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2021 Medicare Advantage & PDP Enrollment Highlights

by | Feb 11, 2021 | Medicare, Medicare Advantage, news

CSG Actuarial compiled the following highlights from the various January 2021 enrollment files.

  • Medicare Advantage Nationwide enrollment grew by 9.4% to 26.6 million compared to the prior year
  • Standalone PDP enrollment shrank by 3.2% to 24.4 million compared to the prior year
  • Medicare Advantage penetration rates by State
    • States with highest MA Penetration:
      • Minnesota: 52%
      • Florida & Michigan: 51%
      • Rhode Island: 50%
      • Alabama, Hawaii, Oregon: 49%
    • State with lowest MA Penetration:
      • Alaska: 1%
      • Wyoming: 5%
      • Maryland: 14%
      • Vermont: 18%
StateMedicare Eligibles January 2021MA Enrolled January 2021MA Penetration January 2021Year-over_Year % Increase in MA Penetration Rate
Alabama1,065,826 525,992 49%4%
Alaska102,492 1,479 1%0%
Arizona1,377,278 615,934 45%2%
Arkansas647,974 212,520 33%4%
California6,461,331 3,013,518 47%2%
Colorado 948,517 431,552 45%2%
Connecticut 695,318 326,234 47%3%
Delaware217,405 47,286 22%4%
Florida4,706,682 2,377,750 51%2%
Georgia1,786,387 822,496 46%4%
Hawaii283,615 139,100 49%2%
Idaho352,141 139,322 40%3%
Illinois2,277,060 738,566 32%3%
Indiana1,287,453 507,986 39%4%
Iowa639,769 174,530 27%3%
Kansas549,584133,113 24%3%
Kentucky946,204 397,314 42%5%
Louisiana894,877 400,524 45%4%
Maine349,951 157,702 45%6%
Maryland1,064,529 150,057 14%2%
Massachusetts 1,361,557 386,954 28%2%
Michigan2,111,908 1,075,691 51%4%
Minnesota1,052,771 543,993 52%4%
Mississippi613,346 168,717 28%5%
Missouri1,253,456 539,704 43%3%
Montana239,706 52,702 22%2%
Nebraska355,204 82,722 23%4%
Nevada 552,410 235,564 43%3%
New Hampshire 310,449 75,580 24%4%
New Jersey1,644,624 560,143 34%2%
New Mexico435,710 175,815 40%2%
New York3,689,815 1,669,161 45%2%
North Carolina2,049,515 889,609 43%4%
North Dakota 135,023 29,088 22%2%
Ohio2,386,968 1,152,839 48%3%
Oklahoma756,113 221,393 29%5%
Oregon892,681 434,664 49%2%
Pennsylvania2,788,137 1,291,646 46%2%
Puerto Rico768,599 610,800 79%1%
Rhode Island226,102 113,193 50%3%
South Carolina 1,112,362 400,929 36%4%
South Dakota180,006 44,832 25%2%
Tennessee1,389,934 624,944 45%3%
Texas4,316,221 1,951,49345%3%
Utah418,179 178,542 43%3%
Vermont152,569 27,650 18%5%
Virginia 1,557,866 432,053 28%3%
Washington1,411,517 543,472 39%3%
Washington DC94,814 22,709 24%3%
West Virginia 443,697 184,184 42%4%
Wisconsin1,208,854 585,767 48%3%
Wyoming115,057 5,630 5%0%

Medicare Advantage Market Share Leaders in Each State:

State Market Share #1Market Share #2Market Share #3
AlabamaHumanaUnitedHealth GroupBCBS of Alabama
AlaskaCVS HealthUnitedHealth GroupHumana
Arizona UnitedHealth GroupHumanaCigna
Arkansas UnitedHealth GroupHumanaCentene
CaliforniaKaiserUnitedHealth GroupSCAN Group
ColoradoUnitedHealth GroupKaiserHumana
ConnecticutUnitedHealth GroupCVS HealthAnthem
DelawareCVS HealthUnitedHealth GroupHumana
FloridaHumanaUnitedHealth GroupAnthem
GeorgiaUnitedHealth GroupHumanaCVS Health
HawaiiBCBS of HawaiiUnitedHealth GroupKaiser
IdahoBCBS of IdahoUnitedHealth GroupPacificSource
Illinois UnitedHealth GroupHumanaCVS Health
Indiana UnitedHealth GroupHumanaAnthem
IowaUnitedHealth GroupCVS HealthHumana
KansasCVS HealthUnitedHealth GroupHumana
KentuckyHumanaAnthemUnitedHealth Group
LouisianaHumanaUnitedHealth GroupBCBS of Louisiana
MaineMartin's Point UnitedHealth GroupCVS Health
Maryland KaiserUnitedHealth GroupJohns Hopkins
MassachusettsHealth Plan Holdings, IncUnitedHealth GroupBCBS of MA
MichiganBCBS of MichiganHumanaSpectrum Health System
Minnesota BCBS of MinnesotaUCare MinnesotaHumana
MississippiHumanaCenteneUnitedHealth Group
MissouriUnitedHealth GroupCVS HealthHumana
MontanaHumanaHCSCUnitedHealth Group
Nebraska UnitedHealth GroupCVS HealthHumana
Nevada UnitedHealth GroupHumanaCVS Health
New HampshireUnitedHealth GroupCVS HealthHumana
New JerseyCVS HealthUnitedHealth GroupClover Health
New MexicoPresbyterian Healthcare ServicesUnitedHealth GroupHumana
New YorkUnitedHealth GroupHealthfirstCVS Health
North CarolinaHumanaUnitedHealth GroupCVS Health
North Dakota Medica Holding HumanaUnitedHealth Group
OhioAnthemCVS HealthUnitedHealth Group
OklahomaUnitedHealth GroupHumanaSt. Francis & St. John Health System
Oregon UnitedHealth GroupKaiserProvidence Health
PennsylvaniaCVS HealthUPMC Health SystemHighmark
Puerto RicoMMM HealthcareMedical CardSystemTriple-S Management
Rhode IslandBCBS of Rhode IslandUnitedHealth GroupNeighborhood Health Plan
South Carolina UnitedHealth GroupHumanaCVS Health
South Dakota Medica Holding HumanaUnitedHealth Group
TennesseeBCBS of TennesseeHumanaUnitedHealth Group
Texas UnitedHealth GroupHumanaCVS Health
UtahUnitedHealth GroupIntermountain Health CareHumana
VermontUnitedHealth GroupMVP Health CareBCBS of VT
Virginia HumanaUnitedHealth GroupAnthem
WashingtonUnitedHealth GroupKaiserHumana
Washington DC UnitedHealth GroupKaiserCigna
West Virginia HumanaCVS HealthUnitedHealth Group
WisconsinUnitedHealth GroupHumanaNetwork Health
WyomingUnitedHealth GroupCVS HealthUP Railroad Employee Health