Analysis of 5-Year Health Insurance Enrollment Trends: Blues vs. Non-Blues
5-Year Enrollment Trends for Blues vs. Non-Blues Analyzed by Mark Farrah Associates
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Between 2021 and 2025, health insurance enrollment for Blue Cross Blue Shield (BCBS) and non-BCBS companies showed notable trends. BCBS members insured approximately 37.2% of the market, while individual enrollment for BCBS increased by 16.5%, contrasting with a 78.2% rise for non-BCBS companies.
- 01In 2025, approximately 183 million people had fully insured health coverage, a decline of over 1.1 million from 2021.
- 02Medicare Advantage enrollment for BCBS plans rose by 41.7%, while non-BCBS enrollment increased by 18.8%.
- 03Total Medicaid enrollment reached over 14.7 million for BCBS plans and 60.2 million for non-BCBS companies in 2025.
- 04Individual enrollment for non-BCBS companies saw a significant increase of 78.2% over the five years.
- 05Fully insured group enrollment, including the Federal Employees Health Benefits Program (FEHBP), decreased for both Blues and non-Blues.
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A recent report by Mark Farrah Associates analyzed health insurance enrollment trends from 2021 to 2025, revealing significant shifts between Blue Cross Blue Shield (BCBS) and non-BCBS companies. In 2025, the total number of individuals covered by fully insured health plans was approximately 183 million, reflecting a decrease of over 1.1 million since 2021. The BCBS association, which includes its member organizations, accounted for about 37.2% of the overall market. Notably, individual enrollment for BCBS companies rose by 16.5%, while non-BCBS companies experienced a remarkable 78.2% increase. Additionally, Medicare Advantage enrollment surged by 41.7% for BCBS plans and 18.8% for non-BCBS plans. In terms of Medicaid, BCBS plans enrolled over 14.7 million individuals, while non-BCBS companies covered 60.2 million. The report highlights the dynamic landscape of health insurance enrollment and the varying performance of different market segments.
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The trends in health insurance enrollment affect both consumers and providers, influencing market competition and healthcare access.
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