Medicare Advantage in Fulton County, Pennsylvania
1,892 people in Fulton County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 47.1% of 4,013 eligible beneficiaries (+0.02 pts since October 2025). CVS Health Corporation is the largest parent organization with 34% of reported enrollment; 10 parent organizations have 11 or more members and the HHI is 2,123 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 59 members here are in plans that terminate or leave the county. MA plans offered go from 56 to 56.
Parent organizations in Fulton County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 641 | +116 | 34.5% |
| CAPITAL BLUE CROSS | 390 | +264 | 21.0% |
| Highmark Health | 322 | −333 | 17.3% |
| UnitedHealth Group, Inc. | 196 | +47 | 10.6% |
| Humana Inc. | 142 | +5 | 7.7% |
| Risant Health, Inc. | 47 | +1 | 2.5% |
| Devoted Health, Inc. | 45 | new | 2.4% |
| UPMC Health System | 29 | −110 | 1.6% |
| Centene Corporation | 23 | 0 | 1.2% |
| Independence Health Group, Inc. | 21 | +3 | 1.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 305 beneficiaries in Fulton County were assigned to 19 Medicare Shared Savings Program ACOs, 18.7% of assignable Original Medicare beneficiaries. Together, roughly 57% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.