across 53 active states · member-weighted Star Rating 4.20 (2026)
+0.0%
Month-over-Month
-3.0%
Year-over-Year
-1.7%
CAGR (5yr)
5-Year Enrollment History
Year-end (December) snapshots · current year as of Oct 2026
State Footprint Oct 2026
5-Year Annual Enrollment
Snapshot
Enrollment
Net YoY
YoY %
2026-Oct (latest — partial year)
8,037,822
-244,499
-3.0%
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-Oct
8,037,822
+3,386
+0.0%
2026-Sep
8,034,436
-2,018
-0.0%
2026-Aug
8,036,454
+11,609
+0.1%
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%
State-by-State Enrollment
State
Code
Enrollment
Counties
Share of Provider
Pennsylvania
PA
446,107
67
5.55%
New York
NY
405,400
62
5.04%
Illinois
IL
345,938
102
4.30%
Ohio
OH
328,179
88
4.08%
Florida
FL
267,132
63
3.32%
New Jersey
NJ
233,704
21
2.91%
Texas
TX
202,485
192
2.52%
Georgia
GA
201,783
159
2.51%
Connecticut
CT
193,276
8
2.40%
North Carolina
NC
146,892
100
1.83%
Missouri
MO
121,447
112
1.51%
Michigan
MI
104,381
83
1.30%
California
CA
100,044
53
1.24%
Iowa
IA
81,245
96
1.01%
South Carolina
SC
80,452
46
1.00%
Virginia
VA
71,903
133
0.89%
Massachusetts
MA
69,501
14
0.86%
Washington
WA
60,924
35
0.76%
West Virginia
WV
46,564
55
0.58%
Louisiana
LA
45,261
64
0.56%
Kansas
KS
45,198
58
0.56%
Alabama
AL
43,034
66
0.54%
Kentucky
KY
41,201
106
0.51%
Arizona
AZ
38,975
13
0.48%
Indiana
IN
38,335
92
0.48%
Wisconsin
WI
37,860
68
0.47%
Mississippi
MS
37,684
75
0.47%
Maine
ME
37,602
16
0.47%
Colorado
CO
36,152
43
0.45%
Maryland
MD
33,777
24
0.42%
Nevada
NV
33,504
9
0.42%
Arkansas
AR
26,675
64
0.33%
Delaware
DE
23,935
3
0.30%
Oregon
OR
19,399
29
0.24%
Tennessee
TN
19,032
91
0.24%
Rhode Island
RI
18,958
5
0.24%
Nebraska
NE
16,063
54
0.20%
Oklahoma
OK
15,294
64
0.19%
New Hampshire
NH
12,681
10
0.16%
Utah
UT
10,956
22
0.14%
South Dakota
SD
5,925
40
0.07%
Minnesota
MN
3,152
40
0.04%
North Dakota
ND
3,002
29
0.04%
District of Columbia
DC
2,656
1
0.03%
Idaho
ID
2,252
29
0.03%
New Mexico
NM
2,164
21
0.03%
Vermont
VT
1,524
14
0.02%
Hawaii
HI
1,520
4
0.02%
Montana
MT
1,443
18
0.02%
Alaska
AK
1,063
4
0.01%
Wyoming
WY
857
19
0.01%
U.S. Virgin Islands
VI
19
1
0.00%
Puerto Rico
PR
13
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.