Medicare Advantage in Refugio County, Texas
1,087 people in Refugio County, Texas were enrolled in Medicare Advantage in October 2026, 57.9% of 1,878 eligible beneficiaries (+1.3 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 75% of reported enrollment; 5 parent organizations have 11 or more members and the HHI is 6,035 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 136 members here are in plans that terminate or leave the county. MA plans offered go from 21 to 15.
Parent organizations in Refugio County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 777 | +75 | 75.4% |
| Humana Inc. | 187 | +16 | 18.2% |
| CVS Health Corporation | 30 | −4 | 2.9% |
| Elevance Health, Inc. | 22 | new | 2.1% |
| Rifkin Managed Care Holding, LLC | 14 | −1 | 1.4% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 316 beneficiaries in Refugio County were assigned to 20 Medicare Shared Savings Program ACOs, 51.1% of assignable Original Medicare beneficiaries. Together, roughly 79% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.