across 53 active states · member-weighted Star Rating 4.11 (2026)
+0.0%
Month-over-Month
-5.5%
Year-over-Year
2.0%
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)
13,070,663
-757,401
-5.5%
2025-Dec
13,828,064
+485,109
+3.6%
2024-Dec
13,342,955
-135,624
-1.0%
2023-Dec
13,478,579
+1,045,960
+8.4%
2022-Dec
12,432,619
+548,046
+4.6%
2021-Dec
11,884,573
—
—
Month-over-Month Enrollment — Past 12 Months
Month
Enrollment
Net MoM
MoM %
2026-Oct
13,070,663
+3,142
+0.0%
2026-Sep
13,067,521
-3,443
-0.0%
2026-Aug
13,070,964
+1,492
+0.0%
2026-Jul
13,069,472
+2,635
+0.0%
2026-Jun
13,066,837
-8,007
-0.1%
2026-May
13,074,844
-25,351
-0.2%
2026-Apr
13,100,195
-36,950
-0.3%
2026-Mar
13,137,145
-28,118
-0.2%
2026-Feb
13,165,263
-76,461
-0.6%
2026-Jan
13,241,724
-586,340
-4.2%
2025-Dec
13,828,064
-11,723
-0.1%
2025-Nov
13,839,787
+13,127
+0.1%
State-by-State Enrollment
State
Code
Enrollment
Counties
Share of Provider
Texas
TX
1,319,235
251
10.09%
Florida
FL
882,796
67
6.75%
North Carolina
NC
428,694
100
3.28%
New York
NY
392,759
62
3.00%
California
CA
381,030
57
2.92%
Washington
WA
358,576
39
2.74%
Ohio
OH
343,789
88
2.63%
Missouri
MO
335,519
115
2.57%
Arizona
AZ
326,481
15
2.50%
Georgia
GA
320,584
159
2.45%
Wisconsin
WI
277,694
72
2.12%
Indiana
IN
254,920
92
1.95%
Colorado
CO
251,349
63
1.92%
Tennessee
TN
231,909
95
1.77%
Illinois
IL
220,165
102
1.68%
New Jersey
NJ
217,780
21
1.67%
Louisiana
LA
208,255
64
1.59%
Virginia
VA
192,606
133
1.47%
Alabama
AL
162,199
67
1.24%
South Carolina
SC
159,459
46
1.22%
Oregon
OR
157,122
34
1.20%
Pennsylvania
PA
151,366
67
1.16%
Oklahoma
OK
145,451
77
1.11%
Arkansas
AR
132,156
75
1.01%
Utah
UT
127,446
27
0.98%
Connecticut
CT
112,277
8
0.86%
Massachusetts
MA
111,870
14
0.86%
Nevada
NV
99,653
13
0.76%
New Mexico
NM
82,263
33
0.63%
Idaho
ID
80,688
43
0.62%
Michigan
MI
79,569
82
0.61%
Kansas
KS
79,483
87
0.61%
Minnesota
MN
77,376
76
0.59%
Mississippi
MS
76,670
82
0.59%
Kentucky
KY
76,049
120
0.58%
Iowa
IA
70,866
92
0.54%
Nebraska
NE
53,248
72
0.41%
Maine
ME
52,611
16
0.40%
Hawaii
HI
50,424
4
0.39%
Rhode Island
RI
44,184
5
0.34%
Maryland
MD
42,756
24
0.33%
West Virginia
WV
36,749
55
0.28%
Delaware
DE
34,495
3
0.26%
New Hampshire
NH
34,169
10
0.26%
District of Columbia
DC
21,005
1
0.16%
Wyoming
WY
9,094
22
0.07%
South Dakota
SD
8,043
44
0.06%
Montana
MT
7,690
38
0.06%
North Dakota
ND
6,363
24
0.05%
U.S. Virgin Islands
VI
5,592
2
0.04%
Vermont
VT
4,039
14
0.03%
Alaska
AK
597
5
0.00%
Puerto Rico
PR
14
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.