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    Medicare Advantage · New York · enrollment Oct 2026

    Medicare Advantage in New York: 1,837,345 members, 22 carriers, Healthfirst, Inc. in front.

    Healthfirst, Inc. holds 20.3% of New York’s visible Medicare Advantage members, ahead of UnitedHealth at 17.4% and Lifetime Healthcare, Inc. at 16.1%. The market grew +2.5% (+44,969 members) from Nov 2025 to Oct 2026 and stepped −3.6% at the 2026 election period. 53.6% of the state's Medicare beneficiaries are in a Medicare Advantage plan.

    Visible members
    1,837,345
    Oct 2026
    Carriers
    22
    200 plans with members
    MA penetration
    53.6%
    of 4,084,861 eligible
    Twelve months
    +2.5%
    +44,969 members
    Election step
    −3.6%
    December to January 2026
    Top three
    53.9%
    HHI 1,367, unconcentrated

    Every carrier with members in New York

    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. Lifetime Healthcare, Inc. leads 29 of the 62 counties with a lead. At the election period Trinity Health Corporation stepped up most (+76.7%) and Health Care Service Corporation stepped down most (−89.3%).

    #CarrierMembersShareTwelve monthsElection stepCounties ledRating$0 premiumPlans
    1Healthfirst, Inc.373,737
    20.3%
    		+2.9%+0.8%4 of 113.4896%8
    2UnitedHealth320,650
    17.4%
    		−18.8%−14.3%13 of 613.7598%21
    3Lifetime Healthcare, Inc.296,119
    16.1%
    		+20.9%+7.3%29 of 483.7772%26
    4Aetna (CVS)286,083
    15.6%
    		+40.5%+23.9%14 of 623.6484%40
    5Centene160,961
    8.8%
    		−8.5%−4.3%0 of 623.01100%18
    6Humana104,268
    5.7%
    		+49.6%+41.2%1 of 573.0058%12
    7Visiting Nurse Service of New York73,307
    4.0%
    		+93.2%+16.7%0 of 144.00100%3
    8Elevance52,971
    2.9%
    		+6.0%−2.4%0 of 103.3691%15
    9MVP Health Care, Inc.44,032
    2.4%
    		−26.0%−39.1%1 of 513.5020%10
    10Independent Health Association, Inc.28,517
    1.6%
    		−46.9%−50.8%0 of 84.5098%7
    11Elderplan, Inc.26,966
    1.5%
    		+18.6%+4.5%0 of 173.50100%6
    12Highmark Health23,518
    1.3%
    		−57.5%−61.7%0 of 184.1080%10
    13New York City Health and Hospitals Corporation14,289
    0.8%
    		+14.4%+0.4%0 of 54.00100%3
    14Village Care of New York, Inc.10,924
    0.6%
    		+42.9%+12.0%0 of 73.50100%3
    15EmblemHealth, Inc.7,920
    0.4%
    		−14.3%−17.7%0 of 213.8571%6
    16Health Care Service Corporation4,377
    0.2%
    		−83.3%−89.3%0 of 123.00–1
    17Hamaspik of Rockland County, Inc.2,541
    0.1%
    		+67.1%+3.4%0 of 124.00100%2
    18Trinity Health Corporation2,525
    0.1%
    		+88.9%+76.7%0 of 83.00100%3
    19Molina1,485
    0.1%
    		+125.3%+0.3%0 of 9–100%2
    20CareSource894
    0.1%
    		+6.0%+0.7%0 of 6–100%1
    21Longevity Health Founders, LLC676
    0.0%
    		−13.1%−6.4%0 of 5–100%1
    22VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK585
    0.0%
    		+21.6%+11.3%0 of 10–100%2

    New York county by county

    62 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
    Queens232,63915Healthfirst, Inc.40.3%61.2%179,812
    Kings213,29816Healthfirst, Inc.40.4%57.8%203,385
    Bronx151,82616Healthfirst, Inc.56.5%71.3%130,770
    New York128,46416Healthfirst, Inc.47.8%47.0%113,255
    Erie127,02010Lifetime Healthcare, Inc.27.7%71.7%43,161
    Monroe110,9639Lifetime Healthcare, Inc.65.2%77.2%36,706
    Nassau83,47814Aetna (CVS)30.2%33.5%53,283
    Suffolk82,40311Aetna (CVS)43.8%29.9%53,654
    Westchester58,72715Aetna (CVS)25.6%39.1%37,123
    Onondaga52,8398Lifetime Healthcare, Inc.33.1%62.8%19,943
    Richmond38,27715Aetna (CVS)30.7%47.3%29,448
    Niagara32,2948UnitedHealth24.6%73.3%11,047
    Oneida28,6128Lifetime Healthcare, Inc.38.3%55.2%14,143
    Albany26,07411Lifetime Healthcare, Inc.44.5%56.3%12,244
    Saratoga26,0409Lifetime Healthcare, Inc.47.5%58.5%8,015
    Orange22,98512Aetna (CVS)27.4%38.3%13,506
    Broome22,3578Lifetime Healthcare, Inc.31.3%62.7%11,150
    Dutchess20,4199UnitedHealth31.8%41.7%10,757
    Chautauqua20,1747Aetna (CVS)26.3%66.6%7,990
    Ontario18,0917Lifetime Healthcare, Inc.74.1%72.4%4,941
    Schenectady16,98111Lifetime Healthcare, Inc.37.5%65.8%7,948
    Oswego15,9176UnitedHealth43.0%64.1%6,355
    Rensselaer15,63311Lifetime Healthcare, Inc.44.7%57.6%6,568
    Rockland15,57713Aetna (CVS)29.2%32.7%12,720
    Ulster15,1016MVP Health Care, Inc.32.5%41.7%8,885
    Wayne14,6695Lifetime Healthcare, Inc.71.4%72.0%5,211
    Steuben12,3156UnitedHealth30.0%62.8%6,115
    Cattaraugus11,2028UnitedHealth25.3%66.8%5,034
    Jefferson11,1296UnitedHealth41.7%50.6%5,562
    Chemung10,5506UnitedHealth34.2%62.3%5,335
    St. Lawrence10,4235Aetna (CVS)29.0%48.1%6,551
    Cayuga9,6246Lifetime Healthcare, Inc.32.4%58.2%3,753
    Genesee9,5878UnitedHealth40.1%71.2%2,694
    Warren9,4068Lifetime Healthcare, Inc.37.7%59.5%4,026
    Livingston9,3267Lifetime Healthcare, Inc.62.1%74.3%2,633
    Washington8,7338Lifetime Healthcare, Inc.35.7%64.5%3,602
    Madison8,6167Lifetime Healthcare, Inc.34.2%60.3%3,186
    Herkimer8,4126Lifetime Healthcare, Inc.38.7%59.3%3,828
    Clinton7,7735Aetna (CVS)40.1%40.6%5,104
    Fulton7,5457UnitedHealth30.1%67.4%4,075
    Chenango7,1816Lifetime Healthcare, Inc.33.2%64.4%3,478
    Tompkins6,8904Aetna (CVS)47.6%45.1%3,246
    Montgomery6,8818Lifetime Healthcare, Inc.35.4%62.9%3,758
    Columbia6,3878Lifetime Healthcare, Inc.37.2%43.1%3,284
    Orleans6,3018UnitedHealth53.8%71.9%2,617
    Tioga6,2686Lifetime Healthcare, Inc.40.4%65.6%2,471
    Sullivan6,1387Aetna (CVS)26.6%37.7%4,804
    Wyoming6,1308Lifetime Healthcare, Inc.33.4%68.1%1,851
    Otsego6,0066Humana40.3%44.7%3,353
    Allegany5,9398UnitedHealth37.7%59.9%2,868
    Greene5,4788Lifetime Healthcare, Inc.36.4%50.3%2,538
    Putnam5,3307UnitedHealth38.3%37.1%2,587
    Delaware5,2437Aetna (CVS)28.5%49.5%2,709
    Cortland5,0966Lifetime Healthcare, Inc.40.9%52.8%2,345
    Franklin4,7225Aetna (CVS)56.1%44.1%3,568
    Seneca4,4247Lifetime Healthcare, Inc.53.0%61.9%1,838
    Yates3,9237Lifetime Healthcare, Inc.67.1%69.7%1,324
    Essex3,7195Aetna (CVS)37.5%40.4%2,002
    Schoharie3,5186Lifetime Healthcare, Inc.43.4%50.9%1,907
    Lewis3,3407UnitedHealth29.0%63.8%1,508
    Schuyler2,4146Lifetime Healthcare, Inc.36.0%56.9%1,183
    Hamilton5185Lifetime Healthcare, Inc.43.8%50.2%190

    New York's twelve months

    Visible Medicare Advantage members in New York 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 · 1,792,376Oct 2026 · 1,837,345

    What 2027 does to New York

    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
    197,685

    members in New York are in plans that end for 2027.

    • Lifetime Healthcare, Inc.72,388
    • Humana54,405
    • Aetna (CVS)20,289
    • MVP Health Care, Inc.13,510
    • Highmark Health10,505
    • Elderplan, Inc.6,759
    • UnitedHealth6,544
    • Health Care Service Corporation4,377
    Plans dropping counties
    184,191

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

    • Lifetime Healthcare, Inc. · 4 plans57,980
    • Centene · 5 plans54,705
    • Humana · 3 plans26,424
    • Aetna (CVS) · 3 plans20,116
    • UnitedHealth · 3 plans13,992
    • Elderplan, Inc. · 1 plans9,776
    • EmblemHealth, Inc. · 1 plans1,198

    The plans on sale in New York 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
    89%

    of members are in a plan with no monthly premium

    In-network maximum
    $9,850

    median out-of-pocket maximum, member weighted

    Star Rating
    3.58

    2027 overall, member weighted

    Carrier Command · for Medicare Advantage plans

    The read on every carrier in New York is in Carrier Command.

    A monthly position page for each of the 22 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.

    Healthfirst, Inc. in every state · UnitedHealth in every state · Lifetime Healthcare, 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 New York.
    • A carrier is a parent organization; its brands in New York may carry other names. The rank 1st to 22nd 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.