across 52 active states · member-weighted Star Rating 3.80 (2026)
+0.5%
Month-over-Month
+34.7%
Year-over-Year
5.8%
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)
10,986,117
+2,830,850
+34.7%
2025-Dec
8,155,267
-202,902
-2.4%
2024-Dec
8,358,169
-320,909
-3.7%
2023-Dec
8,679,078
+78,459
+0.9%
2022-Dec
8,600,619
+91,923
+1.1%
2021-Dec
8,508,696
—
—
Month-over-Month Enrollment — Past 12 Months
Month
Enrollment
Net MoM
MoM %
2026-Jun
10,986,117
+57,810
+0.5%
2026-May
10,928,307
+57,078
+0.5%
2026-Apr
10,871,229
+54,207
+0.5%
2026-Mar
10,817,022
+93,316
+0.9%
2026-Feb
10,723,706
+353,160
+3.4%
2026-Jan
10,370,546
+2,215,279
+27.2%
2025-Dec
8,155,267
+17,614
+0.2%
2025-Nov
8,137,653
-4,252
-0.1%
2025-Oct
8,141,905
+19,070
+0.2%
2025-Sep
8,122,835
+3,658
+0.0%
2025-Aug
8,119,177
+3,994
+0.0%
2025-Jul
8,115,183
+10,253
+0.1%
State-by-State Enrollment
State
Code
Enrollment
Counties
Share of Provider
Florida
FL
1,164,056
67
10.60%
Texas
TX
549,323
246
5.00%
North Carolina
NC
450,222
100
4.10%
Georgia
GA
334,516
159
3.04%
Illinois
IL
334,192
102
3.04%
Kentucky
KY
292,691
120
2.66%
Michigan
MI
248,432
83
2.26%
Virginia
VA
236,300
133
2.15%
Louisiana
LA
233,118
64
2.12%
Alabama
AL
230,824
67
2.10%
Ohio
OH
226,670
88
2.06%
South Carolina
SC
224,043
46
2.04%
Indiana
IN
221,597
92
2.02%
Tennessee
TN
208,493
95
1.90%
Arizona
AZ
176,206
15
1.60%
Missouri
MO
165,609
107
1.51%
California
CA
148,331
42
1.35%
Washington
WA
142,648
38
1.30%
Mississippi
MS
128,909
82
1.17%
Wisconsin
WI
119,947
72
1.09%
West Virginia
WV
119,656
55
1.09%
New York
NY
117,515
62
1.07%
Colorado
CO
117,413
55
1.07%
Oklahoma
OK
116,219
68
1.06%
Arkansas
AR
111,119
74
1.01%
Pennsylvania
PA
101,832
67
0.93%
Nevada
NV
98,344
9
0.90%
Utah
UT
63,348
23
0.58%
Montana
MT
55,147
38
0.50%
New Jersey
NJ
54,936
21
0.50%
New Mexico
NM
54,871
30
0.50%
Kansas
KS
53,024
58
0.48%
Maryland
MD
50,669
24
0.46%
New Hampshire
NH
42,968
10
0.39%
Iowa
IA
35,798
98
0.33%
Maine
ME
26,084
16
0.24%
Oregon
OR
17,952
28
0.16%
Hawaii
HI
17,792
4
0.16%
Idaho
ID
14,945
38
0.14%
Nebraska
NE
14,377
32
0.13%
Massachusetts
MA
11,107
13
0.10%
Minnesota
MN
10,395
44
0.09%
Connecticut
CT
8,570
8
0.08%
Vermont
VT
8,098
12
0.07%
Delaware
DE
7,697
3
0.07%
Wyoming
WY
2,215
13
0.02%
District of Columbia
DC
1,684
1
0.02%
Alaska
AK
491
5
0.00%
Rhode Island
RI
286
5
0.00%
South Dakota
SD
136
2
0.00%
U.S. Virgin Islands
VI
14
1
0.00%
North Dakota
ND
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.