Medicare Advantage in Massachusetts: 484,467 members, 13 carriers, Point32Health, Inc. in front.
Point32Health, Inc. holds 24.0% of Massachusetts’s visible Medicare Advantage members, ahead of UnitedHealth at 19.4% and Blue Cross and Blue Shield of Massachusetts, Inc. at 17.3%. The market grew +10.4% (+45,556 members) from Nov 2025 to Oct 2026 and stepped +5.5% at the 2026 election period. 35.6% of the state's Medicare beneficiaries are in a Medicare Advantage plan.
Every carrier with members in Massachusetts
Ranked by visible members in Oct 2026. The twelve-month change runs Nov 2025 to Oct 2026; the election step is the carrier’s own December-to-January change. Counties led counts counties where the carrier has the most visible members and at least one other carrier is visible. Blue Cross and Blue Shield of Massachusetts, Inc. leads 4 of the 13 counties with a lead. At the election period Eternal Health of Delaware, Inc. stepped up most (+183.5%) and Blue Cross and Blue Shield of Massachusetts, Inc. stepped down most (−22.3%).
| # | Carrier | Members | Share | Twelve months | Election step | Counties led | Rating | $0 premium | Plans |
|---|---|---|---|---|---|---|---|---|---|
| 1 | Point32Health, Inc. | 116,339 | 24.0% | −1.4% | −3.0% | 3 of 10 | 3.92 | 35% | 19 |
| 2 | UnitedHealth | 94,148 | 19.4% | −3.4% | −0.7% | 3 of 11 | 3.87 | 76% | 13 |
| 3 | Blue Cross and Blue Shield of Massachusetts, Inc. | 83,706 | 17.3% | −13.0% | −22.3% | 4 of 11 | 4.25 | 69% | 7 |
| 4 | Aetna (CVS) | 53,152 | 11.0% | +16.2% | +7.5% | 0 of 9 | 3.79 | 100% | 7 |
| 5 | CareSource | 44,731 | 9.2% | +163.2% | +160.2% | 1 of 12 | 4.50 | 100% | 2 |
| 6 | Mass General Brigham Incorporated | 21,342 | 4.4% | +167.2% | +112.8% | 1 of 10 | 3.50 | 33% | 6 |
| 7 | Fallon Community Health Plan, Inc. | 21,194 | 4.4% | +2.3% | −0.2% | 0 of 12 | 3.76 | 73% | 5 |
| 8 | Baystate Health, Inc. | 14,537 | 3.0% | +17.8% | +10.0% | 1 of 4 | 3.00 | 38% | 6 |
| 9 | Molina | 10,444 | 2.2% | +0.6% | +1.8% | 0 of 8 | 4.50 | 100% | 3 |
| 10 | Humana | 9,372 | 1.9% | +42.2% | +36.5% | 0 of 6 | 4.03 | 100% | 5 |
| 11 | Central Mass Health Holding LLCends every plan for 2027 | 7,771 | 1.6% | +103.8% | +74.2% | 0 of 1 | – | – | 4 |
| 12 | Eternal Health of Delaware, Inc. | 7,663 | 1.6% | +298.9% | +183.5% | 0 of 6 | 2.50 | 100% | 3 |
| 13 | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND | 68 | 0.0% | – | – | 0 of 1 | – | 100% | 1 |
Massachusetts county by county
14 counties with visible members, largest first. A county’s leader is the carrier with the most visible members there; a county with one visible carrier shows no leader, because the others are suppressed, not absent. Penetration is Medicare Advantage members as a share of the county’s Medicare beneficiaries.
| County | Visible members | Carriers | Leader | Leader share | MA penetration | Dual eligibles |
|---|---|---|---|---|---|---|
| Middlesex | 94,312 | 9 | Point32Health, Inc. | 40.4% | 34.1% | 61,332 |
| Worcester | 73,007 | 11 | Blue Cross and Blue Shield of Massachusetts, Inc. | 19.8% | 44.0% | 46,171 |
| Essex | 58,126 | 9 | UnitedHealth | 28.3% | 35.4% | 45,417 |
| Bristol | 47,294 | 11 | UnitedHealth | 24.1% | 39.2% | 41,128 |
| Hampden | 46,010 | 9 | CareSource | 29.3% | 45.3% | 37,699 |
| Suffolk | 44,925 | 10 | UnitedHealth | 29.5% | 41.9% | 49,853 |
| Norfolk | 43,866 | 9 | Point32Health, Inc. | 30.5% | 32.0% | 30,665 |
| Plymouth | 37,001 | 9 | Point32Health, Inc. | 23.9% | 31.8% | 25,671 |
| Barnstable | 16,951 | 6 | Blue Cross and Blue Shield of Massachusetts, Inc. | 48.8% | 24.1% | 10,646 |
| Hampshire | 10,600 | 7 | Blue Cross and Blue Shield of Massachusetts, Inc. | 40.1% | 29.7% | 7,707 |
| Franklin | 6,421 | 5 | Blue Cross and Blue Shield of Massachusetts, Inc. | 42.3% | 32.3% | 5,239 |
| Berkshire | 5,576 | 3 | Baystate Health, Inc. | 55.6% | 16.8% | 10,230 |
| Dukes | 293 | 2 | Mass General Brigham Incorporated | 81.9% | 8.7% | 707 |
| Nantucket | 85 | 1 | one visible carrier | – | 6.2% | 198 |
Massachusetts's twelve months
Visible Medicare Advantage members in Massachusetts each month, Nov 2025 to Oct 2026. The December-to-January step is the election period; the rest of the year moves on new eligibles, special enrollment and deaths.
What 2027 does to Massachusetts
The fate assigned to every plan for 2027, joined to the members in it today. A plan that ends sends its members to choose again; a plan dropping counties keeps the plan but not every county, and which counties is not stated.
members in Massachusetts are in plans that end for 2027; Central Mass Health Holding LLC ends every plan in the state.
- Mass General Brigham Incorporated18,219
- Central Mass Health Holding LLC · every plan7,771
- Point32Health, Inc.2,034
- UnitedHealth900
- Humana845
members are in plans that keep selling in Massachusetts but drop at least one county for 2027.
- Blue Cross and Blue Shield of Massachusetts, Inc. · 5 plans78,858
- Baystate Health, Inc. · 2 plans10,293
- Fallon Community Health Plan, Inc. · 2 plans9,545
- Humana · 2 plans6,401
- Aetna (CVS) · 1 plans1,193
The plans on sale in Massachusetts for 2027
Benefit design weighted by each plan’s members today, so a figure is what the market’s members are offered, not a count of plans. The rating is the 2027 overall Star Rating, weighted the same way.
of members are in a plan with no monthly premium
median out-of-pocket maximum, member weighted
2027 overall, member weighted
- Point32Health, Inc.3.92 stars · 35% at $0 · $4,500 max
- UnitedHealth3.87 stars · 76% at $0 · $7,150 max
- Blue Cross and Blue Shield of Massachusetts, Inc.4.25 stars · 69% at $0 · $9,200 max
- Aetna (CVS)3.79 stars · 100% at $0 · $7,150 max
- CareSource4.50 stars · 100% at $0 · $8,390 max
- Mass General Brigham Incorporated3.50 stars · 33% at $0 · $5,000 max
- Fallon Community Health Plan, Inc.3.76 stars · 73% at $0 · $9,850 max
- Baystate Health, Inc.3.00 stars · 38% at $0 · $8,150 max
- Molina4.50 stars · 100% at $0 · $9,850 max
The read on every carrier in Massachusetts is in Carrier Command.
A monthly position page for each of the 13 carriers here: risk and rebate against the market, Stars levers, the election-period forecast, county standing and the written read. Launching for Medicare Advantage plans.
Other states
Every state has its own page; the largest carriers have one nationally.
- Alabama
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Puerto Rico
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Point32Health, Inc. in every state · UnitedHealth in every state · Blue Cross and Blue Shield of Massachusetts, Inc. in every state · All states and carriers
How these numbers are made
- Members are visible members: CMS suppresses any plan-county cell of ten or fewer, so small counties undercount. Market share excludes employer group plans.
- Enrollment is Oct 2026; the twelve months run Nov 2025 to Oct 2026; the election step compares December 2025 with January 2026.
- Plan fates are the ones assigned for contract year 2027; benefit design is the 2027 filing; the rating is the 2027 overall Star Rating of each carrier's contracts, weighted by members in Massachusetts.
- A carrier is a parent organization; its brands in Massachusetts may carry other names. The rank 1st to 13th counts every parent with visible members in 2026.
- Every figure comes from public CMS data as Livmor reads it, and the page is rebuilt when a new month posts. Livmor Carrier Command, public CMS data.