across 53 active states · member-weighted Star Rating 4.20 (2026)
+0.0%
Month-over-Month
-3.1%
Year-over-Year
-1.8%
CAGR (5yr)
5-Year Enrollment History
Year-end (December) snapshots · current year as of Jul 2026
State Footprint Jul 2026
5-Year Annual Enrollment
Snapshot
Enrollment
Net YoY
YoY %
2026-Jul (latest — partial year)
8,024,845
-257,476
-3.1%
2025-Dec
8,282,321
-1,017,575
-10.9%
2024-Dec
9,299,896
-219,431
-2.3%
2023-Dec
9,519,327
+137,402
+1.5%
2022-Dec
9,381,925
+656,023
+7.5%
2021-Dec
8,725,902
—
—
Month-over-Month Enrollment — Past 12 Months
Month
Enrollment
Net MoM
MoM %
2026-Jul
8,024,845
+1,421
+0.0%
2026-Jun
8,023,424
+3,522
+0.0%
2026-May
8,019,902
+5,119
+0.1%
2026-Apr
8,014,783
-15,797
-0.2%
2026-Mar
8,030,580
-3,365
-0.0%
2026-Feb
8,033,945
-24,872
-0.3%
2026-Jan
8,058,817
-223,504
-2.7%
2025-Dec
8,282,321
-12,885
-0.2%
2025-Nov
8,295,206
+4,235
+0.1%
2025-Oct
8,290,971
+15,249
+0.2%
2025-Sep
8,275,722
-9,974
-0.1%
2025-Aug
8,285,696
+11,053
+0.1%
State-by-State Enrollment
State
Code
Enrollment
Counties
Share of Provider
Pennsylvania
PA
446,173
67
5.56%
New York
NY
400,858
62
5.00%
Illinois
IL
343,800
102
4.28%
Ohio
OH
322,720
88
4.02%
Florida
FL
266,969
63
3.33%
New Jersey
NJ
231,872
21
2.89%
Georgia
GA
201,968
159
2.52%
Texas
TX
201,235
191
2.51%
Connecticut
CT
186,843
8
2.33%
North Carolina
NC
145,865
100
1.82%
Missouri
MO
120,754
112
1.50%
Michigan
MI
103,450
83
1.29%
California
CA
100,368
53
1.25%
Iowa
IA
80,523
96
1.00%
South Carolina
SC
80,434
46
1.00%
Virginia
VA
72,086
133
0.90%
Massachusetts
MA
68,856
14
0.86%
Washington
WA
60,715
35
0.76%
West Virginia
WV
46,433
55
0.58%
Louisiana
LA
45,459
64
0.57%
Kansas
KS
45,264
54
0.56%
Alabama
AL
42,675
66
0.53%
Kentucky
KY
40,966
107
0.51%
Arizona
AZ
38,499
14
0.48%
Indiana
IN
38,021
92
0.47%
Mississippi
MS
37,537
75
0.47%
Wisconsin
WI
37,487
68
0.47%
Maine
ME
36,853
16
0.46%
Colorado
CO
35,945
43
0.45%
Maryland
MD
33,750
24
0.42%
Nevada
NV
33,480
9
0.42%
Arkansas
AR
27,079
65
0.34%
Delaware
DE
23,791
3
0.30%
Oregon
OR
18,986
29
0.24%
Tennessee
TN
18,950
91
0.24%
Rhode Island
RI
17,825
5
0.22%
Nebraska
NE
15,589
54
0.19%
Oklahoma
OK
15,138
65
0.19%
New Hampshire
NH
12,472
10
0.16%
Utah
UT
10,752
22
0.13%
South Dakota
SD
5,864
39
0.07%
Minnesota
MN
3,160
40
0.04%
North Dakota
ND
2,963
29
0.04%
District of Columbia
DC
2,701
1
0.03%
Idaho
ID
2,221
29
0.03%
New Mexico
NM
2,159
21
0.03%
Hawaii
HI
1,528
4
0.02%
Vermont
VT
1,524
14
0.02%
Montana
MT
1,433
18
0.02%
Alaska
AK
1,060
4
0.01%
Wyoming
WY
868
20
0.01%
U.S. Virgin Islands
VI
19
1
0.00%
Puerto Rico
PR
12
1
0.00%
State totals sum to slightly less than the provider's contract-level enrollment.
CMS suppresses any county–contract cell with 10 or fewer enrollees for HIPAA privacy,
so those small slivers don't appear in the state/county file but are still counted in the contract total.