Medicare Advantage in Fayette County, Illinois
1,733 people in Fayette County, Illinois were enrolled in Medicare Advantage in October 2026, 36.6% of 4,736 eligible beneficiaries (+0.4 pts since October 2025). CVS Health Corporation is the largest parent organization with 51% of reported enrollment; 6 parent organizations have 11 or more members and the HHI is 3,831 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 28 members here are in plans that terminate or leave the county. MA plans offered go from 26 to 21.
Parent organizations in Fayette County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 880 | +8 | 51.2% |
| UnitedHealth Group, Inc. | 577 | +53 | 33.5% |
| Humana Inc. | 138 | +31 | 8.0% |
| Centene Corporation | 73 | −17 | 4.2% |
| Molina Healthcare, Inc. | 35 | −1 | 2.0% |
| Devoted Health, Inc. | 17 | new | 1.0% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,324 beneficiaries in Fayette County were assigned to 16 Medicare Shared Savings Program ACOs, 52.0% 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.