Medicare Advantage in DeKalb County, Alabama
9,714 people in DeKalb County, Alabama were enrolled in Medicare Advantage in October 2026, 58.0% of 16,745 eligible beneficiaries (+1.5 pts since October 2025). Humana Inc. is the largest parent organization with 29% of reported enrollment; 10 parent organizations have 11 or more members and the HHI is 1,996 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 587 members here are in plans that terminate or leave the county. MA plans offered go from 32 to 34.
Parent organizations in DeKalb County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 2,846 | +1,336 | 29.4% |
| BlueCross BlueShield of Alabama | 2,474 | +98 | 25.6% |
| Health Care Service Corporation | 1,264 | −319 | 13.1% |
| UnitedHealth Group, Inc. | 1,216 | −916 | 12.6% |
| Devoted Health, Inc. | 1,022 | +498 | 10.6% |
| CVS Health Corporation | 586 | −322 | 6.1% |
| Associated Care Ventures, Inc. | 90 | 0 | 0.9% |
| Highmark Health | 88 | −3 | 0.9% |
| Elevance Health, Inc. | 62 | +6 | 0.6% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 32 | −3 | 0.3% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,481 beneficiaries in DeKalb County were assigned to 51 Medicare Shared Savings Program ACOs, 27.4% of assignable Original Medicare beneficiaries. Together, roughly 70% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.