Medicare Advantage in Tioga County, Pennsylvania
6,069 people in Tioga County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 53.6% of 11,316 eligible beneficiaries (−0.3 pts since October 2025). CVS Health Corporation is the largest parent organization with 25% of reported enrollment; 11 parent organizations have 11 or more members and the HHI is 1,804 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 830 members here are in plans that terminate or leave the county. MA plans offered go from 48 to 46.
Parent organizations in Tioga County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 1,504 | +411 | 25.0% |
| UnitedHealth Group, Inc. | 1,294 | +490 | 21.5% |
| Humana Inc. | 989 | +153 | 16.5% |
| Highmark Health | 942 | −747 | 15.7% |
| Risant Health, Inc. | 810 | +328 | 13.5% |
| UPMC Health System | 199 | −637 | 3.3% |
| Centene Corporation | 116 | −12 | 1.9% |
| Independence Health Group, Inc. | 96 | +11 | 1.6% |
| Elevance Health, Inc. | 23 | −2 | 0.4% |
| Mitchell Family Office | 21 | new | 0.3% |
| Lifetime Healthcare, Inc. | 18 | −2 | 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, 1,479 beneficiaries in Tioga County were assigned to 36 Medicare Shared Savings Program ACOs, 35.7% of assignable Original Medicare beneficiaries. Together, roughly 70% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.