# Special-needs plans grew 157% since 2020

Published 2026-11-07 · By Pushbuild · Data: [Medicare Advantage Enrollment API – Plans by County, Monthly](https://pushbuild.com/apis/medicare-advantage-enrollment.html)

**157%**Special-needs plans grew · as of 2026-11-07

**Enrollment in Medicare special-needs plans rose from 3.27 million in January 2020 to 8.40 million in October 2026; other Medicare Advantage plans grew 32%.** Special-needs plans now hold 23% of Medicare Advantage members.

“Provides monthly enrollment at the contract/plan/state/county level for all organization types.”

— [CMS Monthly Enrollment by Contract/Plan/State/County](https://www.cms.gov/data-research/statistics-trends-and-reports/medicare-advantagepart-d-contract-and-enrollment-data/monthly-enrollment-contract/plan/state/county)

| Plan type | Jan 2020 | Oct 2026 | Change |
| --- | --- | --- | --- |
| Special-needs plans | 3,272,190 | 8,404,119 | +156.8% |
| Other Medicare Advantage | 20,751,961 | 27,481,233 | +32.4% |

## Caveats

Plans flagged as SNP in CMS data: dual-eligible, chronic-condition and institutional.

## Sources

- [CMS Monthly Enrollment by Contract/Plan/State/County](https://www.cms.gov/data-research/statistics-trends-and-reports/medicare-advantagepart-d-contract-and-enrollment-data/monthly-enrollment-contract/plan/state/county), read through the Pushbuild [Medicare Advantage Enrollment API](https://pushbuild.com/apis/medicare-advantage-enrollment.html) on 2026-11-07

Data as of 2026-11-07. Every figure in this post is in the table above and the CSV below.

Download the data behind this post: [b4-ma-parent-enrollment-share.csv](https://pushbuild.com/apis/analysis/data/b4-ma-parent-enrollment-share.csv)

## Get this data

Every number in this post comes from the [Medicare Advantage Enrollment API – Plans by County, Monthly](https://pushbuild.com/apis/medicare-advantage-enrollment.html). $0.0008 per row returned; every key gets $1 of free usage each month.

```
curl -X POST https://api.pushbuild.com/medicare-advantage-enrollment/run \
  -H "X-API-Key: YOUR_KEY" \
  -H "Content-Type: application/json" \
  -d '{"states": ["FL"], "maxItems": 20}'
```

[API docs and key](https://pushbuild.com/apis/medicare-advantage-enrollment.html)[More analysis from this data](https://pushbuild.com/apis/analysis/api/medicare-advantage-enrollment/)Embed this chart

Free to reuse with the credit link. Paste this HTML into your page, or use the [SVG file](https://pushbuild.com/apis/analysis/special-needs-plan-enrollment-growth/chart.svg).

Want a table like this in Google Sheets, refreshed on demand? Free script: [copy a web table into Google Sheets](https://pushbuild.com/free/scripts/website-table-to-sheets/).

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Header photo: [Carol M. Highsmith](https://commons.wikimedia.org/wiki/File:Exterior_view_of_the_William_H._Welch_Medical_Library,_the_library_of_the_Johns_Hopkins_Hospital_in_Baltimore,_Maryland_LCCN2013650459.tif), Public domain, via Wikimedia Commons.

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As of 2026-11-07. Source: https://pushbuild.com/apis/analysis/special-needs-plan-enrollment-growth/