Medicare Advantage in Pike County, Pennsylvania
6,051 people in Pike County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 35.2% of 17,213 eligible beneficiaries (+0.3 pts since October 2025). CVS Health Corporation is the largest parent organization with 49% of reported enrollment; 10 parent organizations have 11 or more members and the HHI is 3,065 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 216 members here are in plans that terminate or leave the county. MA plans offered go from 34 to 32.
Parent organizations in Pike County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 2,927 | +331 | 48.8% |
| UnitedHealth Group, Inc. | 1,043 | +159 | 17.4% |
| Highmark Health | 982 | −328 | 16.4% |
| Risant Health, Inc. | 610 | +49 | 10.2% |
| Humana Inc. | 175 | +14 | 2.9% |
| Elevance Health, Inc. | 99 | +14 | 1.6% |
| Independence Health Group, Inc. | 62 | +13 | 1.0% |
| Centene Corporation | 52 | −14 | 0.9% |
| Horizon Mutual Holdings, Inc | 27 | +7 | 0.4% |
| UPMC Health System | 25 | +3 | 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, 5,307 beneficiaries in Pike County were assigned to 101 Medicare Shared Savings Program ACOs, 61.3% of assignable Original Medicare beneficiaries. Together, roughly 75% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.