Medicare Advantage in Berks County, Pennsylvania
44,682 people in Berks County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 47.0% of 95,058 eligible beneficiaries (−0.04 pts since October 2025). CVS Health Corporation is the largest parent organization with 26% of reported enrollment; 16 parent organizations have 11 or more members and the HHI is 1,772 (moderately concentrated). HRSA classifies the county as partly rural. For 2027, 163 members here are in plans that terminate or leave the county. MA plans offered go from 77 to 75.
Parent organizations in Berks County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 11,813 | −172 | 26.5% |
| Highmark Health | 10,270 | −1,331 | 23.0% |
| UnitedHealth Group, Inc. | 6,914 | −183 | 15.5% |
| CAPITAL BLUE CROSS | 6,177 | +1,362 | 13.9% |
| Humana Inc. | 4,204 | +485 | 9.4% |
| Independence Health Group, Inc. | 952 | +72 | 2.1% |
| UPMC Health System | 788 | +27 | 1.8% |
| Devoted Health, Inc. | 776 | +386 | 1.7% |
| Risant Health, Inc. | 627 | −10 | 1.4% |
| Thomas Jefferson University | 614 | +396 | 1.4% |
| Centene Corporation | 372 | −117 | 0.8% |
| Elevance Health, Inc. | 362 | −66 | 0.8% |
| Health Care Service Corporation | 253 | +23 | 0.6% |
| Senior LIFE Lehigh Valley, Inc. | 229 | +12 | 0.5% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 167 | −12 | 0.4% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 10,019 beneficiaries in Berks County were assigned to 114 Medicare Shared Savings Program ACOs, 26.4% of assignable Original Medicare beneficiaries. Together, roughly 61% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.