across 53 active states · member-weighted Star Rating 4.20 (2026)
+0.1%
Month-over-Month
-3.0%
Year-over-Year
-1.7%
CAGR (5yr)
5-Year Enrollment History
Year-end (December) snapshots · current year as of Aug 2026
State Footprint Aug 2026
5-Year Annual Enrollment
Snapshot
Enrollment
Net YoY
YoY %
2026-Aug (latest — partial year)
8,036,454
-245,867
-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-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%
2025-Oct
8,290,971
+15,249
+0.2%
2025-Sep
8,275,722
-9,974
-0.1%
State-by-State Enrollment
State
Code
Enrollment
Counties
Share of Provider
Pennsylvania
PA
446,549
67
5.56%
New York
NY
402,909
62
5.01%
Illinois
IL
344,563
102
4.29%
Ohio
OH
324,893
88
4.04%
Florida
FL
267,058
63
3.32%
New Jersey
NJ
232,812
21
2.90%
Georgia
GA
202,046
159
2.51%
Texas
TX
201,903
192
2.51%
Connecticut
CT
191,468
8
2.38%
North Carolina
NC
146,677
100
1.83%
Missouri
MO
121,175
112
1.51%
Michigan
MI
103,869
83
1.29%
California
CA
100,380
53
1.25%
Iowa
IA
80,756
96
1.00%
South Carolina
SC
80,465
46
1.00%
Virginia
VA
72,073
133
0.90%
Massachusetts
MA
69,121
14
0.86%
Washington
WA
60,788
35
0.76%
West Virginia
WV
46,452
55
0.58%
Louisiana
LA
45,415
64
0.57%
Kansas
KS
45,212
54
0.56%
Alabama
AL
42,787
66
0.53%
Kentucky
KY
41,064
107
0.51%
Arizona
AZ
38,658
13
0.48%
Indiana
IN
38,158
92
0.47%
Wisconsin
WI
37,634
68
0.47%
Mississippi
MS
37,583
75
0.47%
Maine
ME
37,117
16
0.46%
Colorado
CO
36,055
43
0.45%
Maryland
MD
33,781
24
0.42%
Nevada
NV
33,522
9
0.42%
Arkansas
AR
27,013
64
0.34%
Delaware
DE
23,860
3
0.30%
Oregon
OR
19,064
29
0.24%
Tennessee
TN
19,019
91
0.24%
Rhode Island
RI
18,296
5
0.23%
Nebraska
NE
15,746
54
0.20%
Oklahoma
OK
15,158
65
0.19%
New Hampshire
NH
12,532
10
0.16%
Utah
UT
10,846
22
0.13%
South Dakota
SD
5,881
39
0.07%
Minnesota
MN
3,182
41
0.04%
North Dakota
ND
2,986
29
0.04%
District of Columbia
DC
2,692
1
0.03%
Idaho
ID
2,225
29
0.03%
New Mexico
NM
2,164
21
0.03%
Vermont
VT
1,533
14
0.02%
Hawaii
HI
1,522
4
0.02%
Montana
MT
1,435
18
0.02%
Alaska
AK
1,069
4
0.01%
Wyoming
WY
871
20
0.01%
U.S. Virgin Islands
VI
18
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.