CVS · 10-Q · 2026Q3 · Full report

Medical Membership Trends

CVS HEALTH Corp · 2026-11-04 · Importance 25 · Surprise 32

Health Care Benefits medical membership was 26.1 million at September 30, 2026, down approximately 600,000 from a year earlier. CVS attributed the decline to its exit from the individual exchange business in 2026, partly offset by growth in Commercial ASC membership. Government premium revenue increased 8.2% in the third quarter, while Commercial premium revenue declined 16.9%; year-to-date changes were up 9.9% and down 20.2%, respectively. Medicare Advantage membership was 4.229 million, compared with 4.266 million at September 30, 2025.

Key facts

• CVS Health exited the individual exchange business in 2026. source
• Health Care Benefits medical membership was 26.1 million at September 30, 2026, essentially unchanged from June 30, 2026. source
• Health Care Benefits medical membership at September 30, 2026 was approximately 600,000 lower than at September 30, 2025, reflecting the individual exchange exit, partly offset by increased Commercial ASC membership. source
• As of September 30, 2026, CVS Health served an estimated 37 million people through health insurance products and related services. source