Medicare Advantage in Monroe County, Georgia
3,962 people in Monroe County, Georgia were enrolled in Medicare Advantage in October 2026, 54.6% of 7,252 eligible beneficiaries (+0.5 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 34% of reported enrollment; 9 parent organizations have 11 or more members and the HHI is 2,440 (highly concentrated). For 2027, 66 members here are in plans that terminate or leave the county. MA plans offered go from 45 to 40.
Parent organizations in Monroe County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 1,349 | −105 | 34.3% |
| Humana Inc. | 1,088 | +213 | 27.7% |
| Elevance Health, Inc. | 622 | −48 | 15.8% |
| CVS Health Corporation | 604 | −4 | 15.4% |
| Clover Health Holdings, Inc. | 95 | +51 | 2.4% |
| UNICO Services, Inc. | 62 | +5 | 1.6% |
| Centene Corporation | 49 | −7 | 1.2% |
| Devoted Health, Inc. | 48 | +33 | 1.2% |
| Mitchell Family Office | 15 | new | 0.4% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,031 beneficiaries in Monroe County were assigned to 25 Medicare Shared Savings Program ACOs, 44.6% of assignable Original Medicare beneficiaries. Together, roughly 75% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.
