UNH · 10-Q · 2026Q1 · Full report

Membership / Enrollment Trends

UNITEDHEALTH GROUP INC · 2026-05-05 · Importance 57 · Surprise 50

UnitedHealthcare served 49,050 thousand people as of March 31, 2026 versus 50,125 thousand as of March 31, 2025, a decrease of 1,075 thousand people (2%) driven by benefit design and pricing actions and reduced Medicaid eligibility. Medicare Advantage membership contracted by 690 thousand people (8%) to 7,555 thousand, and commercial risk-based membership declined by 685 thousand people (8%) to 7,725 thousand in Q1 2026 versus Q1 2025. Medicaid membership decreased by 410 thousand people (5%) to 7,160 thousand, and total Community and Senior (Medicaid + Medicare + Supplement) fell 6% to 18,985 thousand people. The company expects continued contraction in Medicare Advantage and value-based arrangement participants through 2026 and has pledged to rebate 2026 profits on individual exchange products to customers.

Key facts

• Medicare Advantage membership was 7,555 thousand as of March 31, 2026 compared to 8,245 thousand as of March 31, 2025 (a decrease of 690 thousand or 8%). source
• Commercial risk-based membership decreased to 7,725 thousand as of March 31, 2026 from 8,410 thousand as of March 31, 2025 (a decrease of 685 thousand or 8%). source
• UnitedHealthcare served 1.1 million fewer people in the first quarter of 2026 compared to the prior year period. source
• UnitedHealthcare served 49,050 thousand people as of March 31, 2026 compared to 50,125 thousand as of March 31, 2025 (a decrease of 1,075 thousand or 2%). source
• Medicaid membership was 7,160 thousand as of March 31, 2026 compared to 7,570 thousand as of March 31, 2025 (a decrease of 410 thousand or 5%). source
• People served by Optum Health were approximately 93 million as of March 31, 2026 and 95 million as of March 31, 2025. source