across 53 active states · member-weighted Star Rating 4.11 (2026)
-0.1%
Month-over-Month
-5.5%
Year-over-Year
2.1%
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)
13,066,837
-761,227
-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-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%
2025-Oct
13,826,660
+26,420
+0.2%
2025-Sep
13,800,240
+29,995
+0.2%
2025-Aug
13,770,245
+40,267
+0.3%
2025-Jul
13,729,978
+27,194
+0.2%
State-by-State Enrollment
State
Code
Enrollment
Counties
Share of Provider
Texas
TX
1,313,570
251
10.05%
Florida
FL
878,958
67
6.73%
North Carolina
NC
427,405
100
3.27%
New York
NY
396,545
62
3.03%
California
CA
383,722
57
2.94%
Washington
WA
358,212
39
2.74%
Ohio
OH
340,466
88
2.61%
Missouri
MO
334,382
115
2.56%
Arizona
AZ
327,650
15
2.51%
Georgia
GA
316,908
159
2.43%
Wisconsin
WI
277,415
72
2.12%
Indiana
IN
254,012
92
1.94%
Colorado
CO
250,101
63
1.91%
Tennessee
TN
229,903
95
1.76%
Illinois
IL
218,541
102
1.67%
New Jersey
NJ
217,600
21
1.67%
Louisiana
LA
205,694
64
1.57%
Virginia
VA
189,861
133
1.45%
Alabama
AL
162,263
67
1.24%
South Carolina
SC
157,742
46
1.21%
Oregon
OR
156,684
34
1.20%
Pennsylvania
PA
147,658
67
1.13%
Oklahoma
OK
147,003
77
1.13%
Arkansas
AR
130,334
75
1.00%
Utah
UT
126,775
27
0.97%
Massachusetts
MA
112,236
14
0.86%
Connecticut
CT
111,092
8
0.85%
Nevada
NV
100,191
13
0.77%
Idaho
ID
80,196
43
0.61%
New Mexico
NM
79,510
33
0.61%
Kansas
KS
78,678
87
0.60%
Michigan
MI
78,627
82
0.60%
Minnesota
MN
78,178
75
0.60%
Mississippi
MS
74,717
82
0.57%
Kentucky
KY
73,890
120
0.57%
Iowa
IA
71,458
93
0.55%
Nebraska
NE
53,626
73
0.41%
Maine
ME
52,411
16
0.40%
Hawaii
HI
51,054
4
0.39%
Rhode Island
RI
45,644
5
0.35%
Maryland
MD
42,805
24
0.33%
West Virginia
WV
36,616
55
0.28%
New Hampshire
NH
34,314
10
0.26%
Delaware
DE
34,274
3
0.26%
District of Columbia
DC
20,620
1
0.16%
Wyoming
WY
9,212
22
0.07%
South Dakota
SD
8,019
44
0.06%
Montana
MT
7,816
38
0.06%
North Dakota
ND
6,436
24
0.05%
U.S. Virgin Islands
VI
5,550
2
0.04%
Vermont
VT
4,096
14
0.03%
Alaska
AK
587
5
0.00%
Puerto Rico
PR
15
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.