Medicare Advantage in Monroe County, Ohio
2,228 people in Monroe County, Ohio were enrolled in Medicare Advantage in October 2026, 55.2% of 4,036 eligible beneficiaries (+0.5 pts since October 2025). Humana Inc. is the largest parent organization with 21% of reported enrollment; 9 parent organizations have 11 or more members and the HHI is 1,483 (moderately concentrated). HRSA classifies the county as fully rural. For 2027, 397 members here are in plans that terminate or leave the county. MA plans offered go from 40 to 32.
Parent organizations in Monroe County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 459 | +66 | 20.8% |
| CVS Health Corporation | 379 | +48 | 17.1% |
| Highmark Health | 341 | −14 | 15.4% |
| UnitedHealth Group, Inc. | 332 | +43 | 15.0% |
| UMWA Health and Retirement Funds | 265 | −9 | 12.0% |
| Elevance Health, Inc. | 202 | −55 | 9.1% |
| The Health Plan of West Virginia, Inc. | 178 | +11 | 8.1% |
| Trinity Health Corporation | 34 | +4 | 1.5% |
| Centene Corporation | 21 | −9 | 0.9% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 657 beneficiaries in Monroe County were assigned to 17 Medicare Shared Savings Program ACOs, 50.3% of assignable Original Medicare beneficiaries. Together, roughly 78% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.
