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Medicare Advantage now covers more than 55% of all 67 million Medicare beneficiaries, generating $450 billion in annual federal payments. The 2025-2026 rate cuts triggered UnitedHealth's exit from select markets, creating the biggest MA market reshuffle in a decade. These plans rank by total enrolled membership.
Curated by the Top10Grid editorial team. Rankings driven by community votes and updated daily.

8.9 million members โ the largest Medicare Advantage plan in the US. Generates $95B in MA revenue for parent UnitedHealth Group. Offers supplemental benefits including dental, vision, and fitness through its Renew Active program in all 50 states.

5.7 million members and 20%+ national MA market share. A pure-play Medicare specialist with deep expertise in the chronic condition and dual-eligible (Medicare + Medicaid) populations. CenterWell home health and primary care arms strengthen member retention.

3.9 million members. Aetna was acquired by CVS Health for $69B in 2018, creating a vertically integrated health ecosystem. SilverScript PDP is the dominant standalone drug plan. CVS MinuteClinics give Aetna MA members accessible primary care touchpoints.

2.4 million members across Blue Cross Blue Shield plans operating in 14 states. Formerly Anthem, the Elevance rebrand in 2022 signaled a shift to whole health. Strong duals (D-SNP) program and integrated behavioral health differentiate its MA offering.

1.5 million members via its WellCare subsidiary, acquired for $17B in 2019. Applies deep Medicaid managed care expertise to Medicare. Strongest in the dual-eligible and low-income senior segments. Rapid growth in Rural MA markets underserved by larger plans.

1.4 million members in its integrated delivery system that owns hospitals, clinics, and pharmacies. Consistently earns the highest STAR ratings (4.5-5 stars) due to coordinated care. Kaiser MA members see Kaiser physicians at Kaiser facilities โ friction-free care model.

800K members. Blue Cross Blue Shield of Michigan is a nonprofit dominating the Midwest MA market. Its Priority Health subsidiary adds a managed care network dimension. High brand loyalty among Michigan seniors translates to industry-leading retention rates.

600K members. Cigna refocused its Medicare strategy after selling Medicare Supplement to Health Spring (now Cigna). Evernorth pharmacy services arm provides integrated PBM capabilities. Cigna is rebuilding MA scale following strategic portfolio adjustments in 2023-2024.

400K members with rapid expansion in the low-income Medicare population. Molina's Medicaid DNA makes it adept at managing high-acuity, socially complex populations. Has added MA markets in 8 new states since 2022, leveraging existing government program infrastructure.

285K members. California-based nonprofit and pioneer of Medicare Advantage since 1977 โ one of the original HMO-style MA plans. Highest STAR ratings in Southern California. SCAN's longevity in MA gives it unmatched actuarial data on senior health trends.
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8.9 million members โ the largest Medicare Advantage plan in the US. Generates $95B in MA revenue for parent UnitedHealth Group. Offers supplemental benefits including dental, vision, and fitness through its Renew Active program in all 50 states.

5.7 million members and 20%+ national MA market share. A pure-play Medicare specialist with deep expertise in the chronic condition and dual-eligible (Medicare + Medicaid) populations. CenterWell home health and primary care arms strengthen member retention.

3.9 million members. Aetna was acquired by CVS Health for $69B in 2018, creating a vertically integrated health ecosystem. SilverScript PDP is the dominant standalone drug plan. CVS MinuteClinics give Aetna MA members accessible primary care touchpoints.

2.4 million members across Blue Cross Blue Shield plans operating in 14 states. Formerly Anthem, the Elevance rebrand in 2022 signaled a shift to whole health. Strong duals (D-SNP) program and integrated behavioral health differentiate its MA offering.

1.5 million members via its WellCare subsidiary, acquired for $17B in 2019. Applies deep Medicaid managed care expertise to Medicare. Strongest in the dual-eligible and low-income senior segments. Rapid growth in Rural MA markets underserved by larger plans.

1.4 million members in its integrated delivery system that owns hospitals, clinics, and pharmacies. Consistently earns the highest STAR ratings (4.5-5 stars) due to coordinated care. Kaiser MA members see Kaiser physicians at Kaiser facilities โ friction-free care model.

800K members. Blue Cross Blue Shield of Michigan is a nonprofit dominating the Midwest MA market. Its Priority Health subsidiary adds a managed care network dimension. High brand loyalty among Michigan seniors translates to industry-leading retention rates.

600K members. Cigna refocused its Medicare strategy after selling Medicare Supplement to Health Spring (now Cigna). Evernorth pharmacy services arm provides integrated PBM capabilities. Cigna is rebuilding MA scale following strategic portfolio adjustments in 2023-2024.

400K members with rapid expansion in the low-income Medicare population. Molina's Medicaid DNA makes it adept at managing high-acuity, socially complex populations. Has added MA markets in 8 new states since 2022, leveraging existing government program infrastructure.

285K members. California-based nonprofit and pioneer of Medicare Advantage since 1977 โ one of the original HMO-style MA plans. Highest STAR ratings in Southern California. SCAN's longevity in MA gives it unmatched actuarial data on senior health trends.
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