Medicare Advantage in Monroe County, Alabama
3,661 people in Monroe County, Alabama were enrolled in Medicare Advantage in October 2026, 68.1% of 5,373 eligible beneficiaries (+1.2 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 46% of reported enrollment; 6 parent organizations have 11 or more members and the HHI is 3,648 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 21 members here are in plans that terminate or leave the county. MA plans offered go from 22 to 23.
Parent organizations in Monroe County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 1,680 | −512 | 46.0% |
| Humana Inc. | 1,275 | +596 | 34.9% |
| BlueCross BlueShield of Alabama | 643 | −12 | 17.6% |
| Associated Care Ventures, Inc. | 29 | −5 | 0.8% |
| CVS Health Corporation | 13 | +1 | 0.4% |
| Elevance Health, Inc. | 11 | −2 | 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, 151 beneficiaries in Monroe County were assigned to 19 Medicare Shared Savings Program ACOs, 11.8% of assignable Original Medicare beneficiaries. Together, roughly 72% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.