Medicare Advantage in Pike County, Kentucky
10,275 people in Pike County, Kentucky were enrolled in Medicare Advantage in October 2026, 66.7% of 15,409 eligible beneficiaries (+0.9 pts since October 2025). Humana Inc. is the largest parent organization with 46% of reported enrollment; 9 parent organizations have 11 or more members and the HHI is 2,786 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 716 members here are in plans that terminate or leave the county. MA plans offered go from 35 to 32.
Parent organizations in Pike County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 4,753 | +837 | 46.4% |
| UnitedHealth Group, Inc. | 1,549 | −448 | 15.1% |
| Centene Corporation | 1,424 | +44 | 13.9% |
| CVS Health Corporation | 1,170 | +118 | 11.4% |
| Elevance Health, Inc. | 806 | −425 | 7.9% |
| UMWA Health and Retirement Funds | 372 | −30 | 3.6% |
| One Senior Care, Inc. | 113 | +27 | 1.1% |
| C & O Employees' Hospital Association | 38 | −4 | 0.4% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 11 | new | 0.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 820 beneficiaries in Pike County were assigned to 33 Medicare Shared Savings Program ACOs, 18.1% of assignable Original Medicare beneficiaries. Together, roughly 73% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.