Medicare Advantage in Athens County, Ohio
6,072 people in Athens County, Ohio were enrolled in Medicare Advantage in October 2026, 52.8% of 11,507 eligible beneficiaries (+0.5 pts since October 2025). CVS Health Corporation is the largest parent organization with 35% of reported enrollment; 11 parent organizations have 11 or more members and the HHI is 2,409 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 2,290 members here are in plans that terminate or leave the county, and Trinity Health Corporation leaves. MA plans offered go from 33 to 23.
Parent organizations in Athens County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 2,094 | +411 | 34.7% |
| Humana Inc. | 1,538 | +430 | 25.5% |
| UnitedHealth Group, Inc. | 1,163 | +139 | 19.3% |
| Elevance Health, Inc. | 794 | −832 | 13.2% |
| UMWA Health and Retirement Funds | 175 | −9 | 2.9% |
| The Health Plan of West Virginia, Inc. | 108 | +64 | 1.8% |
| CareSource | 52 | +31 | 0.9% |
| Centene Corporation | 48 | −24 | 0.8% |
| Highmark Health | 27 | −4 | 0.4% |
| Trinity Health Corporation | 20 | +9 | 0.3% |
| Molina Healthcare, Inc. | 19 | new | 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, 818 beneficiaries in Athens County were assigned to 32 Medicare Shared Savings Program ACOs, 19.4% of assignable Original Medicare beneficiaries. Together, roughly 62% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.