Medicare Advantage in Transylvania County, North Carolina
5,579 people in Transylvania County, North Carolina were enrolled in Medicare Advantage in October 2026, 51.2% of 10,895 eligible beneficiaries (−0.2 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 31% of reported enrollment; 11 parent organizations have 11 or more members and the HHI is 2,378 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 54 members here are in plans that terminate or leave the county, and Health Care Service Corporation leaves. MA plans offered go from 45 to 40.
Parent organizations in Transylvania County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 1,712 | +142 | 31.0% |
| CuraCor Solutions Corp. | 1,480 | +225 | 26.8% |
| Humana Inc. | 1,269 | −526 | 23.0% |
| CVS Health Corporation | 698 | +165 | 12.6% |
| Devoted Health, Inc. | 112 | +92 | 2.0% |
| Centene Corporation | 61 | −8 | 1.1% |
| Alignment Healthcare USA, LLC | 55 | +5 | 1.0% |
| Elevance Health, Inc. | 49 | +1 | 0.9% |
| Health Care Service Corporation | 43 | −40 | 0.8% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 21 | −2 | 0.4% |
| UNICO Services, Inc. | 19 | +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, 2,988 beneficiaries in Transylvania County were assigned to 63 Medicare Shared Savings Program ACOs, 66.2% of assignable Original Medicare beneficiaries. Together, roughly 84% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.