across 53 active states · member-weighted Star Rating 4.11 (2026)
+0.0%
Month-over-Month
-5.5%
Year-over-Year
2.1%
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)
13,070,964
-757,100
-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-Aug
13,070,964
+1,492
+0.0%
2026-Jul
13,069,472
+2,635
+0.0%
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%
State-by-State Enrollment
State
Code
Enrollment
Counties
Share of Provider
Texas
TX
1,316,304
251
10.07%
Florida
FL
880,764
67
6.74%
North Carolina
NC
427,209
100
3.27%
New York
NY
394,770
62
3.02%
California
CA
382,328
57
2.93%
Washington
WA
358,751
39
2.74%
Ohio
OH
342,340
88
2.62%
Missouri
MO
335,012
115
2.56%
Arizona
AZ
327,363
15
2.50%
Georgia
GA
318,673
159
2.44%
Wisconsin
WI
277,698
72
2.12%
Indiana
IN
254,919
92
1.95%
Colorado
CO
251,027
63
1.92%
Tennessee
TN
231,096
95
1.77%
Illinois
IL
219,308
102
1.68%
New Jersey
NJ
217,499
21
1.66%
Louisiana
LA
206,935
64
1.58%
Virginia
VA
191,527
133
1.47%
Alabama
AL
162,147
67
1.24%
South Carolina
SC
158,578
46
1.21%
Oregon
OR
156,964
34
1.20%
Pennsylvania
PA
148,886
67
1.14%
Oklahoma
OK
146,136
77
1.12%
Arkansas
AR
131,110
75
1.00%
Utah
UT
127,105
27
0.97%
Connecticut
CT
112,613
8
0.86%
Massachusetts
MA
111,876
14
0.86%
Nevada
NV
100,039
12
0.77%
New Mexico
NM
80,815
33
0.62%
Idaho
ID
80,453
43
0.62%
Kansas
KS
79,128
87
0.61%
Michigan
MI
78,598
82
0.60%
Minnesota
MN
77,920
76
0.60%
Mississippi
MS
75,625
82
0.58%
Kentucky
KY
74,937
120
0.57%
Iowa
IA
71,240
93
0.55%
Nebraska
NE
53,514
73
0.41%
Maine
ME
52,622
16
0.40%
Hawaii
HI
50,705
4
0.39%
Rhode Island
RI
45,055
5
0.34%
Maryland
MD
42,890
24
0.33%
West Virginia
WV
36,720
55
0.28%
Delaware
DE
34,372
3
0.26%
New Hampshire
NH
34,180
10
0.26%
District of Columbia
DC
20,929
1
0.16%
Wyoming
WY
9,144
22
0.07%
South Dakota
SD
8,038
44
0.06%
Montana
MT
7,755
38
0.06%
North Dakota
ND
6,422
25
0.05%
U.S. Virgin Islands
VI
5,564
2
0.04%
Vermont
VT
4,067
14
0.03%
Alaska
AK
593
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.