Medicare Advantage in Van Zandt County, Texas
8,017 people in Van Zandt County, Texas were enrolled in Medicare Advantage in October 2026, 53.8% of 14,914 eligible beneficiaries (+0.2 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 52% of reported enrollment; 9 parent organizations have 11 or more members and the HHI is 3,498 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 1,154 members here are in plans that terminate or leave the county, and CHRISTUS Health leaves. MA plans offered go from 40 to 32.
Parent organizations in Van Zandt County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 4,142 | −170 | 51.9% |
| Humana Inc. | 1,969 | +290 | 24.7% |
| Health Care Service Corporation | 1,011 | +135 | 12.7% |
| CVS Health Corporation | 392 | −20 | 4.9% |
| CHRISTUS Health | 289 | +69 | 3.6% |
| Elevance Health, Inc. | 105 | +39 | 1.3% |
| Highmark Health | 33 | −3 | 0.4% |
| Centene Corporation | 23 | −52 | 0.3% |
| Molina Healthcare, Inc. | 21 | +4 | 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, 3,367 beneficiaries in Van Zandt County were assigned to 34 Medicare Shared Savings Program ACOs, 63.6% of assignable Original Medicare beneficiaries. Together, roughly 83% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.