Medicare Advantage in Pike County, Ohio
3,551 people in Pike County, Ohio were enrolled in Medicare Advantage in October 2026, 51.1% of 6,948 eligible beneficiaries (−0.1 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 28% of reported enrollment; 10 parent organizations have 11 or more members and the HHI is 1,869 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 1,264 members here are in plans that terminate or leave the county. MA plans offered go from 39 to 34.
Parent organizations in Pike County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 966 | +133 | 27.5% |
| Humana Inc. | 743 | +227 | 21.1% |
| CVS Health Corporation | 647 | +77 | 18.4% |
| Elevance Health, Inc. | 450 | −625 | 12.8% |
| Trinity Health Corporation | 421 | +187 | 12.0% |
| Devoted Health, Inc. | 138 | new | 3.9% |
| Centene Corporation | 59 | −31 | 1.7% |
| CareSource | 42 | +17 | 1.2% |
| The Health Plan of West Virginia, Inc. | 37 | new | 1.1% |
| Perennial Consortium, LLC | 12 | 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, 1,241 beneficiaries in Pike County were assigned to 18 Medicare Shared Savings Program ACOs, 56.0% 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.