CMS Medicare enrollment · April 2026
Montana Medicare Enrollment
State and county enrollment from CMS, including Original Medicare, Medicare Advantage and Other Health Plans, and Part D coverage.
Informational only. These enrollment counts do not compare plans or provide medical, financial, or enrollment advice.
Montana enrollment figures
- Total Medicare enrollment
- 271.4K
- Original Medicare
- 190.3K
- MA & Other share
- 29.9%
- Part D coverage
- 76%
271,396
190,330 beneficiaries
CMS combined delivery-system measure
206,392 beneficiaries
County enrollment
57 CMS county rows for Montana. Unavailable values remain marked as not reported rather than estimated.
| County | Total | Original Medicare | MA & Other | MA & Other share | Part D share |
|---|---|---|---|---|---|
| Beaverhead County | 2,718 | 2,104 | 614 | 22.6% | 77.7% |
| Big Horn County | 2,075 | 1,409 | 666 | 32.1% | 60% |
| Blaine County | 1,270 | 1,240 | 30 | 2.4% | 62% |
| Broadwater County | 1,917 | 1,333 | 584 | 30.5% | 73.2% |
| Carbon County | 3,556 | 2,427 | 1,129 | 31.7% | 77.9% |
| Carter County | 362 | Not reported | Not reported | Not reported | 73.8% |
| Cascade County | 19,645 | 12,120 | 7,525 | 38.3% | 72.1% |
| Chouteau County | 1,508 | 1,103 | 405 | 26.9% | 76.6% |
| Custer County | 2,929 | 2,514 | 415 | 14.2% | 76% |
| Daniels County | 471 | 449 | 22 | 4.7% | 77.9% |
| Dawson County | 2,239 | 2,204 | 35 | 1.6% | 79.9% |
| Deer Lodge County | 3,028 | 2,231 | 797 | 26.3% | 78.7% |
| Fallon County | 658 | 621 | 37 | 5.6% | 80.2% |
| Fergus County | 3,486 | 2,280 | 1,206 | 34.6% | 76% |
| Flathead County | 28,936 | 18,872 | 10,064 | 34.8% | 77.5% |
| Gallatin County | 20,235 | 14,731 | 5,504 | 27.2% | 77.8% |
| Garfield County | 310 | Not reported | Not reported | Not reported | 72.9% |
| Glacier County | 2,282 | 1,794 | 488 | 21.4% | 54.7% |
| Golden Valley County | 308 | 170 | 138 | 44.8% | 76.9% |
| Granite County | 1,019 | 766 | 253 | 24.8% | 71.6% |
| Hill County | 3,376 | 3,109 | 267 | 7.9% | 75.9% |
| Jefferson County | 3,936 | 2,801 | 1,135 | 28.8% | 74.3% |
| Judith Basin County | 698 | 447 | 251 | 36% | 75.5% |
| Lake County | 9,012 | 6,437 | 2,575 | 28.6% | 71.9% |
| Lewis And Clark County | 18,538 | 13,021 | 5,517 | 29.8% | 74.5% |
| Liberty County | 508 | 408 | 100 | 19.7% | 79.5% |
| Lincoln County | 8,360 | 4,876 | 3,484 | 41.7% | 73.6% |
| Madison County | 2,880 | 2,245 | 635 | 22% | 76.5% |
| Mccone County | 482 | 450 | 32 | 6.6% | 78.2% |
| Meagher County | 641 | 522 | 119 | 18.6% | 72.7% |
| Mineral County | 1,791 | 1,190 | 601 | 33.6% | 73.5% |
| Missoula County | 26,126 | 19,326 | 6,800 | 26% | 79.1% |
| Musselshell County | 1,731 | 1,106 | 625 | 36.1% | 76.2% |
| Park County | 4,825 | 3,888 | 937 | 19.4% | 74.8% |
| Petroleum County | 118 | 99 | 19 | 16.1% | 75.4% |
| Phillips County | 1,141 | 1,055 | 86 | 7.5% | 72% |
| Pondera County | 1,553 | 1,107 | 446 | 28.7% | 77.9% |
| Powder River County | 462 | 429 | 33 | 7.1% | 76.8% |
| Powell County | 1,828 | 1,443 | 385 | 21.1% | 70.7% |
| Prairie County | 432 | 398 | 34 | 7.9% | 72.2% |
| Ravalli County | 15,606 | 10,565 | 5,041 | 32.3% | 75.3% |
| Richland County | 2,332 | 2,299 | 33 | 1.4% | 79.8% |
| Roosevelt County | 1,787 | 1,689 | 98 | 5.5% | 73.1% |
| Rosebud County | 1,944 | 1,467 | 477 | 24.5% | 67.2% |
| Sanders County | 5,044 | 3,305 | 1,739 | 34.5% | 72% |
| Sheridan County | 990 | 977 | 13 | 1.3% | 80.7% |
| Silver Bow County | 8,773 | 6,175 | 2,598 | 29.6% | 78.8% |
| Stillwater County | 2,867 | 1,867 | 1,000 | 34.9% | 78.6% |
| Sweet Grass County | 1,112 | 799 | 313 | 28.1% | 80.8% |
| Teton County | 1,745 | 1,070 | 675 | 38.7% | 78% |
| Toole County | 1,073 | 885 | 188 | 17.5% | 71.9% |
| Treasure County | 244 | 155 | 89 | 36.5% | 83.2% |
| Unknown | Not reported | Not reported | Not reported | Not reported | Not reported |
| Valley County | 1,904 | 1,769 | 135 | 7.1% | 76.3% |
| Wheatland County | 644 | 409 | 235 | 36.5% | 74.4% |
| Wibaux County | 246 | Not reported | Not reported | Not reported | 80.9% |
| Yellowstone County | 37,695 | 23,272 | 14,423 | 38.3% | 79.2% |
Source and interpretation
CMS Medicare Monthly Enrollment, April 2026, published 2026-07-23. “MA & Other” retains the official combined CMS field label.
- CMS suppresses some small counts with an asterisk; suppressed values remain null in this snapshot.
- Medicare Advantage and Other Health Plans is the CMS-published combined measure and is not limited to Medicare Advantage alone.
- Enrollment counts describe a reporting month and do not compare plan benefits, provider networks, quality, or personal costs.