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 Jun 2026
State Footprint Jun 2026
5-Year Annual Enrollment
Snapshot
Enrollment
Net YoY
YoY %
2026-Jun (latest — partial year)
8,023,424
-258,897
-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-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%
2025-Jul
8,274,643
-2,590
-0.0%
State-by-State Enrollment
State
Code
Enrollment
Counties
Share of Provider
Pennsylvania
PA
446,157
67
5.56%
New York
NY
399,076
62
4.97%
Illinois
IL
343,052
102
4.28%
Ohio
OH
321,225
88
4.00%
Florida
FL
267,059
63
3.33%
New Jersey
NJ
231,441
21
2.88%
Georgia
GA
201,613
159
2.51%
Texas
TX
201,029
193
2.51%
Connecticut
CT
185,660
8
2.31%
North Carolina
NC
145,441
100
1.81%
Missouri
MO
120,705
112
1.50%
Michigan
MI
102,846
83
1.28%
California
CA
100,590
53
1.25%
South Carolina
SC
80,676
46
1.01%
Iowa
IA
80,316
96
1.00%
Virginia
VA
72,261
133
0.90%
Massachusetts
MA
69,524
14
0.87%
Washington
WA
60,594
35
0.76%
West Virginia
WV
46,467
55
0.58%
Louisiana
LA
45,582
64
0.57%
Kansas
KS
45,310
54
0.56%
Alabama
AL
42,677
66
0.53%
Kentucky
KY
40,953
106
0.51%
Arizona
AZ
38,474
14
0.48%
Indiana
IN
37,991
92
0.47%
Mississippi
MS
37,572
75
0.47%
Wisconsin
WI
37,372
68
0.47%
Maine
ME
36,647
16
0.46%
Colorado
CO
35,690
43
0.44%
Maryland
MD
33,759
24
0.42%
Nevada
NV
33,484
8
0.42%
Arkansas
AR
27,255
64
0.34%
Delaware
DE
23,727
3
0.30%
Oregon
OR
18,934
29
0.24%
Tennessee
TN
18,914
91
0.24%
Rhode Island
RI
17,682
5
0.22%
Nebraska
NE
15,433
54
0.19%
Oklahoma
OK
15,096
65
0.19%
New Hampshire
NH
12,407
10
0.15%
Utah
UT
10,692
22
0.13%
South Dakota
SD
5,826
38
0.07%
Minnesota
MN
3,178
41
0.04%
North Dakota
ND
2,949
29
0.04%
District of Columbia
DC
2,709
1
0.03%
Idaho
ID
2,219
29
0.03%
New Mexico
NM
2,139
21
0.03%
Vermont
VT
1,525
14
0.02%
Hawaii
HI
1,523
4
0.02%
Montana
MT
1,428
18
0.02%
Alaska
AK
1,059
4
0.01%
Wyoming
WY
882
21
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.