ELV · 10-Q · 2026Q2 · Full report

Membership / Enrollment Trends

Elevance Health, Inc. · 2026-07-15 · Importance 68 · Surprise 58

Total medical membership declined 1.5% from June 30, 2025 to June 30, 2026, driven primarily by Medicaid attrition (8,358k vs 8,733k, down 375k or 4.3%) and declines in Medicare lines. Medicare Advantage membership fell 358k (from 2,255k to 1,897k), a 15.9% decrease, and total Medicare membership decreased 10.8% (from 3,129k to 2,790k), each exceeding a 10% YoY change. These shifts are attributed largely to state Medicaid eligibility redeterminations and related changes in member effectuation, and have driven elevated morbidity and medical cost trends. Offsetting items include growth in Employer Group Fee-Based membership and a 10.6% increase in Vision membership (up 1,142k to 11,912k).

Key facts

• Medicare Advantage membership was 1,897 (in thousands) as of June 30, 2026 and 2,255 (in thousands) as of June 30, 2025, a decrease of 358 (15.9%). source
• From June 30, 2025 to June 30, 2026, total medical membership declined by 1.5%. source
• Total medical membership was 44,949 (in thousands) as of June 30, 2026 and 45,621 (in thousands) as of June 30, 2025, a decrease of 672 (1.5%). source
• Medicaid membership was 8,358 (in thousands) as of June 30, 2026 and 8,733 (in thousands) as of June 30, 2025, a decrease of 375 (4.3%). source
• Individual medical membership was 1,317 (in thousands) as of June 30, 2026 and 1,348 (in thousands) as of June 30, 2025, a decrease of 31 (2.3%). source
• Employer Group Fee-Based membership increased to 20,931 (in thousands) as of June 30, 2026 from 20,584 (in thousands) as of June 30, 2025, an increase of 347 (1.7%). source
• Carelon Services Consumers Served were 92.4 million for the period ended June 30, 2026 and 97.3 million for the period ended June 30, 2025, a decrease of 4.9 million (5.0%). source
• Medical membership: approximately 44.9 million medical members through our affiliated health plans as of June 30, 2026. source