Data · Tennessee Medicare Advantage · CMS data for July 2026

What share of Tennessee Medicare enrollees are in Medicare Advantage?

53.6% of Tennessee's 1,531,146 Medicare beneficiaries were in Medicare Advantage or another health plan in July 2026, against 51.1% nationally. That is 820,430 people, and the share rose 0.5 points from July 2025. Source: Centers for Medicare & Medicaid Services, Medicare Monthly Enrollment, data for July 2026.

Tennessee Medicare Advantage share53.6%820,430 of 1,531,146 beneficiaries in July 2026
US share51.1%36,177,750 of 70,736,624; Tennessee is 2.4 points above
Counties at 50% or more59 of 95highest Hawkins at 72.8%; lowest Fayette at 39.0%

Medicare Advantage share of Medicare beneficiaries

Monthly, January 2016 to July 2026 · percent
TennesseeUnited States
30%40%50%60%53.6%Jan 2016Aug 2018Apr 2021Dec 2023Jul 2026

Highest county shares

July 2026 · percent
Hawkins County
72.8%
Sullivan County
68.5%
Claiborne County
68.5%
Union County
68.3%
Carter County
67.6%
Campbell County
67.6%
Unicoi County
67.3%
Hancock County
67.2%

Lowest county shares

July 2026 · percent
Pickett County
43.1%
Tipton County
42.7%
Stewart County
42.2%
Weakley County
42.1%
Williamson County
41.0%
Hardin County
40.6%
Moore County
39.8%
Fayette County
39.0%

What it means

Most Tennessee Medicare beneficiaries now get their coverage through a private plan

In January 2013 the Tennessee share was 29.6%; in July 2026 it was 53.6%. Davidson County sits at 55.5% with 106,891 beneficiaries. The county spread runs from 39.0% to 72.8%.

For a hospital or physician group, the Medicare Advantage share sets how much of its Medicare revenue runs through prior authorization, plan contracts and risk arrangements rather than fee-for-service rules. For a vendor, it points to where payer-facing tools, such as authorization, denials and risk adjustment, carry the most weight.

Tennessee and US, July 2026
AreaBeneficiariesMedicare Advantage and other plansShare
Tennessee1,531,146820,43053.6%
United States70,736,62436,177,75051.1%

95 counties

CountyBeneficiariesMedicare Advantage and other plansShare
Anderson19,39910,52354.2%
Bedford10,3145,38252.2%
Benton4,9552,43549.1%
Bledsoe3,6062,07557.5%
Blount35,23119,94556.6%
Bradley25,06114,81359.1%
Campbell10,3446,99467.6%
Cannon3,6411,89852.1%
Carroll7,7903,43444.1%
Carter15,03010,16767.6%
Cheatham9,4615,43857.5%
Chester3,8891,85347.6%
Claiborne9,2006,30168.5%
Clay2,11997946.2%
Cocke11,3097,52666.5%
Coffee14,7587,28949.4%
Crockett3,3921,48343.7%
Cumberland24,84213,31953.6%
Davidson106,89159,36755.5%
Decatur3,5691,76049.3%
Dekalb5,2753,13659.5%
Dickson12,6766,90954.5%
Dyer8,2604,03148.8%
Fayette11,5814,51939.0%
Fentress6,4333,08347.9%
Franklin11,1585,34547.9%
Gibson12,3575,59345.3%
Giles7,8073,54145.4%
Grainger7,1124,76567.0%
Greene20,97812,86961.3%
Grundy4,1592,61762.9%
Hamblen15,7999,79762.0%
Hamilton83,17746,83756.3%
Hancock1,7881,20267.2%
Hardeman6,2283,41154.8%
Hardin7,6603,11040.6%
Hawkins17,13212,46672.8%
Haywood4,3372,43256.1%
Henderson6,8653,76754.9%
Henry9,6594,35645.1%
Hickman5,9403,37556.8%
Houston2,2431,02945.9%
Humphreys4,8512,13744.1%
Jackson3,2251,56548.5%
Jefferson15,4949,31360.1%
Johnson5,5973,61164.5%
Knox99,88853,48853.5%
Lake1,40969849.5%
Lauderdale5,5573,06055.1%
Lawrence11,0854,84743.7%
Lewis3,2211,63650.8%
Lincoln9,2445,07554.9%
Loudon21,24910,81150.9%
Macon5,2522,70851.6%
Madison22,82310,63346.6%
Marion7,3234,28858.6%
Marshall7,8034,15853.3%
Maury25,76312,23747.5%
Mcminn14,4328,09256.1%
Mcnairy7,2643,21044.2%
Meigs4,2572,53859.6%
Monroe14,0648,47160.2%
Montgomery33,40114,63443.8%
Moore1,53861239.8%
Morgan4,8503,19865.9%
Obion7,8593,76547.9%
Overton6,1282,94848.1%
Perry2,3081,24153.8%
Pickett1,55867143.1%
Polk5,2433,01957.6%
Putnam19,5229,16346.9%
Rhea8,9275,11057.2%
Roane15,7228,93656.8%
Robertson16,0969,25357.5%
Rutherford54,00927,63251.2%
Scott5,3783,51165.3%
Sequatchie5,6713,45060.8%
Sevier25,39314,78658.2%
Shelby168,07481,04348.2%
Smith4,6052,20847.9%
Stewart3,6781,55142.2%
Sullivan45,21730,97268.5%
Sumner41,96722,87154.5%
Tipton12,9515,53142.7%
Trousdale1,9991,06053.0%
Unicoi5,5123,71267.3%
Union4,8793,33068.3%
Van Buren1,76986048.6%
Warren10,5455,35650.8%
Washington34,76921,18560.9%
Wayne3,8401,93450.4%
Weakley7,4443,13342.1%
White8,0204,10751.2%
Williamson46,77819,20141.0%
Wilson32,27016,70051.8%

Methods and sources

CMS counts total Medicare beneficiaries and splits them into Original Medicare and "Medicare Advantage and other health plans." The second group is mostly Medicare Advantage; it also includes smaller plan types such as cost plans and PACE, so the share here is slightly higher than Medicare Advantage alone. Shares are computed from the published counts. CMS publishes monthly counts a few months behind, and the newest months can be revised.

County counts are by the beneficiary's county of residence. CMS suppresses small counts; beneficiaries with an unknown county are left out of the county table but counted in the state total.

Source: Centers for Medicare & Medicaid Services, Medicare Monthly Enrollment, data for July 2026, via the data.cms.gov data API. Retrieved November 4, 2026. Checked weekly; CMS updates monthly. Download the data (JSON).

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