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    Medicare Advantage · Minnesota · enrollment Oct 2026

    Medicare Advantage in Minnesota: 551,833 members, 11 carriers, Aware Integrated, Inc. in front.

    Aware Integrated, Inc. holds 52.2% of Minnesota’s visible Medicare Advantage members, ahead of Medica Holding Company at 16.0% and Allina Health and Aetna Insurance Holding Company at 10.3%. The market shrank −6.3% (−37,305 members) from Nov 2025 to Oct 2026 and stepped −13.5% at the 2026 election period. 57.1% of the state's Medicare beneficiaries are in a Medicare Advantage plan.

    Visible members
    551,833
    Oct 2026
    Carriers
    11
    62 plans with members
    MA penetration
    57.1%
    of 1,214,683 eligible
    Twelve months
    −6.3%
    −37,305 members
    Election step
    −13.5%
    December to January 2026
    Top three
    78.5%
    HHI 3,253, highly concentrated

    Every carrier with members in Minnesota

    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. Aware Integrated, Inc. leads 62 of the 86 counties with a lead. At the election period Allina Health and Aetna Insurance Holding Company stepped up most (+68.3%) and Humana stepped down most (−46.7%).

    #CarrierMembersShareTwelve monthsElection stepCounties ledRating$0 premiumPlans
    1Aware Integrated, Inc.288,109
    52.2%
    		+42.7%+33.0%62 of 853.97100%10
    2Medica Holding Company88,366
    16.0%
    		+96.3%+67.2%5 of 754.0061%9
    3Allina Health and Aetna Insurance Holding Company56,708
    10.3%
    		+90.0%+68.3%4 of 223.5053%10
    4UnitedHealth49,661
    9.0%
    		−30.3%−26.9%4 of 274.5091%10
    5HealthPartners, Inc.49,528
    9.0%
    		+41.5%+23.9%2 of 224.37100%5
    6Humana9,382
    1.7%
    		−47.2%−46.7%4 of 344.0061%6
    7PrimeWest Rural MN Health Care Access Initiative2,922
    0.5%
    		+14.5%−0.3%2 of 233.50100%2
    8Sanford Health2,891
    0.5%
    		+77.9%+56.8%1 of 183.500%2
    9University of Wisconsin Hospitals and Clincs Autho2,435
    0.4%
    		−33.5%−36.0%1 of 34.5017%5
    10South Country Health Alliance1,485
    0.3%
    		+2.8%+0.1%1 of 73.50100%2
    11Itasca County346
    0.1%
    		+6.1%+1.2%0 of 1–100%1

    Minnesota county by county

    87 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.

    CountyVisible membersCarriersLeaderLeader shareMA penetrationDual eligibles
    Hennepin123,9125Aware Integrated, Inc.46.0%57.6%28,086
    Ramsey52,9786Aware Integrated, Inc.41.0%60.4%15,427
    Dakota46,9216Aware Integrated, Inc.49.8%59.1%8,218
    Anoka41,4246Aware Integrated, Inc.41.2%63.8%7,698
    Washington31,1956Aware Integrated, Inc.48.2%61.6%4,314
    Stearns17,6733Aware Integrated, Inc.76.6%55.6%2,939
    Wright15,7795Aware Integrated, Inc.54.0%63.4%2,076
    Scott14,1416Aware Integrated, Inc.53.1%59.2%2,248
    Carver11,7626Aware Integrated, Inc.44.9%59.7%1,577
    Crow Wing11,4452Aware Integrated, Inc.78.1%58.0%1,933
    Sherburne9,7454Aware Integrated, Inc.75.8%59.5%1,513
    Otter Tail9,4863Aware Integrated, Inc.78.6%53.5%1,697
    Olmsted8,9653Medica Holding Company47.9%35.0%3,312
    Chisago7,8225Aware Integrated, Inc.51.5%65.5%1,158
    Douglas6,6573Aware Integrated, Inc.82.6%57.1%1,449
    Kandiyohi5,9944Aware Integrated, Inc.76.4%55.8%1,644
    Isanti5,5986Aware Integrated, Inc.41.8%62.4%815
    St. Louis5,5283UnitedHealth66.2%64.7%6,365
    Morrison5,2785Aware Integrated, Inc.63.9%61.6%978
    Clay5,1774Aware Integrated, Inc.58.7%46.1%1,679
    Blue Earth5,1204Aware Integrated, Inc.46.4%40.9%1,932
    Becker5,1194Aware Integrated, Inc.69.5%52.6%1,075
    Cass5,1153Aware Integrated, Inc.74.2%50.0%1,014
    Winona4,8213Aware Integrated, Inc.44.0%45.5%1,255
    Beltrami4,7525Aware Integrated, Inc.62.0%48.1%1,477
    Benton4,5714Aware Integrated, Inc.69.5%55.2%1,698
    Steele4,2255Aware Integrated, Inc.52.1%50.0%1,262
    Freeborn4,0183Medica Holding Company65.9%49.9%901
    Mower3,9333Aware Integrated, Inc.64.6%47.7%1,310
    Todd3,7513Aware Integrated, Inc.82.2%59.1%724
    Hubbard3,0695Aware Integrated, Inc.63.0%47.2%718
    Brown3,0585Aware Integrated, Inc.65.8%44.7%636
    Nicollet2,9184Aware Integrated, Inc.47.2%43.5%763
    Polk2,7833Aware Integrated, Inc.73.8%39.6%1,122
    Wabasha2,7475Medica Holding Company39.9%50.8%775
    Houston2,6444University of Wisconsin Hospitals and Clincs Autho57.3%52.0%436
    Fillmore2,6044Aware Integrated, Inc.49.9%48.9%609
    Waseca2,2565Aware Integrated, Inc.63.2%49.6%526
    Martin2,1623Aware Integrated, Inc.54.7%38.5%788
    Wadena2,1412Aware Integrated, Inc.78.0%55.6%623
    Roseau1,9513Aware Integrated, Inc.93.8%51.7%380
    Lyon1,9093Aware Integrated, Inc.87.5%35.5%730
    Renville1,7715Aware Integrated, Inc.72.6%49.4%420
    Redwood1,7324Aware Integrated, Inc.88.9%47.5%399
    Pennington1,6883Aware Integrated, Inc.89.9%53.4%396
    Itasca1,6793UnitedHealth74.2%62.8%1,729
    Faribault1,6083Aware Integrated, Inc.61.7%43.5%470
    Dodge1,5134Medica Holding Company43.3%43.5%365
    Nobles1,4564Aware Integrated, Inc.84.9%36.4%556
    Pope1,4144Aware Integrated, Inc.75.5%45.5%320
    Chippewa1,2853Aware Integrated, Inc.90.7%46.9%299
    Cottonwood1,2773Aware Integrated, Inc.91.8%41.0%524
    Marshall1,2404Aware Integrated, Inc.87.5%53.6%249
    McLeod1,2254HealthPartners, Inc.51.3%71.7%764
    Clearwater1,1474Aware Integrated, Inc.62.0%52.5%328
    Kanabec1,0933Allina Health and Aetna Insurance Holding Company76.5%60.1%533
    Mille Lacs1,0904Allina Health and Aetna Insurance Holding Company53.8%63.6%864
    Swift1,0854Aware Integrated, Inc.84.2%45.8%317
    Jackson9173Aware Integrated, Inc.95.8%38.4%209
    Lac qui Parle8953Aware Integrated, Inc.95.1%47.4%218
    Goodhue8103South Country Health Alliance52.2%65.9%1,008
    Watonwan8082Medica Holding Company65.2%36.4%275
    Wilkin7993Aware Integrated, Inc.82.1%51.5%211
    Pine7864Humana63.9%63.0%1,031
    Murray7612Aware Integrated, Inc.95.3%34.0%192
    Carlton7583Humana52.0%64.1%1,148
    Grant7583Aware Integrated, Inc.82.1%46.4%138
    Aitkin7393Humana70.5%81.6%584
    Meeker7294HealthPartners, Inc.41.6%70.4%549
    Sibley6974Allina Health and Aetna Insurance Holding Company75.2%66.1%332
    Norman6843Aware Integrated, Inc.66.2%41.5%239
    Le Sueur6724Allina Health and Aetna Insurance Holding Company61.0%73.2%493
    Lake of the Woods6663Aware Integrated, Inc.94.3%58.4%136
    Big Stone6554Aware Integrated, Inc.70.4%45.8%192
    Red Lake5863Aware Integrated, Inc.91.1%58.8%104
    Lincoln5252Aware Integrated, Inc.87.2%36.6%147
    Koochiching4653UnitedHealth55.7%63.8%569
    Kittson4443Aware Integrated, Inc.88.1%38.7%130
    Lake4364Humana54.6%65.5%275
    Rice4322Aware Integrated, Inc.61.1%64.6%1,201
    Mahnomen4133Aware Integrated, Inc.79.7%42.9%234
    Rock3282Sanford Health71.3%60.3%262
    Pipestone1883PrimeWest Rural MN Health Care Access Initiative46.8%59.5%252
    Cook1302UnitedHealth63.8%63.0%134
    Traverse1113PrimeWest Rural MN Health Care Access Initiative59.5%60.1%136
    Yellow Medicine1082Aware Integrated, Inc.83.3%51.9%308
    Stevens831one visible carrier–46.6%182

    Minnesota's twelve months

    Visible Medicare Advantage members in Minnesota 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.

    Nov 2025 · 589,138Oct 2026 · 551,833

    What 2027 does to Minnesota

    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.

    Plans that end
    315,533

    members in Minnesota are in plans that end for 2027.

    • Aware Integrated, Inc.250,927
    • HealthPartners, Inc.23,471
    • Medica Holding Company20,212
    • UnitedHealth14,376
    • Humana5,790
    • Allina Health and Aetna Insurance Holding Company757
    Plans dropping counties
    164,281

    members are in plans that keep selling in Minnesota but drop at least one county for 2027.

    • Allina Health and Aetna Insurance Holding Company · 5 plans46,358
    • Medica Holding Company · 4 plans44,668
    • Aware Integrated, Inc. · 2 plans37,182
    • HealthPartners, Inc. · 2 plans19,567
    • UnitedHealth · 3 plans12,914
    • Humana · 2 plans3,592

    The plans on sale in Minnesota 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.

    $0 premium
    74%

    of members are in a plan with no monthly premium

    In-network maximum
    $6,900

    median out-of-pocket maximum, member weighted

    Star Rating
    4.01

    2027 overall, member weighted

    Carrier Command · for Medicare Advantage plans

    The read on every carrier in Minnesota is in Carrier Command.

    A monthly position page for each of the 11 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.

    Request early access See Carrier Command

    Other states

    Every state has its own page; the largest carriers have one nationally.

    Aware Integrated, Inc. in every state · Medica Holding Company in every state · Allina Health and Aetna Insurance Holding Company 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 Minnesota.
    • A carrier is a parent organization; its brands in Minnesota may carry other names. The rank 1st to 11th 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.