cambia Health Solutions, Inc.00.0%67—
41CareSource00.0%13—
42Champion Health Plans-USA, LLC.00.0%1—
43Corewell Health00.0%67—
44CoxHealth00.0%1—
45CuraCor Solutions Corp.00.0%67—
46Elderplan, Inc.00.0%9—
47EmblemHealth, Inc.00.0%67—
48Fallon Community Health Plan, Inc.00.0%67—
49Fenyx Health Holdings, Inc.00.0%67—
50General Catalyst Group Management Holdings LP00.0%67—
51Gold Kidney Health Plan00.0%1—
52Guidewell Mutual Holding Corporation00.0%67—
53Hawaii Medical Service Association00.0%67—
54Health Plan of San Mateo00.0%1—
55Healthfirst, Inc.00.0%67—
56HealthPartners, Inc.00.0%67—
57Henry Ford Health System00.0%67—
58Imperial Health Plan of California00.0%2—
59Independent Health Association, Inc.00.0%67—
60Intermountain Health Care, Inc.00.0%1—
61Johns Hopkins Healthcare LLC00.0%67—
62Kaiser Foundation Health Plan, Inc.00.0%22—
63LifeBridge Health, Inc.00.0%3—
64Longevity Health Founders, LLC00.0%4—
65Louisiana Health Service & Indemnity Company00.0%67—
66Lumeris Group Holdings Corporation00.0%1—
67Martin's Point Health Care, Inc.00.0%67—
68Mass General Brigham Incorporated00.0%3—
69McLaren Health Care Corporation00.0%1—
70Medica Holding Company00.0%67—
71MEDICAL MUTUAL OF OHIO00.0%67—
72Mercy Care00.0%2—
73MHH Healthcare, L.P.00.0%11—
74Molina Healthcare, Inc.00.0%8—
75MVP Health Care, Inc.00.0%67—
76NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND00.0%1—
77Network Health, Inc.00.0%67—
78Point32Health, Inc.00.0%6—
79Samaritan Health Services, Inc.00.0%1—
80SCAN Group00.0%9—
81Sentara Health Care (SHC)00.0%1—
82Sharp Healthcare00.0%1—
83The Health Plan of West Virginia, Inc.00.0%67—
84Trinity Health Corporation00.0%7—
85Triton Health Systems, L.L.C.00.0%1—
86Ultimate Healthcare Holdings, LLC00.0%3—
87UNICO Services, Inc.00.0%2—
88Universal Health Services, Inc.00.0%4—
89USAble Mutual Insurance Company00.0%67—
90Village Care of New York, Inc.00.0%3—
91VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK00.0%2—
92Visiting Nurse Service of New York00.0%7—

County view

Leading carrier and Advantage enrollment in each Pennsylvania county. Penetration is from CMS Medicare Monthly Enrollment, 2024.

CountyAdvantage enrolleesLeading carrierLeader shareCarriersPenetration
Allegheny193,820UPMC Health System33.8%6267.5%
Philadelphia160,957Independence Health Group, Inc.26.4%6358.2%
Westmoreland73,042Highmark Health33.5%5870.4%
Montgomery70,747Independence Health Group, Inc.39.4%6336.3%
Lancaster65,590CVS Health Corporation33.3%5950.4%
Bucks65,193Independence Health Group, Inc.41.9%5840.7%
York56,223CVS Health Corporation42.3%6351.1%
Delaware49,279Independence Health Group, Inc.35.2%6238.5%
Berks44,158CVS Health Corporation26.7%6045.0%
Erie42,895CVS Health Corporation44.4%5462.2%
Lehigh39,236Highmark Health30.4%5945.8%
Dauphin38,690CVS Health Corporation35.0%5759.6%
Washington37,952Highmark Health35.3%5967.7%
Chester36,882Independence Health Group, Inc.29.7%6032.3%
Luzerne35,617Risant Health, Inc.44.1%5842.9%
Butler35,429Highmark Health32.8%5567.9%
Northampton35,026CVS Health Corporation22.2%5842.6%
Cumberland33,365CVS Health Corporation33.0%5451.0%
Beaver32,357Highmark Health37.3%5770.3%
Cambria28,234UPMC Health System49.3%5674.8%
Lackawanna24,127Risant Health, Inc.41.9%5743.3%
Fayette22,838CVS Health Corporation36.0%5465.2%
Blair21,211UPMC Health System44.4%5263.2%
Mercer20,929CVS Health Corporation39.7%5366.4%
Lebanon19,099Highmark Health38.5%5652.6%
Monroe17,953CVS Health Corporation30.5%5842.7%
Schuylkill17,687Risant Health, Inc.25.0%5345.2%
Centre17,310Highmark Health37.4%5259.8%
Lawrence17,053CVS Health Corporation37.6%5669.9%
Franklin17,002CVS Health Corporation44.5%5842.4%
Lycoming16,827Risant Health, Inc.33.6%5454.4%
Indiana15,371UPMC Health System38.8%5172.1%
Somerset14,642UPMC Health System48.3%5468.5%
Northumberland14,251Risant Health, Inc.55.9%5356.6%
Armstrong13,624Highmark Health44.0%5473.7%
Crawford12,832CVS Health Corporation40.6%5554.0%
Clearfield12,551UPMC Health System33.4%5257.5%
Adams12,393CVS Health Corporation45.8%5342.5%
Venango10,364UPMC Health System46.9%5266.7%
Bedford9,019UPMC Health System58.1%5564.0%
Columbia8,317Risant Health, Inc.61.7%5248.2%
Bradford8,030Humana Inc.21.5%5247.3%
Carbon7,551CVS Health Corporation26.8%5240.0%
Jefferson7,112Highmark Health44.4%5358.7%
Huntingdon7,003CVS Health Corporation36.0%5259.7%
Mifflin6,994Risant Health, Inc.59.0%5158.0%
Perry6,987CVS Health Corporation34.2%5258.2%
Clinton6,012Risant Health, Inc.50.5%5162.0%
Clarion5,919UPMC Health System39.8%5457.0%
Tioga5,911CVS Health Corporation25.1%5251.1%
Pike5,841CVS Health Corporation49.4%5233.0%
Warren5,837CVS Health Corporation39.9%5351.1%
McKean5,534UPMC Health System39.6%5449.1%
Wayne5,462CVS Health Corporation34.8%5336.1%
Snyder5,321Risant Health, Inc.50.2%5257.0%
Susquehanna5,146Risant Health, Inc.26.4%5343.4%
Greene5,044CVS Health Corporation39.5%5468.3%
Union4,791Risant Health, Inc.46.8%5152.2%
Elk4,032Highmark Health35.6%5342.8%
Wyoming3,965Risant Health, Inc.45.7%5252.1%
Juniata3,424Risant Health, Inc.47.8%5160.3%
Montour2,766Risant Health, Inc.72.9%5059.2%
Potter2,500CVS Health Corporation30.2%5250.7%
Fulton1,655CVS Health Corporation37.8%5244.9%
Forest1,055CVS Health Corporation44.1%5363.8%
Sullivan886Risant Health, Inc.41.4%5249.6%
Cameron708UPMC Health System45.8%5155.2%

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).

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