Medicare Advantage in Letcher County, Kentucky
4,010 people in Letcher County, Kentucky were enrolled in Medicare Advantage in October 2026, 67.0% of 5,986 eligible beneficiaries (+2.1 pts since October 2025). Humana Inc. is the largest parent organization with 42% of reported enrollment; 7 parent organizations have 11 or more members and the HHI is 2,533 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 298 members here are in plans that terminate or leave the county. MA plans offered go from 34 to 32.
Parent organizations in Letcher County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 1,657 | +367 | 41.6% |
| UnitedHealth Group, Inc. | 661 | −197 | 16.6% |
| Elevance Health, Inc. | 654 | −163 | 16.4% |
| Centene Corporation | 571 | −22 | 14.3% |
| CVS Health Corporation | 259 | +45 | 6.5% |
| UMWA Health and Retirement Funds | 95 | −9 | 2.4% |
| Devoted Health, Inc. | 87 | +70 | 2.2% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 354 beneficiaries in Letcher County were assigned to 20 Medicare Shared Savings Program ACOs, 22.6% of assignable Original Medicare beneficiaries. Together, roughly 74% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.