Elevance in Puerto Rico: 161,367 Medicare Advantage members, 28.2% share, 2nd of 3.
Elevance Health, Inc., shown as Elevance, lost 13,562 members (−7.8%) from Nov 2025 to Oct 2026 and stepped −3.9% at the 2026 election period against the market's −1.6%. It sells in 78 of Puerto Rico’s 78 counties with visible members and leads 10; MHH Healthcare, L.P. sits just ahead at 57.3%, Guidewell Mutual Holding Corporation just behind at 14.6%.
Elevance's twelve months in Puerto Rico
Visible members each month, Nov 2025 to Oct 2026. The December-to-January step is the election period. The market line for the state is on the Puerto Rico page.
Where Elevance's Puerto Rico members are
The carrier’s five largest counties by visible members, with its share of each county’s visible Medicare Advantage members. It sells in 78 counties and leads 10 of them.
| County | Elevance members | Share of county | County visible members | County leader |
|---|---|---|---|---|
| San Juan | 14,297 | 30.9% | 46,201 | MHH Healthcare, L.P. |
| Bayamon | 10,459 | 34.6% | 30,213 | MHH Healthcare, L.P. |
| Carolina | 7,983 | 34.8% | 22,957 | MHH Healthcare, L.P. |
| Ponce | 6,727 | 24.8% | 27,144 | MHH Healthcare, L.P. |
| Caguas | 4,831 | 22.4% | 21,601 | MHH Healthcare, L.P. |
Elevance against the Puerto Rico market
The carrier’s figures beside the state’s, each weighted by members. A difference is a difference, not a grade: a higher maximum or a lower rating is a design and a result, read in context.
top three hold 100.0%
market 4.86, −0.36, 3rd of 3 rated
market 100%, +0 points
market $3,400, −$150
| # | Carrier | Members | Share | Twelve months | Election step | Counties led | Rating | $0 premium |
|---|---|---|---|---|---|---|---|---|
| 1 | MHH Healthcare, L.P. | 328,101 | 57.3% | +7.7% | +2.7% | 68 of 78 | 5.00 | 100% |
| 2 | Elevance | 161,367 | 28.2% | −7.8% | −3.9% | 10 of 78 | 4.50 | 100% |
| 3 | Guidewell Mutual Holding Corporation | 83,461 | 14.6% | +2.9% | +1.3% | 0 of 77 | 4.99 | 100% |
What 2027 does to Elevance's plans in Puerto Rico
The fate assigned to each of the carrier’s plans for 2027, joined to the members in it today.
7,733 members move with 2 plans consolidated into another of the carrier’s plans. In all, 5% of Elevance’s Puerto Rico members are in a plan whose service area or status changes.
The read on Elevance in Puerto Rico is in Carrier Command.
Risk and rebate against the market, the five-test read on coding versus selection, Stars levers and next year's cut points, the election-period forecast and the county-by-county standing, written as a monthly page.
Elevance elsewhere, and the rest of Puerto Rico
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.
- Elevance is the parent organization Elevance Health, Inc.; its 16 plans in Puerto Rico may sell under other brand names. The rating is the 2027 overall Star Rating of its contracts weighted by members in Puerto Rico; $0 premium and the in-network maximum are the 2027 filings weighted by members today.
- Plan fates are the ones assigned for contract year 2027.
- 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.