across 52 active states · member-weighted Star Rating 3.81 (2026)
+0.3%
Month-over-Month
+35.5%
Year-over-Year
5.8%
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)
11,052,048
+2,896,781
+35.5%
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-Aug
11,052,048
+37,430
+0.3%
2026-Jul
11,014,618
+28,501
+0.3%
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%
State-by-State Enrollment
State
Code
Enrollment
Counties
Share of Provider
Florida
FL
1,166,060
67
10.55%
Texas
TX
552,428
246
5.00%
North Carolina
NC
450,379
100
4.08%
Illinois
IL
336,043
102
3.04%
Georgia
GA
335,816
159
3.04%
Kentucky
KY
293,745
120
2.66%
Michigan
MI
249,376
83
2.26%
Virginia
VA
236,609
133
2.14%
Louisiana
LA
233,100
64
2.11%
Alabama
AL
232,316
67
2.10%
South Carolina
SC
224,828
46
2.03%
Ohio
OH
224,288
88
2.03%
Indiana
IN
222,012
92
2.01%
Tennessee
TN
208,435
95
1.89%
Arizona
AZ
176,716
15
1.60%
Missouri
MO
166,674
107
1.51%
California
CA
147,294
42
1.33%
Washington
WA
143,543
39
1.30%
Mississippi
MS
128,745
82
1.16%
Wisconsin
WI
120,203
72
1.09%
West Virginia
WV
119,639
55
1.08%
Oklahoma
OK
117,643
68
1.06%
Colorado
CO
117,083
55
1.06%
New York
NY
116,855
62
1.06%
Arkansas
AR
111,834
74
1.01%
Pennsylvania
PA
101,979
67
0.92%
Nevada
NV
98,342
9
0.89%
Utah
UT
63,726
23
0.58%
Montana
MT
55,310
38
0.50%
New Mexico
NM
54,879
30
0.50%
New Jersey
NJ
54,718
21
0.50%
Kansas
KS
52,918
58
0.48%
Maryland
MD
50,436
24
0.46%
New Hampshire
NH
42,892
10
0.39%
Iowa
IA
36,054
98
0.33%
Maine
ME
26,174
16
0.24%
Oregon
OR
18,061
28
0.16%
Hawaii
HI
17,572
4
0.16%
Idaho
ID
15,311
38
0.14%
Nebraska
NE
14,465
32
0.13%
Massachusetts
MA
10,988
12
0.10%
Minnesota
MN
10,385
46
0.09%
Connecticut
CT
8,762
8
0.08%
Vermont
VT
8,099
12
0.07%
Delaware
DE
7,703
3
0.07%
Wyoming
WY
2,262
13
0.02%
District of Columbia
DC
1,642
1
0.01%
Alaska
AK
485
5
0.00%
Rhode Island
RI
292
5
0.00%
South Dakota
SD
137
2
0.00%
North Dakota
ND
23
2
0.00%
U.S. Virgin Islands
VI
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.